Francine Shapiro Library ~ EMDR Bibliography

Francine Shapiro Library - EMDR Bibliography Links

Francine Shapiro Library: EMDR Bibliography

Your Results - you searched for the keyword Refugees 40 Results

1. Bower, R. D., & Bernstein, M. A. (2004). Case presentation of a tattoo-mutilated, Bosnian torture survivor. Torture, 14(1), 16-24.

Language: English

Format: Journal

Abstract:
Torture is used to create fear, destroy individuals and communities, and to suppress unwanted political or religious views. The survivor of torture often endures significant physical and psychological trauma. The basis for treating this trauma varies according to individual needs, community resources, programme designs, and cultural acceptance. The case presented here focuses on torture occurring during the Bosnian conflict of 1992 and demonstrates how the utilisation of a community-based, multidisciplinary network model can be effective in helping survivors through the recovery process. The unique circumstances of the study identify factors of imprisonment, rape, deprivation, physical violence and, particularly, body mutilation through tattooing. [Author Abstract]

Keywords: Bosnians Case Report Cognitive Therapy Depressive Disorders Disfigurement Drug Therapy Females Generalized Anxiety Disorder Middle Aged Muslims Plastic Surgery Treatment Posttraumatic Stress Disorder PTSD Refugees Survivors Torture Yugoslav of Secession

2. Brand-Wilhelmy, B., Irmler, D., Adam, H., Lucas, T., Moller, B., & Riedesser, P. (2002). Child refugees in Europe: Guidelines on the psychosocial context, assessment of and interventions for traumatised children and adolescents. ECRE.

Language: English

Format: Other

Abstract:
This Good Practice Guide is part of a set of three Guides that have been developed by ECRE member agencies active in the field of reception and integration of refugees. The Guides cover educational advice to refugees, working with older refugees, and assisting traumatised childrefugees. They represent the culmination of two years’ work of thematic networks in these areas, where practitioners have discussed and developed the guiding principles that should underpin work with asylum seekers and refugees. Networking activities have also enabled the lead agencies to identify examples of good practice across Europe, and all these findings are presented in the Guides.

Keywords: Adolescents Children Refugees

3. Burns, M. (2009, March). The challenges of using EMDR with refugee and asylum seeking children/adolescents. Symposium conducted the 7th annual Conference of the EMDR UK & Ireland Association, Manchester, UK.

Language: English

Format: Conference

Abstract:
This paper discusses the use of EMDR with refugee and asylum seeking children and adolescents using clinical case examples and shares the clinician’s own personal reflections on the lessons learned. The challenges of working with this group are explored drawing on research findings as well as the clinician’s experiences. Language and cultural differences can act as barriers to assessing children’s mental health or their suitability for EMDR even though in some cases it might be thought of as the treatment of choice. Working with Interpreters is often a key feature of this therapeutic work. The challenges are discussed with direct reference to The British Psychology Society’s recently published guidelines. There are ongoing stresses for these children and young people associated with displacement and their current situation in the UK. These stresses contribute to their psychological distress. Fear of being sent home or mistrust may also prevent them from providing full and accurate information hindering the clinician from obtaining an accurate assessment or trauma history. The importance of good therapeutic skills as the basis of an EMDR Approach is highlighted drawing upon a host of interventions (behavioural, physical, cognitive and motivational) to support clients in building up their own resources so that they can manage their distress between sessions. The therapist’s role in managing expressed emotions within the sessions is examined, not forgetting the impact of this on the therapist.

Keywords: Adolescents Asylum Children Refugees Symposium

4. de Roos, C. J. (2002, May). The use of EMDR in the treatment of refugee children. Presentation at the annual meeting of the EMDR Europe Association, Frankfurt, Germany.

Language: English

Format: Conference

Keywords: Children Refugees

5. Ehntholt, K. A., & Yule, W. (2006, December). Practitioner review: Assessment and treatment of refugee children and adolescents who have experienced war-related trauma. Journal of Child Psychology & Psychiatry, 47(12), 1197-1210. doi:10.1111/j.1469-7610.2006.01638.x.

Language: English

Format: Journal

Abstract:
Background: Increasingly clinicians are being asked to assess and treat young refugees, who have experienced traumatic events due to war and organised violence. However, evidence-based guidance remains scarce. Mthod: Published studies on the mental health difficulties of refugee children and adolescents, associated risk and protective factors, as well as effective interventions, particularly those designed to reduce war-related post-traumatic stress disorder (PTSD) symptoms, were identified and reviewed. The findings are summarised. Results: Young refugees are frequently subjected to multiple traumatic events and severe losses, as well as ongoing stressors within the host country. Although young refugees are often resilient, many experience mental health difficulties, including PTSD, depression, anxiety and grief. An awareness of relevant risk and protective factors is important. A phased model of intervention is often useful and the need for a holistic approach crucial. Promising treatments for alleviating symptoms of war-related PTSD include cognitive behavioural treatment (CBT), testimonial psychotherapy, narrative exposure therapy (NET) and eye movement desensitisation and reprocessing (EMDR). Knowledge of the particular needs of unaccompanied asylum-seeking children (UASC), working with interpreters, cross-cultural differences, medico-legal report writing and the importance of clinician self-care is also necessary. Conclusion: More research is required in order to expand our limited knowledge base.

Keywords: CBT Children Cognitive Behaviorial Therapy Literature Review Narrative Exposure Therapy NET Posttraumatic Stress Disorder PTSD War Refugees

6. Ehntholt, K. A., Smith, P. A., & Yule, W. (2005, April). School-based cognitive-behavioural therapy group intervention for refugee children who have experienced war-related trauma. Clinical Child Psychology and Psychiatry, 10(2), 235-250. doi:10.1177/1359104505051214.

Language: English

Format: Journal

Abstract:
This study evaluated the effectiveness of a school-based group intervention designed for children who have experienced trauma. Twenty-six children (aged 11–15 years) who were refugees or asylum-seekers from war-affected countries participated. The manual-based intervention consisted of cognitive-behavioural therapy (CBT) techniques and was implemented within secondary schools. The treatment group (n = 15) received six sessions of group CBT over a 6-week period, while the control group (n = 11) were placed on a waiting list for 6 weeks and then invited to enter treatment. Children in the CBT group showed statistically significant, but clinically modest improvements following the intervention, with decreases in overall severity of post-traumatic stress symptoms. Significant improvements were also found in overall behavioural difficulties and emotional symptoms. Children in the waiting list control group did not show any improvements over the same period. However, follow-up data, which were only available for a small subset of eight children, suggest that gains in the CBT group were not maintained at 2-month follow-up.

Keywords: Children Group CBT Group Cognitive Behaviorial Therapy Posttraumatic Stress Disorder PTSD Refugees School

7. Elofsson, U. O. E., von Scheele, B., Theorell, T., & Sondergard, H. P. (2008, May). Physiological correlates of eye movement desensitization and reprocessing. Journal of Anxiety Disorders, 22(4), 622-634. doi:10.1016/j.janxdis.2007.05.012.

Language: English

Format: Journal

Abstract:
Eye movement desensitization and reprocessing (EMDR) is an established treatment for post-traumatic stress disorder (PTSD). However, its working mechanism remains unclear. This study explored physiological correlates of eye movements during EMDR in relation to current hypotheses; distraction, conditioning, orienting response activation, and REM-like mechanisms. During EMDR therapy, fingertip temperature, heart rate, skin conductance, expiratory carbon dioxide level, and blood pulse oximeter oxygen saturation, were measured in male subjects with PTSD. The ratio between the low and high frequency components of the heart rate power spectrum (LF/HF) were computed as measures of autonomic balance. Respiratory rate was calculated from the carbon dioxide trace. Stimulation shifted the autonomic balance as indicated by decreases in heart rate, skin conductance and LF/HF-ratio, and an increased finger temperature. The breathing frequency and end-tidal carbon dioxide increased; oxygen saturation decreased during eye movements. In conclusion, eye movements during EMDR activate cholinergic and inhibit sympathetic systems. The reactivity has similarities with the pattern during REM-sleep. [Author Abstract]

Keywords: Autonomic Physiology Empirical Study Heart Rate Variability Males Orienting Response Posttraumatic Stress Disorder Psychophysiology PTSD Quantitative Study Respiration Refugees

8. Franzen, C. (2011). De invloed van de postmigratie situatie van vluchtelingen en asielzoekers in Nederland op EMDR en Stabilisatie als behandelmethoden voor PTSS [The influence of the post-migration situation of refugees and asylum seekers in the Netherlands EMDR and stabilization as treatments for PTSD]. Utrecht, Nederlands: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:

Keywords: Asylum Seekers Education Post-Migration Stressors Posttraumatic Stress Disorder PTSD: Refugees Refugee Status Work Status

9. Giusti, E., & Montanari, C. (2000). Trattamenti psicologici in emergenza con EMDR per profughi, rifugiati e vittime di traumi [Psychological treatments in emergency EMDR for refugees, refugees and victims of trauma]. Roma: Sovera Multimedia.

Language: Italian

Format: Book

Abstract:
Quando la violenza incontrollabile della natura o degli uomini si abbatte sulle persone, ci si trova sconcertati, costernati e spesso impreparati ad affrontare l'insieme dei disturbi post-traumatici originati da questi disastri. - La gestione dell'emergenza psicologica delle vittime - Le metodologie e tecniche per trattamenti immediati di sostegno specifico sono descritti per orientare i formatori del volontariato istituzionale e i professionisti del settore ad intervenire con maggiore efficacia ed efficienza.

When the uncontrollable violence of nature or human inflicted on people, you are shocked, dismayed and often unprepared to deal with all post-traumatic stress disorder stemming from these disasters. - The management of the emergency psychological victims - The methodologies and techniques for immediate treatment of specific support are described to guide the trainers in the voluntary institutions and professionals to intervene more effectively and efficiently.

Keywords: Emergency Treatment Refugees

10. Groenenberg, J. M. (2005, October). EMDR in the treatment of traumatized refugees. Presentation at the Annual Meeting of the ESTSS, Stockholm, Sweden.

Language: English

Format: Other

Abstract:
Refugees, who suffer from PTSD because of long-term, and repeated traumatic experiences (Type II trauma), can be successfully treated with EMDR, under certain conditions and when it is embedded in a broader therapeutic context.

Keywords: Posttraumatic Stress Disorder PTSD Refugees Treatment

11. Hodes, M., & Diaz-Caneja, A. (2007). Treatment options for young people and refugees with post-traumatic stress disorder II. In A. A. Hosin (Ed.), Responses to traumatized children, (pp. 40-65). Basingstoke, England: Palgrave Macmillan.

Language: English

Format: Book Section

Abstract:
This chapter focuses on the effective treatments for PTSD which are used with young people, particularly young refugees. Comprehensive accounts of treatments and treatment efficacy for PTSD in young people have been provided elsewhere. The aims of this chapter are therefore twofold: first to describe the more established treatments for young people with PTSD, and second to look at all innovative treatment approaches that have been developed for young refugees. The chapter has an evidence-based perspective, and so provides data regarding the efficacy of the treatments described.In order to achieve these aims, it was felt necessary to describe the background to evidence-based practice. This will be followed by a summary of children's and adolescents' reactions to traumatic events, and salient developmental factors. The description of treatments begins then with the therapies for which there is currently most evidence, e.g. cognitive behavioural and related treatments, including group CBT and exposure therapy. Two other individual treatments -- EMDR and psychopharmacology -- will also be described in this chapter. There is then consideration of some innovative therapies that have been used for young refugees with PTSD, such as testimony therapy and narrative exposure therapy. Non-directive therapies such as art therapy are highlighted and discussed alongside the role of the family and its potential for involvement in treatment and any proposed management plan. Finally, attention is given to some contextual factors that will influence choice of treatments. [Text, p. 40][Pilots]

Keywords: Posttraumatic Stress Disorder PTSD Refugees Treatment Young People

12. Hoofwijk, M. C. (2012). Als behandelaar en patiënt elkaar niet verstaan: De invloed van het gebruik van tolken bij EMDR bij vluchtelingen en asielzoekers op behandeluitkomst [As a clinician and patient do not understand: The influence of the use of interpreters in EMDR with refugees and asylum seekers on treatment outcome]. Utrecht, Nederlands: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:

Keywords: Asylum Seekers Interpreters Refugees Treatment Outcome

13. Kayal, H. (2013, June). Stabilisation techniques in preparation for trauma focused interventions with refugees. Presentation at the 13th annual conference for the European Society for Traumatic Stress Studies (ESTSS), Bologna, Italy.

Language: English

Format: Conference

Abstract:
A phased model of treatment is recommended for the treatment of people who have experienced repeated and multiple traumas and who may still be facing ongoing stress and threat. Establishing a sense of safety and stability is the first stage of treatment before any exposure work can begin. This can be particularly challenging when treating refugees with complex PTSD presentations. This interactive workshop will explore treatment approaches to establishing a sense of safety and stability in preparation for trauma focused therapy. Case examples of torture survivors, victims of trafficking and domestic abuse will be presented to illustrate some of the difficulties in this stage of treatment and interventions. The workshop will promote an understanding of: •Complex PTSD presentations in refugees and asylum seekers •Stabilisation and symptom management in preparation for trauma focused interventions •Managing dissociative flashbacks, dissociative seizures and sensory/physical flashbacks •Cognitive techniques for managing shame, guilt and self blame which may be barriers to exposure work •How best to work with trauma memories and when to use NET, CBT or EMDR •Cultural considerations •Managing vicarious traumatisation and self care

Keywords: Refugees Stablilization

14. Kim, N. (2011, Spring). An integrative program to treat refugees suffering from PTSD through group EMDR. Saint Mary’s College of California. 1502784.

Language: English

Format: Dissertation/Thesis

Abstract:
The purpose of this project was to provide a guide for practioners to treat refugees who are suffering from posttraumatic stress disorder with eye movement desensitization reprocessing in a group environment. The literature has shown that using EMDR in a group setting can be effective in treating a larger number of individuals than individual psychotherapy. In addition, the structure of the group presented is a brief group intervention model aimed at treating groups of six to eight individuals in four to eight weekly sessions.

Keywords: Groups Posttraumatic Stress Disorder PTSD

15. Lefèbre, R. (2010, 28 September). Heeft sociaal-maatschappelijke stress een complicerende rol bij klachten na psychotrauma? Een onderzoek onder asielzoekers en vluchtelingen naar de relatie tussen traumablootstelling, psychiatrische klachten en de invloed van sociaal-maatschappelijke stressfactoren [Socio-cultural stress has a role in complicating disorders after psychotrauma? A survey of asylum seekers and refugees into the relationship between trauma exposure, psychiatric symptoms and the influence of socio-cultural stress]. Utrecht, Nederlands: Universteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
In onderzoek onder zestig asielzoekers en vluchtelingen met de diagnose PTSS, die in behandeling waren bij Stichting Centrum ’45, is gekeken naar de relatie tussen traumablootstelling en de psychiatrische klachten: depressie-, angst-, en traumaklachten en in het bijzonder naar de mediërende invloed van sociaal-maatschappelijke stressfactoren. Meer traumatische ervaringen bleken samen te hangen met depressieklachten, maar niet met trauma- en angstklachten. Van de sociaal-maatschappelijke stressfactoren bleek stress over lichamelijke klachten samen te hangen met depressieklachten. Stress over het gezinssysteem bleek samen te hangen met angstklachten.Traumablootstelling bleek niet samen te hangen met stress over lichamelijke klachten. Geconcludeerd werd dat sociaal-maatschappelijke stressfactoren geen mediator vormen voor de relatie tussen traumablootstelling en psychiatrische klachten. Voor een behandeling als EMDR, gericht op het traumatisch verleden van de cliënt, zou dit kunnen betekenen dat verdere aandacht aan sociaal-maatschappelijke stressfactoren waarschijnlijk weinig effect zullen sorteren. Ook zet dit vraagtekens bij andere traumabehandelingen als stabilisatietherapie. Mogelijk is deze therapie, die veelvuldig wordt toegepast bij asielzoekers en vluchtelingen, minder zinvol dan gedacht. Daar er sprake was van enkele methodische beperkingen zal vervolgonderzoek moeten uitwijzen of de resultaten generaliseerbaar zijn.

In research among sixty asylum seekers and refugees diagnosed with PTSD, which were pending at Foundation Centrum '45, looked at the relationship between trauma exposure and psychiatric symptoms: depression, anxiety, and trauma symptoms, and in particular to the mediating influence by social stressors. More traumatic experiences were associated with depression symptoms, but not with trauma and anxiety symptoms. The socio-cultural stressors showed stress on physical symptoms correlated with depression symptoms. Stress on the family system was found to correlate with angstklachten.Traumablootstelling was not correlated with stress on physical symptoms. It was concluded that socio-cultural mediator no stress on a relationship between trauma exposure and psychiatric symptoms. EMDR for treatment aimed at the client's traumatic past, this could mean that further attention to socio-cultural stressors unlikely any effect. Also put this question to other treatments such as trauma stabilization therapy. Possible that this therapy is frequently used in asylum seekers and refugees, less useful than expected. Since there were some methodological limitations, further research should reveal whether the results can be generalized.

Keywords: Anxiety Asylum Seekers Depression Symptoms IPTS, Refugees Residency Status Social and Societal Stress Survey Trauma Exposure Trauma Symptoms

16. Lipke, H., & Glang, C. (2000, December). Psychological approach to Albanian Kosovar refugees with considerations for brief post-crisis services in general. Traumatology, 6(4), 295-305. doi:10.1177/153476560000600404 .

Language: English

Format: Journal

Abstract:
This article focuses on an interesting experience in working with Albanian Kosovar refugees last year in a refugee camp in Hemer, Germany. The authors, though highly trained and proficient traumatologists, worked with a large number of clients for a brief amount of time who had to rely on poorly trained interpreters who were themselves refugees in need of traumatology services (and eventually received it). They describe how Western educated practitioners were forced to adopt their methods of treatment ("standard EMDR model") to fit the requirements of the context. Among other things, they had to represent their work as educational ("information focus groups") and not "treatment" (due to the stigma), skip the time-consuming activities of assessment and rapport building, and accepted the direction of the camp psychologists as to who should or should not receive assistance. The bulk of their report focuses on the their information focus: the focus group content. They most often utilized a solution-focused approach (using eye movements to reinforce positive self-referencing statements) when working with individuals, although EMDR was used successfully with the few who requested it. The latter portion of the report includes three case studies. The authors concluded what worked best is a combination of group and individual work that relied on psychoeducation, accessing positive as well as negative material, and not initially focusing on the trauma. This information should be useful to any practitioner who must overcome similar challenges. [Adapted from Introduction] [Pilots]

Keywords: Interpreters Kosovars Psychotherapeutic Processes Refugees Victim Services

17. Marotta, S. A. (2003, Winter). Unflinching empathy: Counselors and tortured refugees. Journal of Counseling and Development, 81(1), 111-114. doi:10.1002/j.1556-6678.2003.tb00232.x.

Language: English

Format: Journal

Abstract:
After the events of September 11, 2001, and at a time in world history when refugees and displaced persons are moving about the world in numbers that are unprecedented (United States Committee for Refugees, 2001), the likelihood of counselors encountering refugees is increased regardless of their treatment settings, from schools to government agencies. Civilians are increasingly at risk for being victimized by organized political violence (Porter & Haslam, 2001), and the United States alone hosts almost half a million refugees (United States Committee for Refugees, 2001). In the article "Refugee Survivors of Torture: Trauma and Treatment," Gorman (2001) illustrated dynamics that may go unrecognized by clinicians who work with these complex individuals and families, and he provided a holistic conceptualization of these dynamics.

Keywords: Counselors Empathy Refugees Torture

18. Medema, M. L. (2012). Coping styles in the treatment of traumatized refugees. Utrecht, Nederlands: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
Which approach is most beneficial is yet unclear and Basoglu (2006) critiques this lack of progress in the field and pleas for empirically driven interventions on PTSD. To address this issue, Ter Heide is currently conducting a randomized trial to compare the efficacy of EMDR and stabilisation in a sample of of traumatized refugees and asylum seekers (hereafter the term refugees refers to both refugees and asylum seekers). The feasibility and acceptability of such a trial was demonstrated in a pilot study (Ter Heide, Mooren, Kleijn, De Jongh, & Kleber, 2011). To further counseling theory, research and practice, it should however also be examined “when” and “for whom” PTSD treatments are effective and therefore we should engage in research on moderators (Frazier, Tix & Barron; 2004). Hence, the present study examines the role ofcoping styles as possible moderators in EMDR and stabilistation treatment of traumatized refugees. This study attempts to add empirical value to the theoretical framework on the treatment of PTSD in refugees and this may also have clinical implications as to which treatment is more beneficial for which patients.

Keywords: Asylum Seekers Coping Styles Posttraumatic Stress Disorder PTSD Quality of Life Refugees Stabilisation Treatment Outcome

19. Oras, R. (2002, May). Issues in the timing of treatment of refugee children. Presentation at the annual meeting of the EMDR Europe Association, Frankfurt, Germany.

Language: English

Format: Conference

Keywords: Children Refugees

20. Oras, R. (2000, October 14). When the trauma fades – Treatment of traumatized refugee children with EMDR in a psychodynamic context. Symposium conducted at Kindheit Und Trauma I, Bregenz, Austria.

Language: English

Format: Conference

Keywords: Children Psychodynamic Context Refugees Symposium

21. Oras, R., de Ezpeleta, S. C., & Ahmad, A. (2004, June). Treatment of traumatized refugee children with eye movement desensitization and reprocessing in a psychodynamic context. Nordic Journal of Psychiatry, 58(3), 199-203. doi:10.1080/08039480410006232.

Language: English

Format: Journal

Abstract:
This study examines the effects of a psychodynamic approach of Eye Movement Desensitization and Reprocessing (EMDR) in treatment of traumatized refugee children. Among a child psychiatric outpatient refugee team, 13 children with post-traumatic stress disorder (PTSD), were treated by EMDR incorporated in a traditional psychodynamic therapeutic approach. The Posttraumatic Stress Symptom Scale for Children (PTSS-C) and the Global Assessment of Functioning (GAF) were administered before and after the treatment, to measure the effects. After treatment, a significant improvement was noticed in the functioning level and all PTSS-C scales, mostly in re-experiencing and least in the avoidance symptoms. The improvement in the functioning level was significantly correlated with the reduction of the PTSD-non-related and the depression, but not with that of the PTSD-related symptoms. Used in a psychodynamic context, EMDR is suggested to be effective treatment for traumatized refugee children. Our findings support the hypothesis of child-specific criteria for PTSD.

Keywords: Children Comorbidity Depressive Disorders Empirical Study Posttraumatic Stress Disorder PTSD Quantitative Study Refugees School Age Children Adolescents Stressors Survivors Trauma Treatment Effectiveness

22. Renner, W., Banninger-Huber, E., & Peltzer, K. (2011). Culture-sensitive and resource oriented peer (CROP) - Groups as a community based intervention for trauma survivors: A randomized controlled pilot study with refugees and asylum seekers from Chechnya. Australasian Journal of Disaster and Trauma Studies, 2011-1, 1-13.

Language: English

Format: Journal

Abstract:
Asylum seekers and refugees frequently suffer from post-traumatic stress and culturally sensitive methods towards reducing symptoms should be taken into account. The aim of the work reported here was to examine the effectiveness of Culture-Sensitive and Resource Oriented Peer (CROP) - Groups for Chechen asylum seekers and refugees towards reducing post-traumatic symptoms, anxiety, and depression. Some ninety-four participants were randomly assigned to 15 sessions of CROP - or Cognitive Behavior Therapy (CBT) - Groups, to 3 single sessions of Eye Movement Desensitization and Reprocessing (EMDR), or to a Wait-List (WL). The results indicated that CROP was significantly superior to WL, and was equally effective as CBT in reducing post-traumatic symptoms, anxiety, and depression. Improvements still were present at three and six month follow-up occasions. EMDR yielded negative results. According to this pilot study, CROP-Groups pose a promising, culturally sensitive alternative to psychotherapy with Chechen migrants.

Keywords: Asylum Seekers Chechnya Community-Based Intervention CROP Culture-Sensitive and Resource Oriented Peer Pakistan Pilot Study Psychological Trauma Randomized Control Trial RCT Refugees Survivor Trauma Treatment Center Treatment Response Violent Situation in Pakistan

23. Richman, A. (2004, June). Workshop refugees and EMDR - EMDR with refugees and victims of torture. Presentation at the EMDR Europe Association annual meeting, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
As trauma therapists we are increasingly encountering the challenge of using EMDR cross-culturally with highly traumatized clients who are refugees from war torn countries and/or oppressive regimes. This presentation seeks to address some of the difficulties of working across cultures, often with the aid of interpreters, who themselves may have been traumatized. EMDR has been found to be a highly effective treatment for refugees, especially where there is a high degree of somatization.

Keywords: Refugees Torture

24. Samec, J. R. (2001, December). The use of EMDR safe place exercise in group therapy with traumatized adolescent refugees. EMDRIA Newsletter, 6(Special Edition), 32-34.

Language: English

Format: Newsletter

Abstract:
During the last three years, I have included the EMDR induced safe place installation and exercise (Shapiro, 1995) in group therapy work with four groups of refugee adolescents.

Keywords: Adolescents Refugees Group Therapy Safe Place Trauma

25. 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:
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)

Keywords: Adolescent Development Childhood Development Empirical Study Group Psychotherapy Immigration Quantitative Study Refugees Trauma

26. Staff (1995). EMDR in Belgrade, former Yugoslavia. EMDR Network Newsletter, 5(2), 13.

Language: English

Format: Newsletter

Abstract:
Mental health workers feel overwhelmed and burned out by the increased amount of motional disturbance brought on not only by direct experiences of war, but by Living at its edge. Because of this Barbara's discusses the need of more training of EMDR professionals who can assist the mental health workers and suffering refugees in the Serbian part of former-Yugoslavia.

Keywords: Serbia Refugees War Yugoslavia

27. ter Heide, F. J. J. (2011). EMDR versus stabilisaite: Resulten van een pilot studie [Eye movement desensitisation and reprocessing (EMDR) versus stabilisation in the outpatient treatment of traumatised asylum seekers and refugees: A randomised controlled trial]. Refereer Centrum '45, Oegstgeest, the Nederlands.

Language: Dutch

Format: Publication

Keywords: Asylum Seekers Randomized Control Trial Outpatient Treatment RCT Refugees

28. ter Heide, F. J. J., Mooren, T. M., & Kleber, R. (2009, June). EMDR with traumatised asylum seekers and refugees. Presentation at the annual meeting of the EMDR European Conference, Amsterdam..

Language: English

Format: Conference

Keywords: Asylum seekers Refugees Trauma

29. ter Heide, F. J. J., Mooren, T. M., Kleijn, W., de Jongh, A., & Kleber, R. J. (2011, August). EMDR versus stabilisation in traumatised asylum seekers and refugees: Results of a pilot study. European Journal of Psychotraumatology, 2, 5881. doi:10.3402/ejpt.v2i0.5881.

Language: English

Format: Journal

Abstract:
Background: Traumatised asylum seekers and refugees are clinically considered a complex population. Discussion exists on whether with this population treatment guidelines for post-traumatic stress disorder (PTSD) should be followed and Trauma-Focused Cognitive-Behavioural Therapy (TF-CBT) or Eye Movement Desensitisation and Reprocessing (EMDR) should be applied, or whether a phased model starting with stabilisation is preferable. Some clinicians fear that trauma-focused interventions may lead to unmanageable distress or may be ineffective. While cognitive-behavioural interventions have been found to be effective with traumatised refugees, no studies concerning the efficacy of EMDR with this population have been conducted as yet. Objective: In preparation for a randomised trial comparing EMDR and stabilisation with traumatised refugees, a pilot study with 20 participants was conducted. The objective was to examine feasibility of participation in a randomised trial for this complex population and to examine acceptability and preliminary efficacy of EMDR. Design: Participants were randomly allocated to 11 sessions of either EMDR or stabilisation. Symptoms of PTSD (SCID-I, HTQ), depression and anxiety (HSCL-25), and quality of life (WHOQOL-BREF) were assessed at pre- and post-treatment and 3-month follow-up. Results: Participation of traumatised refugees in the study was found feasible, although issues associated with complex traumatisation led to a high pre-treatment attrition and challenges in assessments. Acceptability of EMDR was found equal to that of stabilisation with a high drop-out for both conditions. No participants dropped out of the EMDR condition because of unmanageable distress. While improvement for EMDR participants was small, EMDR was found to be no less efficacious than stabilisation. Different symptom courses between the two conditions, with EMDR showing some improvement and stabilisation showing some deterioration between pre-treatment and post-treatment, justify the conduct of a full trial. Conclusion: With some adaptations in study design, inclusion of a greater sample is justifiable to determine which treatment is more suitable for this complex population.

Keywords: Asylum Seekers Refugees Posttraumatic Stress Disoder PTSD TF-CBT Trauma-Focused Cognitive-Behavioural Therapy

30. ter Heide, J. J. (2008, June). EMDR versus stabilisation in the treatment of traumatised asylum seekers and refugees: Preliminary results of a pilot RCT. Poster presented at the annual meeting of the EMDR Europe Conference, London, England UK.

Language: English

Format: Conference

Abstract:
Despite the high prevalence of PTSD in refugee populations, it is as yet unclear how to treat traumatised refugees and asylum seekers most effectively. Whilst EMDR is a treatment of choice for PTSD, it is considered good clinical practice to use a phased model of intervention with these patients. In this model, a stabilisation phase precedes EMDR. Many clinicians are reluctant to try EMDR with this population for fear of psychological decompensation. They tend to stick to stabilisation techniques. Centrum ’45 in the Netherlands is a national centre for mental health care, specialising in the treatment of victims of war and organised violence. In order to optimise the mental health care offered, the centre is conducting a pilot RCT to see which is more effective in the treatment of traumatised asylum seekers and refugees: eight sessions of EMDR or eight sessions of stabilisation. The study population consists of 20 adult patients who applied for treatment and who met the DSM-IV criteria of PTSD, excluding those who are suicidal, psychotic, (hypo) manic or who suffer from substance abuse or eating disorders. Patients are screened for participation using the SCID module PTSD and part of the MINI. Symptoms of PTSD, depression and anxiety, and quality of life are assessed at pre- and post-treatment and follow-up, using the HTQ, HSCL-25 and the WHOQOL-BREF. The pilot study is due to finish in October 2008. In this poster presentation, we present preliminary findings, including data from the pre- and post-treatment assessments.

Keywords: Asylum Seekers Poster Refugees

31. ter Heide, J. J. (2009, June). EMDR versus stabilization in the treatment of traumatized asylum seekers and refugees: A pilot 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: Asylum Seekers Refuges Random Control Trial RCT Posttraumatic Stress Disorder PTSD Research Symposium

32. ter Heide, J. J. (2010, April). EMDR bij getraumatiseerde asielzoekers en vluchtelingen: Wat is wijsheid? [EMDR with traumatized refugees and asylum seekers: What is wisdom?]. Presentatie Aan de Vierde congres van de Vereniging EMDR Nederland, Nijmegen, The Nederlands.

Language: Dutch

Format: Conference

Abstract:
Inhoud: Sinds een aantal jaren schrijven de richtlijnen voor de behandeling van posttraumatische stress bij volwassenen, twee behandelingen voor: trauma-focused cognitieve gedragstherapie (TFCBT) en EMDR. Over de effectiviteit van deze behandelvormen bij asielzoekers en vluchtelingen bestaat in het veld nogal wat discussie. Asielzoekers en vluchtelingen zouden, door de complexiteit van hun traumatisering en van hun sociale omstandigheden, mogelijk niet goed in staat zijn tot "traumaverwerking" en meer baat hebben bij stabiliserende interventies. Naar de effectiviteit van TFCBT bij deze populatie zijn verschillende gerandomiseerde onderzoeken verricht. Over de effectiviteit van EMDR bij getraumatiseerde asielzoekers en vluchtelingen zijn tot nu toe geen gecontroleerde data bekend. In deze workshop wordt stilgestaan bij een aantal belangrijke aspecten van de behandeling met EMDR van getraumatiseerde asielzoekers en vluchtelingen. Werkvorm Er wordt informatie gegeven over de problematiek van deze doelgroep, en de mate waarin EMDR daar een oplossing voor biedt. Resultaten worden besproken van een pilot studie, waarin 20 getraumatiseerde asielzoekers en vluchtelingen behandeld werden met ofwel EMDR ofwel stabilisatie. Tevens worden twee casussen gepresenteerd van succesvolle en minder succesvolle EMDR bij een getraumatiseerde vluchteling. Discussie met de deelnemers wordt van harte verwelkomd, aangezien niemand nog de wijsheid in pacht heeft wat betreft de behandeling van deze doelgroep. Doel: Het doel van de workshop is de deelnemer te informeren over de problematiek van getraumatiseerde asielzoekers en vluchtelingen, en over de rol die EMDR zou kunnen spelen in de behandeling. Daarnaast is een doel het uitwisselen van ervaringen en meningen over de behandeling met EMDR van deze doelgroep.

Contents: For several years writing the guidelines for the treatment of posttraumatic stress in adults, two treatments: trauma-focused cognitive behavioral therapy (TFCBT) and EMDR. About the effectiveness of these treatment modalities for asylum seekers and refugees is in the field quite a lot. Asylum seekers and refugees would, by the complexity of their trauma and their social circumstances, may not be able to "trauma" and would certainly be stabilizing interventions. The effectiveness of TFCBT in this population, several randomized studies. About the effectiveness of EMDR with traumatized asylum seekers and refugees have so far been no controlled data are known. In this workshop looks at some important aspects of the EMDR treatment of traumatized asylum seekers and refugees. Form Information is given about the problems of this target group, and the degree of EMDR as a solution to offer. Results are discussed from a pilot study in which 20 asylum seekers and refugees traumatized treated with either EMDR or stabilization. It also presented two case studies of successful and less successful EMDR in a traumatized refugees. Discussion with the participants is highly welcomed, since no one has a monopoly of wisdom regarding the treatment of this group. Purpose: The aim of the workshop is to inform participants about the problems of traumatized asylum seekers and refugees, and the role that EMDR might play in treatment. It is also an aim of exchanging experiences and views on the EMDR treatment of this group.

Keywords: Asylum Seekers Refugees

33. ter Heide, J. J. (2011, August). EMDR bij getraumatiseerde vluchtelingen [EMDR with traumatized refugees]. Psychologie & Gezondheid, 39(3), 180-185. doi:10.1007/s12483-011-0036-2.

Language: Dutch

Format: Journal

Abstract:
While EMDR is treatment of choice for traumatized adults with PTSS, its efficacy has not been validated with traumatized refugees. As long as no evidence is available for EMDR with this population, EMDR with refugees should be informed by theoretical approaches to treatment of PTSS in adults. Four approaches are discussed: the phased approach that advocates stabilization before EMDR; the multimodal approach that advocates combining EMDR with other interventions; the trauma-focused approach that advocates offering EMDR to all adults with PTSS, including refugees and, the transcultural approach that advocates a culturally sensitive administration of EMDR. Several pilot studies on EMDR with traumatized refugees, randomized controlled trials of EMDR with multiply traumatized populations, and a trial of EMDR in a non-western setting may further inform EMDR-therapists working with traumatized refugees. Suggestions are made for combining the four approaches and scientific evidence in treatment planning and execution of EMDR with this population. The EMDR protocol itself prescribes several interventions for treating multiply traumatized patients, such as resource development and installation, clustering of traumatic experiences, and cognitive interweaves. Additionally, culturally sensitive interventions may enable the refugee to actively partake in the treatment process by increasing motivation for trauma processing, by diminishing language barriers, and by facilitating the formulation of culturally congruent meanings to trauma. The question remains whether EMDR, which offers an individualistic approach to trauma, is sufficiently suited to address the collective traumatization of victims of war and organized violence.

Keywords: Refugees Trauma

34. ter Heide, J. J., Mooren, T., & Kleber, R. (2009, November). Evidence-based vs. good practice: The treatment of traumatized refugees with EMDR. 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:
Despite the scientific evidence concerning the efficacy of EMDR in the treatment of PTSD, in clinical practice many clinicians are reluctant to apply EMDR to traumatized asylum seekers and refugees. Because they regard the traumatization of this population as too complex, and for fear of psychological decompensation, they tend to avoid confrontation with traumatic memories and stick to stabilization techniques. In a pilot study with 20 traumatized asylum seekers and refugees, we tested the hypothesis that, in accordance with treatment guidelines, EMDR would be more effective than stabilization in asylum seekers and refugees. Adult asylum seekers and refugees who applied for treatment at Centrum ’45, a Dutch national centre for psychological treatment of victims of war and organized violence, were randomly allocated to either 11 sessions of EMDR or 11 sessions of stabilization. PTSD and comorbid symptomatology and quality of life were assessed at pre- and post-treatment and three-month follow-up. In this presentation, the results of this pilot RCT will be discussed. Significant differences favouring EMDR over stabilization were found. Despite several drawbacks including a high drop-out and limited clinical improvement, study design seems feasible with this population.

Keywords: Evidence-Based Good Practice Refugees Symposium Trauma

35. ter Heide, J. J., Mooren, T., & Kleber, R. (2009, June). Eye movement desensitisation and reprocessing (EMDR) versus stabilisation in the treatment of traumatised refugees: Results of a multicultural pilot RCT. In Complex PTSD and culture: Symptomatology and treatment among traumatized migrants and refugees (J. Knipscheer, Chair, & R. J. Kleber, Discussant). Symposium presented at the 11th Annual European Conference on Traumatic Stress, Oslo, Norway.

Language: English

Format: Conference

Keywords: Migrants Multiculture Posttraumatic Stress Disorder PTSD Random Clinical Trial Refugees Symposium

36. ter Heide, J. J., Schut, D., Mooren, T., & Kleber, R. J. (2008, May). Eye Movement Desensitisation and Reprocessing (EMDR) versus stabilisation in the treatment of traumatised refugees: A randomized controlled trial. Presentation at the Seventh Conference on Psychology and Health, Lunteren, the Netherlands.

Language: English

Format: Conference

Keywords: Random Control Trial RCT Refugees Treatment

37. Tinker, R. H., & Wilson, S. A. (2003, September). EMDR: The emerging science of trauma and application to the treatment of children. Preconference presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
It is increasingly recognized that psychological trauma causes neurophyslological dysregulation in children, which then alters their developmental course. In this full-day seminar, we will present an organizational framework that clarifies how trauma-based diagnosis relates to traditional nosological systems, such as DSM-IV, and ICD-10, and how to treat these symptoms of dysregulation using EMDR. We will illustrate these concepts with videotapes of EMDR treatment sessions with children. These video seggments will cover a variety of applications with children of different ages, including single traumas, multiple traumas, complex disorders of childhood, attachment issues, dissociation, and group application of EMDR with war refugee children. Following the workshop, participants will be able to discuss and understand the above topics.

Keywords: Children War Refugees

38. van Nijnatten, A. (2012). EMDR bij getraumatiseerde asielzoekers en vluchtelingen: Verschil in effectiviteit tussen visuele en auditieve stimulatie [EMDR with traumatized asylum seekers and refugees: difference in effectiveness between visual and auditory stimulation]. Utrecht, Nederlands: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
Objective: Recent studies suggest that eye movements are the most effective form of stimulation in EMDR, but this assertion is based primarily on studies using the general population. This study evaluated whether tones and eye movements in EMDR are equally effective in reducing symptoms of trauma, anxiety and depression among asylum seekers and refugees, who are diagnosed with PTSD. As a control the entire EMDR condition was compared with a waiting list condition, who received no treatment. Method: In the present study 43 asylum seekers and refugees in the age of 20 to 73 years, who were indicated for treatment at Stichting Centrum ’45, participated. They were assigned to three different conditions: EMDR with eye movements, EMDR with tones or no treatment. The patients were not randomly assigned to the three conditions. Trauma symptoms were measured with the CAPS and HTQ and anxiety and depression symptoms with the HSCL-25. Results: Both tones and eye movements in EMDR lead to a reduction in symptoms of trauma, according to the HTQ. When trauma symptoms are reported according to the CAPS both conditions do not lead to a significant reduction in complaints. Concerning symptoms of anxiety and depression both conditions lead to a reduction in symptoms. Again there is no difference between tones and eye movements. It appears that EMDR is not significantly better in reducing symptoms of trauma, compared to the waiting list condition. Both EMDR and no treatment do not lead to a significant reduction in symptoms of anxiety and depression and there is no distinction between the conditions. Conclusion: Eye movements and tones lead to a significant reduction in symptoms of trauma, anxiety and depression, but this reduction is insufficient compared to the control condition. This is probably due to the small sample size of the present study. The present study implies that the theory that eye movements are more effective than tones in EMDR may not be generalizable to a complex group of patients, namely asylum seekers and refugees diagnosed with PTSD.

Keywords: Asylum Seekers Auditory Stimulation Refugees Visual Stimulation

39. Wilson, S., Tinker, R., & Becker, L. (2000, November). A field study of EMDR with Kosovar-Albanian refugee children using a group treatment protocol. In B. A. van der Kolk (Chair), Current Research on EMDR. Symposium conducted at the annual meeting of the International Society for the Study of Traumatic Stress, San Antonio, TX.

Language: English

Format: Conference

Keywords: Children Group Treatment Protocol Kosovar-Albanian Refugees Symposium

40. Wilson, S., Tinker, R., Hofmann, A., Becker, L. A., & Kleiner, K. (2000, September). A field study of EMDR with Kosovar-Albanian refugee children using a group treatment protocol. Presentation at the annual meeting on the EMDR International Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract:
Participants will be able to: 1) describe the modified group EMDR treatment protocol; 2) describe the research design; and 3) describe the results of this research.

Keywords: Children Group Treatment Protocol Kosovar-Albanian Refugees