Francine Shapiro Library: EMDR Bibliography
Choose any combination of the search options below. If you do not wish to include an option in your search, leave the box blank, or select "Any."
Your Results - you searched for the keyword PTSD 885 Results
1. Калмыкова, E. C., Миско, E. A., & Тарабрина, H. B. [Kalmykova, E. S., Misko, E. A., & Tarabrina, N. V.] (2001, July-August). Особенности психотерапии посттравматического стресса - [The peculiarities of post-traumatic stress psychotherapy]. Психологический журнал [Psikhologicheskii Zhurnal/Psychological Magazine], 22(4), 70-80.
Language: Russian
Format: Journal
Abstract: The problems of epidemiology, diagnostics and psychotherapy of PTSD are discussed. The review of main approaches to the treatment of such disorders is presented. There are analyzed the preconditions of successful psychotherapeutic interaction and difficulties in the work with patient which are specific to this psychological disorder. [Author Abstract]
Keywords: PTSD Cognitive Therapy Psychoanalytic Psychotherapy
2. 齋藤 康子 齋藤 巖 - [Saito, Y., & Saito, I.] (1997). 戦闘活動による心的外傷後ストレス障害に対する眼球運動性脱感作と再構成法 (EMDR) - [Use of EMDR with Combat PTSD]. バイオフィードバック研究 - [Japanese Journal of Biofeedback Research, (24), 38-44].
Language: Japanese
Format: Journal
3. AACAP Official Action. (1998, September). Summary of the practice parameters for the assessment and treatment of children and adolescents with posttraumatic stress disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 37(9), 997-1001.
Language: English
Format: Journal
Abstract: This summary provides an overview of the assessment and treatment recommendations contained in the Practice Parameters for the Assessment and Treatment of Children and Adolescents With Posttraumatic Stress Disorder. Major recommendations include the use of clinical interviewing with specific questioning about posttraumatic stress symptoms to diagnose this disorder; recognition of developmental considerations that may impact on how posttraumatic stress disorder symptoms manifest in children; and the use of trauma-focused treatment interventions. Limitations and controversies regarding the present state of knowledge in the area of childhood posttraumatic stress disorder are also discussed.
Keywords: Practice Guidelines PTSD Children Adolescents
4. 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.
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: Literature Review Case Studies Psychotherapy School Age Children Adolescents Pediatric PTSD Stressors Survivors Cognitive Therapy Play Therapy Treatment Effectiveness Review
5. Adshead, G. (2000). Psychological therapies for post-traumatic stress disorder. British Journal of Psychiatry, 177(2), 144-148.
Language: English
Format: Journal
Abstract: Background After exposure to traumatic stressors, a subgroup of survivors (20-30%) will develop post-traumatic stress disorder (PTSD). Aims: Since the incidence and prevalence rates for PTSD in the community are significant, it is important that general practitioners and psychiatrists be familiar with possible therapeutic options. In this review we shall look at the published evidence about the effectiveness of psychological treatments for PTSD. Method: The psychopathological mechanisms involved in PTSD are discussed. Studies of the effectiveness of different psychological therapies are reviewed. Results: The review suggests that persistent fear or shame reactions are key aspects of PTSD. Evidence from systematic reviews suggests that psychotherapeutic treatments are effective in the therapy of reactions based on fear, and may increase the effectiveness of pharmacological therapy. There is less systematic evidence for the efficacy of interventions for symptoms based on shame. Conclusions: Although a proportion of patients with complex or chronic PTSD may require specialist interventions, most patients can be treated effectively by a general psychiatric service which can offer both pharmacological and psychological interventions (BJPsych).
6. Ahmad, A., & Sundelin-Wahlsten, V. (2008, April). Applying EMDR on children with PTSD. European Child & Adolescent Psychiatry, 17(3), 122-132.
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: Children Psychotherapy Case studies Child Psychiatry RCT Trauma PTSD Empirical Study Quantitative Study Treatment Outcome/Clinical Trial
7. Ahmad, A., Larsson, B., & Sundelin-Wahlsten, V. (2007). EMDR treatment for children with PTSD: Results of a randomized controlled trial. Nordic Journal of Psychiatry, 61(5), 349-354.
Language: English
Format: Journal
Abstract: The objective of the study was to examine the efficacy of EMDR treatment for children with post-traumatic stress disorder (PTSD) compared with untreated children in a waiting list control group (WLC) participating in a randomized controlled superiority trial (RCT). Thirty-three 6-16-year-old children with a DSM-IV diagnosis of PTSD were randomly assigned to eight weekly EMDR sessions or the WLC group. The Posttraumatic Stress Symptom Scale for Children (PTSS-C scale) was used in interviews with children to evaluate their symptoms and outcome. Post-treatment scores of the EMDR group were significantly lower than the WLC indicating improvement in total PTSS-C scores, PTSD-related symptom scale, and the subscales re-experiencing and avoidance among subjects in the EMDR group, while untreated children improved in PTSD-non-related symptom scale. The improvement in re-experiencing symptoms proved to be the most significant between-group difference over time. The results of the present exploratory study including a limited number of children with PTSD are encouraging and warrant further controlled studies of larger samples of children suffering from PTSD. [Author Abstract]
Keywords: Child EMDR PTSD RCT Trauma Empirical Study Quantitative Study Treatment Outcome/Clinical Trial
8. Ahrens, R. (2006). Pflege bei posttraumatischen störungen. In R. Aheren (Ed.), Psychiatrische gesundheits - Und krankenpflege — Mental health care, (pp. 297-307). Berlin/Heidelberg: Springer.
Language: German
Format: Book Section
Abstract: No abstract available.
Keywords: Posttraumatic Stress Disorder PTSD
9. Ali, M. W. (2009, June). EMDR in PSTD patients of the 2005 earthquake in Pakistan. Symposium presented at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.
Language: English
Format: Conference
Keywords: PTSD Research Symposium Earthquake Pakistan
10. Ali, M. W., & Rana, M. H. (2008, June). Eye movement desensitization and reprocessing (EMDR) in patients of PTSD following earthquake 2005, Pakistan. Paper presented at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract: Objective: The purpose of the study is to asses the usefulness of EMDR in patients of PTSD who survived the October 2005 earthquake in Pakistan. Background: On October the 8th an earthquake of 7.6 on rector scale struck Kashmir and Northwest of Pakistan leaving millions injured and more than 80,000 dead. A survey of the affected areas has shown a high prevalence of PTSD amongst the survivors. A selected series of patients with the diagnosis of PTSD from amongst the survivors is enrolled for EMDR at CTRPI. The study is based on their response to this intervention. Design and Settings: The study involves an ongoing compilation of clinical data and the study of therapeutic responses to various interventions including EMDR, at a tertiary mental health facility and Centre for Trauma Research and Psychosocial Interventions (CTRPI), Rawalpindi /Islamabad, Pakistan. This mental health facility is the tertiary care referral point for patients from metal health relief units located allover in earthquake affected areas of Azad Kashmir and Northwest of Pakistan. Method: Earthquake survivors who develop psychosocial sequelae referred to CTRPI from Kashmir, who go on to fulfill the criteria of Post-traumatic Stress Disorder according to ICD-10 are registered for further studies and appropriate interventions. A select group who give informed consent for EMDR are then included for detailed evaluation and follow up. Sessions are conducted in eight phases from manuals by therapists who are trained till level 2 in the method. Pre- treatment assessment is done by an independent assessor for scores on Impact of Event Scale and Global Assessment of Functioning (GAF). The post treatment assessment is conducted 1 week after the treatment with the same procedures as at pretreatment. In session Scoring of subjective unit of distress is also recorded serially. According to the degree of improvement and severity of illness, sessions of EMDR are carried out with the duration of about 60 to 90 minutes each session and with a minimum of 6 sessions using the bilateral stimulation. The authors plan to compile their work with ten patients who fulfill the prerequisites of the study in process. Results: The work has been done so far on three clients which suggest that EMDR is effective in reducing the scores of IES back to normal and there is marked difference in the GAF level after the said intervention. It has a dramatic effect on 29 within-session SUD levels .Furthermore, at a qualitative level it is observed that involvement of other family members in the therapeutic process may improve treatment adherence. Conclusions: Ongoing results of this study tend to suggest that the EMDR is an effective intervention for patients of PTSD following a natural disaster like an earth quake. However, the results drawn cannot be generalized on account of their small count.
Keywords: PTSD Earthquake Pakistan
11. Allemagne, K. L. (2009, August). The use of EMDR with treatment resistant patients suffering from chronic obsessive-compulsive disorder. Poster presented at the annual meeting of the EMDR International Association, Atlanta, GA .
Language: English
Format: Conference
Abstract: The use of Eye Movement Desensitization Reprocessing Therapy in the treatment of trauma and stress is well documented (Shapiro, 2001). Since its inception, several studies documenting the effectiveness of EMDR in the treatment of other mental health issues has also been studied (Parnell, 2006). Bae, Kim, and Ahn’s, (2006) clinical case study demonstrates no success with the use of EMDR to treat patients that developed obsessive-compulsive disorder after being diagnosed with posttraumatic stress disorder. Their article suggests little research in support of the use of EMDR in the treatment of OCD. This presentation illustrates two case studies of men diagnosed with chronic OCD, and their inability to find relief from their symptoms from both pharmacological and psychotherapeutic interventions. The study illustrates the use of Parnell’s modified EMDR protocol with both patients, and the importance of identifying and resolving feeder memories. Patient A is a male who was diagnosed with OCD twenty years ago. He has received both psychotherapy and psychiatric services from a major university hospital since being diagnosed. Part of the obsessive thoughts include shouting obscenities at his congregation, committing violent acts towards members of the parish, and ultimately jumping over a choir railing with the goal of killing himself. Patient A began psychotherapy using the Parnell’s modified protocol of EMDR. The patient was able to tap into core (feeder) memories from childhood where he violated trust and confidence with a friend that had not been fully resolved. This also connected with security issues with his mother, which eventually were completely resolved through EMDR. The patient’s obsessive thoughts ceased. The patient has been free of these obsessive thoughts post therapy for one year. Patient B sought therapy for compulsive behaviors related to exposing himself to unsuspecting victims. Additionally, this patient also engaged in compulsive masturbation behaviors for eight to ten hours a day. His actions not only were psychologically distressing to him, but also causing him problems with the local authorities. Patient B had sought psychotherapy and psychiatric services in the past on several occasions, but with no improvement. Patient B demonstrated radical improvement using Parnell’s modified EMDR protocol. The patient identified feeder memories that were not initially discussed during the assessment phase. After successful processing, patient B has not engaged in any inappropriate sexual behaviors or compulsive masturbation for three months. While psychodynamic principles rooted in experiences of life are not novel or innovative in the practice of psychotherapy, often therapists will focus on reducing the problematic symptoms accompanying a diagnosis of OCD, without considering the full implication of prior experiences. Continuing advances in the application of EMDR with an ever expanding array of mental and emotional disorders requires researchers to consider the importance of identifying feeder memories as a possible source of problematic symptoms. These results offer promising techniques for EMDR therapists, and new avenues in research exploring the efficacy of EMDR and OCD. This presentation will illustrate the process involved in identifying feeder memories.
Keywords: Chronic Obsessive-Compulsive Disorder Chronic PTSD Treatment Resistance
12. Allen, J., & Lewis, L. (1996, Spring). A conceptual framework for treating traumatic memories and its application to EMDR. Bulletin of the Menninger Clinic, 60(2), 238-263.
Language: English
Format: Journal
Abstract: With burgeoning interest in trauma has come a proliferation of interventions for the treatment of intrusive memories. At this stage of development, uniformity of clinical practice in the trauma field is neither possible nor desirable. The literature suggests that a wide range of treatment interventions are effective. But diversity in practice does not preclude coherence in conceptualization. This article presents a general theoretical framework to provide clinicians and patients with a rationale for treating intrusive symptoms of PTSD. To illustrate the applicability of the framework, the authors critique Shapiro's recent theoretical explanation of Eye Movement Desensitization and Reprocessing (EMDR), an exemplary cognitive-behavioral approach to the treatment of trauma. EMDR merits careful theoretical reappraisal, because it has become a highly popular and seemingly effective technique that currently rests on an unsound neurobiological theoretical foundation. [Author Abstract]
Keywords: Hallucinations Intrusive Thoughts Memory Impairment Neurophysiology Professional Criticism Psychotherapeutic Processes PTSD Treatment Effectiveness
13. Alley, A., Spinazzola, J., Blaustein, M., & van der Kolk, B. (2005, November). Pretreatment attrition in a PTSD comparative treatment outcome study. Poster presented at the 21st annual meeting of the International Society for Traumatic Stress Studies, Baltimore, MD.
Language: English
Format: Conference
Abstract: Treatment attrition represents a considerable problem for effective delivery of care for PTSD. While treatment attrition during the course of treatment is well researched, little is known about the factors that affect sample selection before the beginning of a study. Previous research on other Axis I disorders indicates that patients may refuse participation more often because of study medication than because of psychosocial treatment. The present study examines traits and predictors of pretreatment attrition from a study of PTSD that compared treatment outcomes for fluoxetine versus EMDR. Potential study participants were screened over the telephone for study eligibility. During the telephone screen, a total of 394 people met study eligibility requirements but declined participation (59% of total eligible participants). While a variety of factors were cited for declining study participation, consistent with previous research, refusal of study medication emerged as the pre-dominant reason for pretreatment attrition (49%). Results are discussed in terms of how treatment preferences and other pretreatment attrition factors may impact the external validity of comparative treatment outcome studies. Clinical implications discussed include the potential for pretreatment attrition factors to interfere with trauma survivors’ ability to seek and obtain effective treatment
Keywords: Poster Pretreatment Attrition PTSD Comparative Treatment Outcome Study Poster
14. Alto, C. (2001, November). Meta-analysis of eye movement desensitization and reprocessing efficacy studies in the treatment of PTSD. Seton Hall University. AAT 3015591.
Language: English
Format: Dissertation/Thesis
Abstract: Eye Movement Desensitization and Reprocessing (EMDR) is a relatively new psychological therapy used in the treatment of PTSD and other disorders. EMDR is unique in that it combines sets of therapist-administered eye movements in conjunction with protocol-driven cognitive and affective processing related to past trauma. EMDR has become a controversial technique for reasons including a lack of explanation for why it works and stunning claims made for its efficacy in the literature. Despite a large amount of research over the past decade, EMDR has not before been studied meta-analytically in its own right.The present investigation used meta-analysis to examine the collection of EMDR PTSD studies available in the literature. The literature search resulted in a total of 21 studies, which met inclusion criteria. These primary studies in turn resulted in a collection of 118 effect sizes included in the analysis. Two separate analyses were conducted dependent on whether EMDR was compared to a no treatment control group or an alternative treatment control group. In addition to an overall estimate of the efficacy of EMDR in the treatment of PTSD represented through an effect size, five sub-hypotheses were investigated. First, it was hypothesized that RMDR would be more efficacious with a non-combat population than with combat-related PTSD. The second sub-hypothesis was that there would be significantly larger treatment effects associated with verbal report measures than with physiological outcome measures used in EMDR PTSD studies. Third, it was hypothesized that earlier EMDR studies would show larger treatment effects than more recent EMDR studies. The fourth sub-hypothesis concerned treatment dosage. It was hypothesized that there would not be significant differences based on the number of treatment sessions administered. Finally, it was hypothesized that the bilateral stimulation component of EMDR therapy would not contribute significantly to treatment effects. The analysis consisted of generating effect sizes in the form of standardized difference scores on the various outcome measures. Effect sizes were then grouped according to independent variable categories and averaged together. Before testing for between-group differences, homogeneity testing was completed. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 62(5-B), Nov 2001, pp. 2474.
Keywords: PTSD Meta Analysis Treatment Effectiveness Empirical Study Treatment Outcome/Clinical Trial
15. Amen, D. G. (2003, September). Brain SPECT imaging in PTSD and EMDR. Preconference workshop presented at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract: Brain SPECT provides a window into brain activity and helps us understand the underlying physiology of many neurological and psychiatric illnesses. Specific psychological and medical treatments enhance or change our brain function. In this lecture, Dr. Amen will describe his extensive clinical experience and research into postraumatic stress disorder and EMDR. He has been involved in performing before and after brain SPECT scans for PTSD patients for several years and recently completed a formal research project with Karen Lansing on PTSD and EMDR. The results of this study will also be discussed.
16. Amendolia, R. D. (1997, July). Arts-based EMDR treatment of PTSD from a constructivist view. Paper presented at the annual meeting of the EMDR International Association, San Francisco, CA.
Language: English
Format: Conference
Keywords: PTSD Art Therapy
17. Amundsen, J. E., & Karstad, K. (2006, May). Om bare Jeppe visste...- EMDR og rusbehandling - [Integrating EMDR and the treatment of substance abuse]. Tidsskrift for Norsk Psykologforening, 43(5), 469-475.
Language: Norwegian
Format: Journal
Abstract: This article focuses on the use of EMDR in the treatment of clients with substance abuse. Persons in this client group seem to display a high rate of symptoms related to PTSD. The authors present a theoretical rationale for treatment of substance abuse and trauma. Referring to 20 different treatment cases employing EMDR, they demonstrate how EMDR can be used to help persons in this particular client group. Potential problems arising during treatment are also discussed. The authors suggest that the traditional EMDR protocol should be adapted for use with this client group. They conclude that the use of EMDR in the treatment of clients with substance abuse does indeed seem both useful and beneficial. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Substance Abuse Client Group Treatment PTSD Clients Drug Abuse Symptoms
18. Anchisi, R., Guzzi, R., Fernandez, I., Giannantonio, M., & Ziveri, D. (2001, October). Biofeedback measures in EMDR treatment. In International CIANS Conference (CIANS: Collegium Internationale Activitatis Nervosae Superioris; International Association for Integrative Nervous Functions, Neurobiology of behaviour and Psychosomatics), (pp 141-148) Palermo, Italy.
Language: English
Format: Conference
Abstract: We compared the pre and post therapeutic treatment data using standard EMDR, using a lool such as biofeedback, capable of measuring certain physiologcail parameters in an objective way. The goal was to check variations in the physiological indices and subjective evaluations of well being and discomfort in the subjects. Some psychotherapists will select subjects using an initial telephone screening followed by a battery of suitable tests. Using such tools, subjects affected by PTSD without comorbidity will be chosen. Independent assessors will evaluate them again after six weeks (blind design). After this assessment, subjective data will be collected using the SUD scale and objective data will be collected using the SPR, Thermo, Heart Rate, EMG of the biofeedback channels. After exposure the subjects will be randomly assigned to an experimenta1 group, they will be going to meet in six sessions using the EMDR standard protocol and carried out by therapits recognized by the Association EMDR Italy; the other half of the sample will represent the control group in a waiting list. Once more, all the subjects will be exposed to the trauma, this time listening to the recording of their description of the traumatic event. The SUD and biofeedback values will be then measured again. The comparison of the data of the SUD scale with the data of the biofeedback channels, in particular the SPR channel, plus the evaluation of the group of independent clinicians using the above-mentioned tests, will provide the co-ordinates for an evaluation (both subjetive and physiological) of the clinical results of the EMDR therapy.
Keywords: SPR Biofeedback PTSD
19. Andrade, J., Kavanagh, D., & Baddeley, A. (1997, May). Eye-movements and visual imagery: A working memory approach to the treatment of post-traumatic stress disorder. British Journal of Clinical Psychology, 36(2), 209-223.
Language: English
Format: Journal
Abstract: It has been claimed that the symptoms of post-traumatic stress disorder (PTSD) can be ameliorated by eye-movement desensitization-reprocessing therapy (EMD-R), a procedure that involves the individual making saccadic eye-movements while imagining the traumatic event. We hypothesized that these eye-movements reduce the vividness of distressing images by disrupting the function of the visuospatial sketchpad (VSSP) of working memory, and that by doing so they reduce the intensity of the emotion associated with the image. This hypothesis was tested by asking non-PTSD participants to form images of neutral and negative pictures under dual task conditions. Their images were less vivid with concurrent eye-movements and with a concurrent spatial tapping task that did not involve eye-movements. In the first three experiments, these secondary tasks did not consistently affect participants' emotional responses to the images. However, Expt 4 used personal recollections as stimuli for the imagery task, and demonstrated a significant reduction in emotional response under the same dual task conditions. These results suggest that, if EMD-R works, it does so by reducing the vividness and emotiveness of traumatic images via the VSSP of working memory. Other visuospatial tasks may also be of therapeutic value (PubMed).
Keywords: Experimental Stressors Australia Eye movements PTSD Survivors Pictorial Stimuli Treatment Effectiveness Empirical Study
20. Ansorge, R. (1997, April 22). Certain emotional signs can point to post-traumatic stress disorder. Colorado Springs, CO: Gazette, Lifestyle, 2 [1 page].
Language: English
Format: Newspaper
Abstract: Are you or someone you know a candidate for EMDR (Eye Movement Desensitization Reprocessing)? You might be if you suffer from post-traumatic stress disorder and have not responded to traditional talk therapy, medication or lifestyle changes.
Keywords: PTSD Colorado Springs
21. Armstrong, M. S., & Vaughan, K. (1994, June). An orienting response model for EMDR. Paper presented at the meeting of the New South Wales Behaviour Therapy Interest Group, Sydney, Australia.
Language: English
Format: Conference
Keywords: Conditioned Emotional Responses PTSD Treatment Effectiveness
22. Armstrong, M., & Vaughan, K. (1996, March). An orienting response model of eye movement desensitization. Journal of Behavior Therapy and Experimental Psychiatry, 27(1), 21-32.
Language: English
Format: Journal
Abstract: Dyck's conditioning model of EMD provides a useful description of failure of habituation in PTSD, but may not account for some common EMD phenomena. An alternative model proposes that the therapist's waving hand -- in the presence of a trauma-related cortical set -- triggers an intense orienting response (OR). Intrinsic effects of the OR facilitate continuing attention to the memory without avoidance, and provide for effective input of new trauma-related information. The person's neuronal model of the trauma alters to reflect his survival and current safety -- as true outcome of the trauma -- and associated conditioned responses extinguish. Proposals for experimental evaluation of the model are described. [Author Summary]
Keywords: Conditioned Emotional Responses PTSD Treatment Effectiveness
23. Arnstein, M. (1996). Marital therapy, EMDR, Herman's model of recovery from trauma: The journey of one woman and her family. The Australian & New Zealand Journal of Family Therapy, 17(4), 212-224.
Language: English
Format: Journal
Abstract: Judith Herman delineates a 3-stage model of recovery from trauma: (1) Safety; (2) Remembrance and Mourning; (3) Reconnection. She criticises current treatment methods for their failure to make a difference in the "constrictive symptoms of numbing and social withdrawal...and marital, social and work problems do not necessarily improve." Family therapy has been criticised often for insufficient focus on emotion and general sensations. This case analysis will illustrate how these shortcomings can be successfully addressed with the use of marital counseling and EMDR. The use of multiple treatment approaches contributed to one client's resolution of recent trauma due to a car accident, of past crises due to marital infidelity and early childhood abuse, with significant changes for her in her current family as well as in her family of origin. Theoretical implications for "family therapy" are raised. [Author Abstract]
Keywords: Adults Australians Case Report Child Abuse Family Therapy Females Marital Problems Motor Traffic Accidents PTSD Survivors Treatment Effectiveness
24. Astin, M. C., & Resick, P. A. (1998). Cognitive-behavioral treatment of posttraumatic stress disorder. In V. E. Caballo (Ed.), International handbook of cognitive and behavioural treatments for psychological disorders (pp. 161-196). Oxford, England: Pergamon/Elsevier Science Ltd.
Language: English
Format: Book Section
Abstract: No abstract available.
Keywords: Cognitive Behavioral Therapy CBT PTSD
25. Aubert-Khalfa, S., & Roques, J. (2007, June). Modifications des résponses psychophysiologiques au stress chez les patients PTSD aprés une seule séance d'EMDR - [Modifications of psychophysiologcal response to stress in PTSD patients after a single EMDR session]. Paper presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: French
Format: Conference
Abstract: PTSD patients demonstrate abnormal psychophysiological responses to stressful events. This automatic dysregulation us thus one of the objective measures of PTSD which could also be used to asses therapy effects on PTSD. Given that the EMDR therapy appears to be a treatment of choice for trauma victims, the aim of the study was to verify that the psychophysiological responses to stress decreased after a single EMDR session. Six PTSD patients have been treated by an EMDR therapist. First, at the clinical level, at the end of the session, all six patients had a very clear reduction of their subjective disturbance level (SUD), their PTSD scores diminished (as assessed by PLC-S), and their self-assessments (VoC) became positive, confirming previous studies on EMDR’s efficacy. Second, their psychophysiological responses (heart rate, skin conductance, respiration rate, and skin temperature) during a relaxing state and while visualizing their own traumatic event were recorded before and after the EMDR session. Despite small number of patients, after only one EMDR session, physiological responses to the evocation of the traumatic event decreased significantly. This included skin conductance, heart rate and skin temperature. These preliminary study results confirm the EMDR treatment efficiency on PTSD from the first session. They also highlight the EMDR therapy effects on the autonomic nervous system. The psychophysiological changes recorded may be part of the mechanisms underlying EMDR treatment. Further studies including these measures will therefore be necessary to test the hypothesis.
Keywords: Immersion Stress PTSD Psychophysiological Responses
26. Aubert-Khalfa, S., Roques, J., & Blin, O. (2008). Evidence of a decrease in heart rate and skin conductance responses in PTSD patients after a single EMDR session. Journal of EMDR Practice and Research, 2(1), 51-56 .
Language: English
Format: Journal
Abstract: Patients with PTSD demonstrate abnormal psychophysiological responses to stressful events. Given that eye movement desensitization and reprocessing (EMDR) therapy appears to be a treatment of choice for trauma victims, the aim of the present study was to determine if psychophysiological responses to stress decreased after a single EMDR session. 6 PTSD patients were treated by an EMDR therapist. Their psychophysiological responses (heart rate and skin conductance) were recorded before and after the EMDR session under two conditions: (a) in a relaxed state and (b) while visualizing their own traumatic event. At the end of the session, all patients had a significant reduction in their PTSD symptoms, which confirms previous results demonstrating the efficacy of the EMDR approach. Second, after only one EMDR session, heart rate and skin conductance during the trauma recall decreased significantly as compared to a relaxing state. [Author Abstract]
Keywords: PTSD Psychophysiology Heart Rate Skin Conductance Treatment PTSD Electrodermal Activity Arousal Treatment Effectiveness Clinical Trial Adults Stressors Survivors French Empirical Study Quantitative Study
27. Aulagnier, M., Limosin, F., Verger, P., & Rouillon, F. (2003, September). Les différents modes de prise en charge de l'etat de stress post traumatique - [The various modes of management of the condition of PTSD = Post-traumatic stress disorder treatments]. Annales de Médecine Interne, 154(4), 227-232.
Language: French
Format: Journal
Abstract: L'impact d'un événement traumatique (agression, accident de la circulation, attentat ou guerre, catastrophes collectives,...) se caractérise par une réaction de stress ou d'angoisse qui peut conduire à un état de stress post-traumatique (ESPT). Sa sévérité et le handicap qu'il entraîne justifient une prise en charge thérapeutique la plus précoce possible. Cet article se propose de passer en revue l'ensemble des modes de prise en charge de l'état de stress post-traumatique en discutant leurs intérêts et limites respectifs. Parmi les traitements répertoriés (thérapies cognitives et comportementales, antidépresseurs,...), la plupart sont efficaces dans la prise en charge de l'ESPT et des troubles co-morbides associés. Néanmoins, l'efficacité de certaines thérapies (techniques des mouvements oculaires rapides) dans le traitement des troubles post-traumatiques est controversée. Des données manquent concernant les stratégies de traitement (association de méthodes différentes), la durée optimale des traitements antidépresseurs et la prise en charge de l'enfant.
A traumatic event (assault, traffic accident, bomb attack or war, disasters.) is often followed by a reaction of fear and anxiety which can evolve to a posttraumatic stress disorder (PTSD). Its severity and associated handicap justify treatment as early as possible. We present the various PTSD treatments and discuss their respective efficiency and limitations. Most of available treatments (cognitive and behavioral therapies, antidepressants.) are efficient on PTSD and co-morbid disorders. However, the efficiency of some therapies (eye movement desensitization) on the treatment of PTSD are controversial. Studies are necessary to evaluate various treatment strategies, optimal duration of antidepressant treatment and pediatric therapies.
Keywords: Review Psychopathology Central Nervous System Disease Nervous System Diseases Human Clinical Management Prevalence Posttraumatic Syndrome Stress Psicopatología Sistema Nervosio Central Patología Sistema Nervioso Patología Hombre Artículo Síntesis Actitud médica Prevalencia Posttraumatismo Síndrome Estrés
28. Australian Centre for Posttraumatic Mental Health (2007, February). Australian guidelines for the treatment of adults with acute stress disorder and posttraumatic stress disorder, ASD and PTSD treatment guidelines. ACPMH, Melbourne, Victoria.
Language: English
Format: Other
Abstract: the Australian Centre for Posttraumatic Mental Health in collaboration with national trauma experts, has recently developed Australian CPGs for adults with ASD and PTSD, which have been endorsed by the National Health and Medical Research Council (NHMRC). In consultation with a multidisciplinary reference panel (MDP), research questions were determined and a systematic review of the evidence was then conducted to answer these questions (consistent with NHMRC procedures). On the basis of the evidence reviewed and in consultation with the MDP, a series of practice recommendations were developed. The practice recommendations that have been developed address a broad range of clinical questions. Key recommendations indicate the use of trauma-focused psychological therapy (cognitive behavioural therapy or eye movement desensitization and reprocessing in addition to in vivo exposure) as the most effective treatment for ASD and PTSD. Where medication is required for the treatment of PTSD in adults, selective serotonin re-uptake inhibitor antidepressants should be the first choice. Medication should not be used in preference to trauma-focused psychological therapy. In the immediate aftermath of trauma, practitioners should adopt a position of watchful waiting and provide psychological first aid. Structured interventions such as psychological debriefing, with a focus on recounting the traumatic event and ventilation of feelings, should not be offered on a routine basis. [InformaWorld]
Keywords: Treatment Guidelines
29. Australian Centre for Posttraumatic Mental Health. (2007). Australian Guideline for PTSD. Melbourne, Australia: University of Melbourne.
Language: English
Format: Publication
Abstract: Acute stress disorder (ASD) and posttraumatic stress disorder (PTSD) are psychological reactions that develop in some people following the experience of traumatic events such as major disaster, war, sexual or physical assault, motor vehicle accidents, and torture. Exposure to a traumatic event is not an uncommon experience. Large community surveys in Australia and overseas reveal that 50–65 per cent of people report at least one traumatic event in their lives. Most people will have some kind of psychological reaction to trauma — feelings of fear, sadness, guilt and anger are common. However, the majority recover over time with only a small proportion developing ASD or PTSD. It is estimated that 1.3 per cent of Australians have experienced PTSD in the last year, and that between 5 and 10 per cent of people have had PTSD at some point in their lives.
Keywords: Treatment Guidelines
30. Author identity removed for blind peer review. (Publication Date Unknown). Should EMDR be considered an empirically-supported treatment for PTSD: A review of research. (Unknown).
Language: English
Format: Journal
Abstract: A literature review was conducted to examine whether EMDR should be considered an empirically-supported treatment for PTSD. Relying largely but not exclusively on electronic data bases such as Medline and PsychInfo, journal articles published through January 2002 were identified which reported a randomized experimental evaluation of the effectiveness of EMDR in treating PTSD. EMDR appears to be an empirically supported treatment for adults with singletrauma civilian PTSD. However, the evidence supporting the effectiveness of EMDR is much less compelling when we focus on children, combat PTSD, multiple-trauma PTSD, and whether EMDR is more effective than exposure therapies. Social workers are advised to use either EMDR or traditional exposure therapies when treating adults with single-trauma PTSD. They may also want to employ EMDR when treating children with PTSD or clients with multipletrauma or chronic PTSD. But if they do, they should do so in light of the inadequate evidence base, should be guided by future evaluations of EMDR with these populations, and should recognize that many more sessions of EMDR, with less robust effects, may be required than what they might currently expect.
Keywords: Medline PsychInfo Trauma Randomized Experimental Evaluation Effectiveness PSTD
31. Baddeley, M. (1996, March). Hypnotherapy, gestalt, EMDR and the treatment of post traumatic stress. Australian Journal of Clinical and Experimental Hypnosis, 17(1), 41-47.
Language: English
Format: Journal
Abstract: The paper consists of clinical observations on the use of Gestalt and EMDR under hypnosis for the treatment of post-traumatic stress. The observations are made in the context of 2 cases:(1) an individual who had been bound during an armed hold-up in her home. (2) an emergency services worker suffering from accumulated stress resulting in burn-out. The paper concludes by drawing out a number of principles that give structure to working with the above techniques. [Author Abstract]
Keywords: Gestalt Therapy Hypnotherapy Psychotherapeutic Processes PTSD Stressors Survivors
32. Balcom, D. (2001). Eye movement desensitization and reprocessing in the treatment of traumatized gay men. In J. Cassese (Ed.), Gay men and childhood sexual trauma: Integrating the shattered self (pp. 75-89). Binghamton, NY: Harrington Park Press/The Haworth Press.
Language: English
Format: Book Section
Abstract: Describes the theory and practice of eye movement desensitization and reprocessing treatment (EMDR), presents a survey of its applications to traumatized gay male clients, and offers an illustrative case study to highlight the utility of EMDR. In the past decade the theory and practice of EMDR has expanded to address acute and chronic childhood and adult traumas, substance misuse or abuse, identity issues including shame and self-esteem, and health issues. The author suggests that gay men suffering from traumatic experiences can benefit from EMDR. It is noted that through a process of accelerated information processing, traumatic memories are desensitized and reprocessed, resulting in less distress for the client in the present and future. It is concluded that further attention is needed in exploring the use of EMDR for gay men traumatized by hate crimes, sexual issues resulting from traumatic experiences, and internalized homophobia. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Stressors Survivors Adults Males Homosexuals Psychotherapeutic Processes PTSD Emotional Trauma Gay Males Homosexuality
33. Balcom, D. (2000). Eye movement desensitization and reprocessing in the treatment of traumatized gay men. Journal of Gay and Lesbian Social Services, 12(1/2), 75-89.
Language: English
Format: Journal
Abstract: 10.1300/J041v12n01_04
Gay men suffering from traumatic experiences can benefit from Eye Movement Desensitization and Reprocessing treatment (EMDR). In the past decade the theory and practice of EMDR has expanded to address acute and chronic childhood and adult traumas, substance misuse or abuse, identity issues including shame and self-esteem, and health issues. Through a process of accelerated information processing, traumatic memories are desensitized and reprocessed, resulting in less distress for the client in the present and future. EMDR can also be useful for developing internal resources and for exploration of relevant themes for the client. Further attention is needed in exploring the use of EMDR for gay men traumatized by hate crimes, sexual issues resulting from traumatic experiences, and internalized homophobia. [Author Abstract]
Keywords: Stressors Survivors Adults Males Homosexuals Psychotherapeutic Processes PTSD Emotional Trauma Gay Males Homosexuality
34. Balk, J. L. (2001, Nov 1). Eye movement desensitization and reprocessing (EMDR) for post-traumatic stress disorder. Alternative Medicine Alert, 4, 121-124.
Language: English
Format: Newsletter
Abstract: POST-TRAUMATIC STRESS DISORDER (PTSD) IS A FAIRLY COMMON DISorder. Roughly 8-10% of the population will suffer from PTSD at some point in their lives. For victims of violent crimes such as rape, the rate of PTSD may be 60-80%. (1) According to the DSM-IV, diagnostic criteria for PTSD include: 1) perceived or actual threat to life or physical integrity, accompanied by an emotional response of horror, helplessness, or intense fear; 2) re-experience of the trauma (e.g. flashbacks and nightmares); 3) avoidance of trauma-related stimuli and numbing of interest and affect; and 4) increased unwanted arousal, such as concentration difficulties, irritability, and insomnia. Specific criteria exist regarding the numbers of symptoms in each category that must be present.
Keywords: PTSD
35. Bardin, A. (2004). EMDR within a family system perspective. Journal of Family Psychotherapy, 15(3), 47-61.
Language: English
Format: Journal
Abstract: EMDR is a method used to help the individual trauma victim process the psychological aftereffects of trauma (PTSD). The effects of traumatic experiences, however, spread throughout the victim's family. The case presented here describes the treatment from three perspectives: individual, family, and social context (eco-social). EMDR, used with a nine-year-old stabbing victim, was integrated into wider therapeutic work within the family. This integration widened the focus from the IP to other members of the system, allowing the use of EMDR to “spread” to four out of the five family members. The effects of the trauma on the family and its members were most effectively treated by a combination of individually and systemically oriented interventions.
Keywords: Trauma Victims PTSD Family Therapy Therapeutic Process Emotional Trauma Family Clinical Case Study Empirical Study
36. 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
37. Batdorff, A. (2007, Feb 17). Yokosuka to get post-traumatic stress disorder therapy training. The Stars and Stripes, Pacific Edition.
Language: English
Format: Newsletter
Abstract: YOKOSUKA NAVAL BASE, Japan — Training in a new therapy touted to cut recovery time for U.S. troops suffering from post-traumatic stress disorder will be brought to the Pacific for the first time next month.
38. Bates, B. (2003, August). Sensory-based PTSD therapy may prove more calming than words. Clinical Psychiatry News, 31(8), 53.
Language: English
Format: Journal
Abstract: VANCOUVER, B.C. — Terror registers most sharply in the subcortical brain, not the prefrontal cortex, explaining why talk-based therapies for posttraumatic stress disorder often have limited success, Dr. Bessel van der Kolk said at a meeting on Posttraumatic Stress Disorder sponsored by Vancouver General Hospital. [Elsevier]
Keywords: PTSD
39. Becich, H. A. (1995). The effect of varying the rate of the eye movements in eye movement desensitization reprocessing (EMDR) with battered women. California School of Professional Psychology - Los Angeles. AAT 9531596.
Language: English
Format: Dissertation/Thesis
Abstract: The rapid saccades used in eye movement desensitization reprocessing (EMDR) have been reputed to be critical to its efficacy. To evaluate this hypothesis, the rate of the eye movements was varied in this study. Subjects included 27 battered women who were rated PTSD-positive by a modified version of the Symptom Checklist (MSC). Participants were randomly assigned to one of three groups: EMDR Fast, EMDR Slow or Control.Prior to treatment, subjects completed the Revised Impact of Events Scale (IES). Treatment involved one experimental session lasting up to 90 minutes. Dependent variables included the Subjective Units of Distress (SUDs) (derived from the Subjective Units of Disturbance Scale), the Validity of Cognition (VOC) and the Vividness of Traumatic Image (VTI) Scales as well as the Intrusion subscales of the MSC and the IES. At post-treatment one week later, subjects again provided responses to the five dependent variables and, for ethical reasons, were provided another session of treatment at the EMDR Fast rate if their SUDs were 2 or greater. Results of the mixed, two factor analyses indicated no differences between the groups. Hence, the outcomes showed that the rapid eye movements did not provide a differential treatment effect as hypothesized. All groups experienced improvement on the SUDs and VTI Scales and the MSC Intrusion subscale, supporting occurrence of an exposure effect. This investigation was the first controlled EMDR study conducted with battered women, as well as the first experiment on this procedure using a clinical population in which the rate of the eye movements was varied. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 56(5-B), Nov 1995, pp. 2854
Keywords: Adults Americans Battery Females PTSD Spouse Abuse Survivors Treatment Effectiveness Empirical Study Followup Study Treatment Outcome/Clinical Trial
40. 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.
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: PTSD Exposure Empirically Supported Treatment Patient Preference PTSD Exposure Therapy Cognitive Therapy College Students Adults Americans Selective Serotonin Reuptake Inhibitors Thought Field Therapy Psychoanalytic Psychotherapy Stressors Survivors Cognitive Processes Evidence Based Treatment Psychotherapeutic Processes
41. Becker, C. B., Meyer, G., Price, J. S., Graham, M. M., Arsena, A., Armstrong, D.A., & Ramon, E. (2009). Law enforcement preferences for PTSD treatment and crisis management alternatives. Behavior Research and Therapy, 47(3), 245-253.
Language: English
Format: Journal
Abstract: Evidence-based treatments (EBT) for posttraumatic stress disorder (PTSD) remain underutilized. Analog research, however, indicates that patients may be more amenable to receiving EBT for PTSD than utilization rates suggest. This study sought to extend previous studies by investigating PTSD treatment preferences among law enforcement individuals (i.e., active duty officers, cadets, criminal justice students). We asked 379 participants, with varying trauma histories, to read a police traumatic event and imagine they had developed PTSD. Participants rated the credibility of six treatment options which they might encounter in a treatment setting, and chose their most and least preferred treatments. Next, they evaluated a widely used debriefing intervention aimed at preventing PTSD. Almost 90% of participants chose exposure or Cognitive Processing Therapy as their first or second most preferred treatment, and they rated these interventions as significantly more credible than the other four treatment options. The sample showed ambivalence regarding the perceived efficacy of debriefing but found the rationale credible. This study supports previous analog research indicating that patients may be more interested in EBT than indicated by utilization rates, and suggests that law enforcement departments should consider offering EBT to officers who develop PTSD.
Keywords: Law Enforcement Officers Evidence-based CBT PTSD Exposure CISD Police
42. Becker, L., Marcus, S., Marquis, P., & Sakai, C. (1996, June). Scientific investigations into EMDR (Part II) – Controlled study post-traumatic stress disorder using EMDR in an HMO setting. Paper presented at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Keywords: Adults Americans Managed Care PTSD Randomized Clinical Trial Stressors Survivors Treatment Effectiveness
43. Becker, L., Todd-Overman, A., Stoothoff, W., & Lawson, P. (1998, July). Symposium: Ironic memory, PTSD, and EMDR: Do eye movements hinder the avoidance process leading to greater accessibility of traumatic memories?. Symposium at the annual meeting of the EMDR International Association, Baltimore, MD.
Language: English
Format: Conference
Abstract: Participants will: 1) learn Wegner's ironic memory process model; 2) learn how the ironic memory process model is related to the DSM-IV symptoms of PTSD; 3) learn that eye movements at different speeds interfere with and interact with the speech process; and 4) learn that eye movements can inhibit the suppression process.
Keywords: Wegner Ironic Memory PTSD Eye Movement Symposium
44. Beere, D., Simon, M., & Welch, K. (2001, January-April). Recommendations and illustrations for combining hypnosis and EMDR in the treatment of psychological trauma. American Journal of Clinical Hypnosis, 43(3-4), 217-231.
Language: English
Format: Journal
Abstract: Three experienced therapists, trained in hypnosis and EMDR, distilled some tentative hypotheses about the use of hypnosis in EMDR from fifteen cases, two presented here. When a therapist uses hypnosis with EMDR, it seems that the client is having difficulty or the therapist anticipates that the client will have difficulty managing the experiences processed with EMDR. Hypnosis initiated either during the introduction to EMDR or within a therapy session prior to the initiation of EMDR seems to have served two functions. The first function is to activate inner work that prepares the client to use EMDR successfully, and the second function is to facilitate overtly the processing of the traumatic experience. Clients might have two kinds of difficulties in managing affect or distress: (1) they may have a long-standing, irrational and strongly held belief that interferes with managing affect or distress, and (2) they may never have developed the capacity to tolerate intense affect, distress or pain. Should a therapist use hypnosis during the closing down phase of a session without preparing the client with hypnosis during the introduction to EMDR, the therapist should seriously reconsider the pace and focus of EMDR and the client's resources to manage affect and distress. [Author Abstract]
Keywords: Review Hypnotherapy Treatment Psychotherapeutic Processes PTSD Treatment Effectiveness
45. 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.
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 Psychotherapeutic Processes Stressors Survivors PTSD
46. Beougher, F. (2005, January). EMDR shows positive results in treating PTSD. The Tennessee Veteran, 1(2) (Email edition), 3.
Language: English
Format: Newsletter
Abstract: “Eye Movement Desensitizing and Reprocessing” or EMDR, is an innovative treatment for psychological disorders such as PTSD, first discovered and developed by California psychologist Francine Shapiro, PhD. in the 1980’s. EMDR uses eye movements to turn on memory processing systems that are normally activated by Rapid Eye Movement (RIM) during periods of sleep. During REM, our brains are processing memories, deciding what to keep and what to discard. However, when the brain attempts to process traumatic memories, the intense emotions often associated by them causes the sleeper to have nightmares and wake up before the memory can be processed. The results can be continued nightmares, flashbacks, insomnia, depression, and anxiety. Normally, with just a few treatments, EMDR can help the brain to process the traumatic memories by initiating RIM while the patient is fully awake. For more information on EMDR visit: www.emdr.com
Keywords: PTSD
47. Bergmann, U. (1996, June). Further thoughts on the neurophysiology of EMDR. EMDRIA Newsletter, 1(1), 5-9.
Language: English
Format: Newsletter
Abstract: The following speculations considered in this paper are submitted to stimulate further discussion and research about the primary Neurophysiological processes that are involved in EMDR.
Keywords: Neurobiology Cognitive Processes Stressors Survivors PTSD Sleep Behavior
48. Bergmann, U. (2002, June). The neurobiology of EMDR: Recent insights and their contribution to the treatment of complex PTSD and dissociation. Paper presented at the annual meeting of the EMDR International Association, San Diego, CA.
Language: English
Format: Conference
Abstract: This presentation will explore the formation and consolidation of emotions and memory, various possible neural mechanisms of EMDR's treatment effects; with an emphasis on cerebellar mechanisms, and their direct relation to information processing and frontal lobe activation. Recent knowledge regarding Allan Schore's work on the orbitofrontal cortex and Steven Porges' work on the brainstem will be explored; with a major emphasis given to their implication for improved techniques to facilitate EMDR processing.
Keywords: Neurobiology Dissociation Complex PTSD Allan Schore Steven Porge
49. Bergmann, U. (1999). Further thoughts on the neurobiology of EMDR: The role of the cerebellum in accelerated information processing. Paper presented at the annual meeting of the International Society for the Study of Dissociation Fall Conference, Miami, FL.
Language: English
Format: Conference
Abstract: pants will: 1) gain an understanding as to the formulation and consolidation of emotions and memory; 2) understand the pathways of trauma in the brain and their respective psychological symptoms; 3) become more knowledgeable about the neurobiological research which appears to support the hypoetheses of the accelerated information processing system; and 4) gain an understanding of various possible mechanisms of EMDR's treatment effects, with an emphasis on cerebellar mechanisms, and their direct relation to information processing and frontal lobe activation.
Keywords: Neurobiology Cognitive Processes Stressors Survivors PTSD Sleep Behavior
50. Bergmann, U. (2003, September). The neurobiology of EMDR: Recent insights and their contribution to the treatment of complex PTSD and dissociation. Paper presented at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract: This presentation will explore the formation and consolidation of emotions and memory, various possible neural mechanisms of EMDR's treatment effects, with an emphasis on cerebellar mechanisms, and their direct relations to information processing and frontal lobe activation. Recent knowledge regarding Allan Schore's work on the orbitofrontal cortex and Steven Porge's work on the brainstem will be explored; with a major emphasis given to their implication for improved techniques to facilitate EMDR processing.
Keywords: Neurobiology Dissociation Complex PTSD: Schore Porge
51. Bergmann, U. (2000, October). Further thoughts on the neurobiology of EMDR: The role of the cerebellum in accelerated information processing. Traumatology, 6(3), 175-200.
Language: English
Format: Journal
Abstract: This discussion explores, briefly, the position that the repetitive redirecting of attention in EMDR is capable of turning on the brain's REM sleep system, leading to the activation of specific areas of the the anterior cortex of the cingulate gyrus, facilitating its function as a filter, thereby facilitating the integration of traumatic memory into general semantic networks. This integration is seen to lead to the subsequent reduction in both the strength of hippocampally mediated episodic memories of the traumatic event as well as the amygdaloid mediated negative affect of PTSD. The possibility is suggested that another underlying mechanisms of EMDR stimulation is the activation of the lateral cerebellum. The contribution of the cerebellum to cognitive and language functions is explored. The activation of the dentate nuclei in the lateral neocerebellum is shown to facilitate activation of the ventrolateral and central lateral thalamic nuclei. The activation of the ventrolateral nucleus is shown to lead to the activation of the left dorsolateral prefrontal cortex; further facilitating the integration of traumatic memory into general semantic and other neocortical networks. [Author Abstract]
Keywords: Neurobiology Cognitive Processes Stressors Survivors PTSD Sleep Behavior
52. Bériault, M., Larivée, S., & Grégoire, P. A. (2006). L'EMDR est-elle une intervention efficace pour traiter l'état de stress post-traumatique? - [Is EMDR an effective treatment for PTSD?]. In S. Guay & A. Marchand (Eds.), Les troubles liés aux événements traumatiques: dépistage, évaluation et traitements (pp. 215-242). Montréal: Presses de l'Université de Montréal.
Language: French
Format: Book Section
Abstract: Some researchers consider EMDR to represent an important opening in the treatment of PTSD while others see it more as an approach based on pseudo-science. This chapter describes EMDR as a therapeutic method and the theoretical model underlying it, then presents empirical evidence concerning its effectiveness in treating PTSD. [Text, p. 217] [Pilots]
Keywords: PTSD Literature Review Treatment Effectiveness
53. Berliner, P., Arenas, J. G., & Haagensen, J. O. (2005). Torture and organised violence: Contributions to a professional human rights response 1st ed. Copenhagen, Denmark: Dansk Psykologisk Forlag .
Language: English
Format: Book
Keywords: Cognitive Behavioral Therapy Torture Survivors Anxiety Disorders PTSD Behavior Therapy Cognitive Behavior Therapy Survivors Torture
54. Berliner, P., Jacobsen, L., Lanev, P., & Mikkelsen, E. N. (2005). Cognitive behavioural therapy with torture survivors: A case report. In P. Berliner, J. G. Arenas, & J. O. Haagensen (Eds.), Torture and organised violence: Contributions to a professional human rights response (1 ed.) (pp. 109-123). Copenhagen, Denmark: Dansk Psykologisk Forlag.
Language: English
Format: Book Section
Abstract: No abstract available.
Keywords: Cognitive Behavioral Therapy Torture Survivors Anxiety Disorders PTSD Behavior Therapy Cognitive Behavior Therapy Survivors Torture
55. 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: Child Abuse Rape Survivors School Age Children PTSD Brief Psychotherapy Family Therapy Empirical Study
56. Bisson, J. (2005, November). Psychological treatments for PTSD. Symposium (S. Turner, Chair) at the 21st annual meeting of the International Society for Traumatic Stress Studies, Baltimore, MD.
Language: English
Format: Conference
Abstract: The UK National Institute for Clinical Excellence Guidelines on PTSD: Based on rigorous meta-analysis, detailed literature review and two public consultations, the national guidelines for the assessment, prevention and treatment of PTSD in the UK will be presented in this symposium on behalf of the Guideline Development Group.
Psychological treatments for PTSD: A systematic review and meta-analysis of all randomised controlled trials of
psychological treatment for PTSD was undertaken. Thirty-eight RCTs of psychological
treatments for PTSD were identified. Trauma focused cognitive
behavioural therapy (TFCBT) and eye movement desensitisation and reprocessing
(EMDR) showed clinically important benefits over waitlist/usual care
on measures of PTSD. The evidence base for EMDR was not as strong as
that for TFCBT, both in terms of the number of RCTs available and the certainty
with which clinical benefit was established. There was limited evidence
that TFCBT and EMDR were superior to supportive/non-directive treatments,
hence it is highly unlikely that their effectiveness is due to non-specific
factors such as attention. There was limited evidence for stress management
and group CBT but other therapies (supportive/non-directive therapy,
psychodynamic therapies and hypnotherapies) that focus on current or past
aspects of the patient’s life other than the trauma or general support, did
not show clinically important effects on PTSD symptoms. However, this may
be due to the limited number of studies available and does not mean that
these treatments were shown to be ineffective.
Keywords: Psychological Treatments PSTD Symposium
57. Bisson, J. I., Ehlers, A., Matthews, R., Pilling, S., Richards, D., & Turner, S. (2007, February). Psychological treatments for chronic post-traumatic stress disorder: Systematic review and meta-analysis. British Journal of Psychiatry, 190(2), 97-104.
Language: English
Format: Journal
Abstract: BACKGROUND: The relative efficacy of different psychological treatments for chronic PTSD is unclear.AIMS: To determine the efficacy of specific psychological treatments for chronic PTSD. METHOD: In a systematic review of randomised controlled trials, eligible studies were assessed against methodological quality criteria and data were extracted and analysed. RESULTS: 38 randomised controlled trials were included in the meta-analysis. Trauma-focused cognitive-behavioural therapy (TFCBT), eye movement desensitisation and reprocessing (EMDR), stress management, and group cognitive-behavioural therapy improved PTSD symptoms more than waiting-list or usual care. There was inconclusive evidence regarding other therapies. There was no evidence of a difference in efficacy between TFCBT and EMDR but there was some evidence that TFCBT and EMDR were superior to stress management and other therapies, and that stress management was superior to other therapies. CONCLUSIONS: The first-line psychological treatment for PTSD should be trauma-focused (TFCBT or EMDR). [Author Abstract]
Keywords: PTSD Cognitive Behavior Therapy Group Counseling Posttraumatic Stress Disorder Stress Management Chronic Mental Illness Cognitive Therapy Trauma Literature Review Systematic Review Meta Analysis
58. Bisson, J. L. (2007). Eye movement desensitisation and reprocessing reduces PTSD symptoms compared with fluoxetine at six months post-treatment. Evidence-based Mental Health, 10(4), 118.
Language: English
Format: Journal
Keywords: Fluoxetine Desensitization PTSD Mental Illness Treatment
59. Bisson, J., & Andrew, M. (2005). Psychological treatment of post-traumatic stress disorder (PTSD). Cochrane Database of Systematic Reviews, 3, Art. no. CD003388.
Language: English
Format: Journal
Abstract: BACKGROUND: Psychological interventions are widely used in the treatment of post-traumatic stress disorder (PTSD). OBJECTIVES: To perform a systematic review of randomised controlled trials of all psychological treatments following the guidelines of The Cochrane Collaboration. SEARCH STRATEGY: Systematic searches of computerised databases, hand search of the Journal of Traumatic Stress, searches of reference lists, known websites and discussion fora, and personal communication with key workers. SELECTION CRITERIA: Types of studies - Any randomised controlled trial of a psychological treatment. Types of participants - Adults suffering from traumatic stress symptoms for three months or more. Types of interventions - Trauma-focused cognitive behavioural therapy/exposure therapy (TFCBT); stress management (SM); other therapies (supportive therapy, non-directive counselling, psychodynamic therapy and hypnotherapy); group cognitive behavioural therapy (group CBT); eye movement desensitisation and reprocessing (EMDR). Types of outcomes - Severity of clinician rated traumatic stress symptoms. Secondary measures included self-reported traumatic stress symptoms, depressive symptoms, anxiety symptoms, adverse effects and dropouts. DATA COLLECTION AND ANALYSIS: Data were entered using Review Manager software. Quality assessments were performed. Data were analysed for summary effects using Review Manager 4.2. MAIN RESULTS: Thirty-three studies were included in the review. With regards to reduction of clinician assessed PTSD symptoms measured immediately after treatment TFCBT did significantly better than waitlist/usual care (standardised mean difference (SMD) = -1.40; 95% CI, -1.89 to -0.91; 14 studies; n = 649). There was no significant difference between TFCBT and SM (SMD = -0.27; 95% CI, -0.71 to 0.16; 6 studies; n = 239). TFCBT did significantly better than other therapies (SMD = -0.81; 95% CI, -1.19 to -0.42; 3 studies; n = 120). Stress management did significantly better than waitlist/usual care (SMD = -1.14; 95% CI, -1.62 to -0.67; 3 studies; n = 86) and than other therapies (SMD = -1.22; 95% CI, -2.09 to -0.35; 1 study; n = 25). There was no significant difference between other therapies and waitlist/usual care control (SMD = -0.43; 95% CI, -0.90 to 0.04; 2 studies; n = 72). Group TFCBT was significantly better than waitlist/usual care (SMD = -0.72; 95% CI, -1.14 to -0.31). EMDR did significantly better than waitlist/usual care (SMD = -1.51; 95% CI, -1.87 to -1.15; 5 studies; n = 162). There was no significant difference between EMDR and TFCBT (SMD = 0.02; 95% CI, -0.28 to 0.31; 6 studies; n = 187). There was no significant difference between EMDR and SM (SMD = -0.35; 95% CI, -0.90 to 0.19; 2 studies; n = 53). EMDR did significantly better than other therapies (self-report) (SMD = -0.84; 95% CI, -1.21 to -0.47; 2 studies; n = 124). AUTHORS' CONCLUSIONS: There was evidence individual TFCBT, EMDR, stress management and group TFCBT are effective in the treatment of PTSD. Other non-trauma focused psychological treatments did not reduce PTSD symptoms as significantly. There was some evidence that individual TFCBT and EMDR are superior to stress management in the treatment of PTSD at between 2 and 5 months following treatment, and also that TFCBT, EMDR and stress management were more effective than other therapies. There was insufficient evidence to determine whether psychological treatment is harmful. There was some evidence of greater drop-out in active treatment groups. The considerable unexplained heterogeneity observed in these comparisons, and the potential impact of publication bias on these data, suggest the need for caution in interpreting the results of this review. [PubMed]
Keywords: Review Meta-analysis
60. Blake, D. D., & Sonnenberg, R. T. (1998). Outcome research on behavioral and cognitive-behavioral treatments for trauma survivors. In V. M. Follette, J. I. Ruze & F. R. Abueg (Eds.), Cognitive-behavioral therapies for trauma (pp. 15-47), New York: Guilford Press.
Language: English
Format: Book Section
Abstract: In this chapter, we describe the current status of outcome research on behavioral and cognitive-behavioral therapy for PTSD. In this endeavor, we describe these treatments and outline their empirical foundations, providing rationale for their use. We then review and critique the existing research and propose future directions for outcome research. [Text, p. 42]
Keywords: Vietnam War Child Abuse Rape Survivors Veterans Males Females Americans PTSD Behavior Therapy Cognitive Therapy Treatment Effectiveness
61. Bland, J., & Gresham, L. (1994, July 8). Visual effects. Nursing Times, 89(30), 30-32.
Language: English
Format: Journal
Abstract: The authors describe their success in using a dispatch rider's vivid images of his accident in Eye Movement Desensitization (EMDR) to help him return to work following a road crash. [Adapted from Introduction] [Pilots]
Keywords: British Case Report Males Middle Age Motor Traffic Accidents Nursing PTSD Survivors Treatment Effectiveness
62. Blore, D. C. (1996, May). Use of eye movement to reduce stress after trauma. Nursing Times, 92(18), 43-45.
Language: English
Format: Journal
Abstract: In 1987 an accidental discovery revealed an association between certain eye movements and reduced levels of distress resulting from traumatic memories. The result was a new psychological intervention, eye movement desensitisation and reprocessing (EMDR). The treatment consists of generating rapid and rhythmic eye movements while simultaneously holding traumatic images, thoughts and emotions in the active memory. This paper describes the experiences of one psychotherapist in using EMDR to treat people with PTSD. 6 case studies illustrate aspects of this complex treatment. [Author Abstract]
Keywords: Adults British Industrial Accidents Personal Narrative Psychologists PTSD Stressors Survivors Treatment Effectiveness Review
63. Blore, D. C. (1998, September). EMDR and PTSD: Two year case series of traumatised coalminers, outcomes and follow ups. Paper presented at the 28th Congress Of The European Association For Behavioural & Cognitive Therapies, Cork, Ireland.
Language: English
Format: Conference
Keywords: PTSD Coalminers
64. Blore, D. C., Farrell, D., & Cliffford, C. (2008, June). The experience of post traumatic growth amongst road traffic accidents victims who have completed EMDR treatment: A status report on research. Paper presented at the annual meeting of the EMDR Europe Conference, London, England.
Language: English
Format: Conference
Abstract: According to Tedeschi & Calhoun (1995; 2004 and 2006), Post Traumatic Growth (PTG) consists of five ‘domains’: discovery of new possibilities in life; improvements in relating to others; an increased sense of personal strength; greater appreciation of life and spiritual changes. The first author’s experience of treating Road Traffic Accidents (RTA) victims with Eye Movement Desensitisation & Reprocessing (EMDR) suggests that the experience of PTG is far wider and more complicated than Tedeschi & Calhoun’s domains. This paper reports on the current status of a study whose aim is to identify PTG that may be occurring at any point from the immediate aftermath of an RTA through to completion of EMDR. The study so far consists of 11 interviews utilising an Interpretative Phenomenological Analysis (IPA) methodology. So far well over 50 PTG themes have emerged although only the first hermeneutical analysis has been completed on the interviews analysed so far, it is currently difficult, therefore, to establish the degree of ‘theme overlap’. However, new themes include growth ‘by proxy’ (growth in those who have come into contact with the participants, but who have not themselves been traumatised by the RTA); somewhat paradoxically, ‘pre-trauma growth’ apparently activated by a subsequent RTA; and a ‘cascade’ of growth attributed to events subsequent to the initial trauma (such as the EMDR and the EMDR therapist). Some implications of these themes are also discussed, particularly in relation to EMDR.
Keywords: Motor Vehicle Accidents PTSD Victims
65. Bossini, L. (2008, September). Brain imaging strutturale e PTSD: Danno cerebrale ed effetto della terapia con EMDR - [Brain imaging structural and PTSD: Brain damage and effect of treatment with EMDR]. In T. Farma (Chair), Il modello psicotraumatologico: Un ponte tra indicatori neurobiologici e psicoterapia. Symposium conducted at the meeting of the Society for Psychotherapy Research, Modena, Italy.
Language: Italian
Format: Conference
Keywords: Symposium Brain Imaging
66. 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: Hippocamal Volume Psychotherapy Hippocampus Brain Volume Brain Size Treatment Effectiveness Evaluation Letter Neuroanatomy PTSD Case Report Adults Males Survivors Death of Parent Death by Suicide Brain Imaging Treatment Effectiveness Clinical Case Study Treatment Outcome/Clinical Trial
67. Bossini, L., Fernandez, I., & Mantero, M. (2006 Settembre-Dicembre). Approcci psicoterapeutici specifici. NÓOς, Aggiornamenti in Psichiatria, 12(3), 221-230.
Language: Italian
Format: Journal
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: Psicoterapia DPTS PTSD Psychotherapy
68. Botkin, A. L., & Hogan, R. C. (2005). Induced after-death communication: A new therapy for healing grief and trauma. Charlottesville, VA: Hampton Roads Publishing Co.
Language: English
Format: Book
Abstract: "Relates the story of how Dr. Botkin, while using a variation of EMDR therapy, discovered a new therapy for helping patients permanently overcome grief and trauma. Dr. Botkin used this therapy primarily with Vietnam War veterans in his work at a VA hospital"--Provided by publisher.
Keywords: Vietnam War Veterans Trauma Hospitals PTSD Psychic Trauma Treatment After Death Communication
69. Boudewyns, P. A. (Publication Date Unknown). Reaction of therapists to EMDR for combat-related PTSD: An early look. Augusta VA Medical Center and Medical College of Georgia, Augusta, GA.
Language: English
Format: Publication
Abstract: Seven therapists, two females and one male, were used for the study. Each therapist was randomly assigned to administer both exposure therapy and EMDR, but one had not yet completed an exposure therapy condition subject. All had been extensively trained in both techniques and all were experienced licensed psychologists with Ph.D. degrees. Each therapist was asked six questions regarding thei r response to the treatments and to the subjects. This is a composite summary of their responses.
70. Boudewyns, P. A. & Hyer, L. A. (1996, October). Eye movement desensitization and reprocessing (EMDR) as treatment for post-traumatic stress disorder (PTSD). Clinical Psychology and Psychotherapy, 3(3), 185-195.
Language: English
Format: Journal
Abstract: Eye Movement Desensitization and Reprocessing is a new and controversial cognitive-behavioural treatment technique that combines cognitive processing and exposure methodology to treat conditioned emotional responding and other trauma-related symptoms. EMDR is controversial in part due to initial excessive claims by its originator, Francine Shapiro, and also because of what many believe to be Shapiro's proprietary emphasis in controlling who may use the technique with patients. In this paper our aim is to take an objective look at the process and effectiveness of this technique. The purpose here is to (1) offer a brief objective review of the outcome literature to date on EMDR; (2) present a short summary of results of an 'early look' at an ongoing controlled study of this method that we are presently conducting; (3) speculate on the merits of this approach based on both scientific and clinical experience with EMDR and (4) offer a brief description of the evolved process of EMDR along with a commentary on that process. [Author Abstract]
Keywords: Adults Americans PTSD Randomized Clinical Trial Treatment Effectiveness Veterans
71. Boudewyns, P. A., Hyer, L. A., Peralme, L., Touze, J., & Kiel, A. (1994, August). Eye movement desensitization and reprocessing for combat-related PTSD: An early look. Paper presented at the 102nd annual meeting of the American Psychological Association, Los Angeles, CA.
Language: English
Format: Conference
Keywords: Combat PSTD War Military
72. Boudewyns, P. A., Stwertka, S. A., Hyer, L. A., Albrecht, S. A., & Sperr, E. V. (1993, February). Eye movement desensitization for PTSD of combat: A treatment outcome pilot study. The Behavior Therapist, 16(2), 30-33.
Language: English
Format: Journal
Abstract: The purpose of this study is to evaluate the short-term effectiveness of eye movement desensitization (EMD) in reducing negative affect associated with traumatic memory in PTSD patients. In addition to evaluating the general efficacy of the EMD technique, we were also interested in controlling for the possible contribution of an exposure effect in accounting for any positive outcome. Shapiro finds that the technique can be effective in only one session. The present study uses two sessions of EMD offered to veterans diagnosed with combat-related PTSD. [Adapted from Text, p. 30] [Pilots]
73. Bower, R. D., & Bernstein, M. A. (2004). Case presentation of a tattoo-mutilated, Bosnian torture survivor. Torture, 14(1), 16-23, 34.
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: Case Report Torture Survivors Bosnians Middle Aged Females Refugees Muslims Disfigurement PTSD Depressive Disorders Generalized Anxiety Disorder Plastic Surgery Treatment Drug Therapy Cognitive Therapy Yugoslav Wars of Secession
74. 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.
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: PTSD Meta Analysis Cognitive Therapy Treatment Treatment Effectiveness Psychotherapy
75. Brewerton, T. D. (2008, May 1). The links between PTSD and eating disorders. Psychiatric Times, 25(6).
Language: English
Format: Journal
Abstract: Despite an abundance of studies linking both traumatic experiences and anxiety disorders with eating disorders, relatively little has been reported on the prevalence of associated posttraumatic stress disorder (PTSD) or partial PTSD in patients with eating disorders. The National Women's Study, dating back more than 10 years, remains the only detailed study of crime victimization histories, resultant PTSD, and associated psychiatric comorbidity, including eating disorders, in a representative sample of women in the United States.1 This article presents the case for a link between PTSD and eating disorders. The prevalence of comorbid PTSD and eating disorders is discussed with an explanation of a mechanism that may explain the connection, followed by treatment options and reasons for caution.
Keywords: PTSD Eating Disorders
76. Brewin, C. (2005, June). Memory and identity in PTSD: Core processes underlying treatment efficacy. Paper presented at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract: PTSD appears to incorporate two quite separate sets of processes. One is concerned with specific reactions to extreme threat. The encoding of long-lasting image-based memories interferes with the encoding of verbal memories that are necessary to represent the trauma as a past event and inhibit the reliving of the trauma. The second set of processes is concerned with the challenge the trauma poses to the victim's identity. 'Trauma processing" leaves original memory representations intact and involves the construction of alternative memories that are helped to compete more effectively for retrieval in the presence of reminders of the traumatic event.
Keywords: PTSD Memory Posttraumatic Stress Disorder Identity Plenary
77. Brewin, C. (2003, March). Memory, identity and post-traumatic stress disorder. Keynote at the 1st annual Conference of the EMDR UK & Ireland Association, London, UK.
Language: English
Format: Conference
Abstract: Recent research indicates that the reactions to a traumatic event we know as PTSD are complicated because they may incorporate two quite separate sets of processes. One set of processes is concerned with specific reactions to extreme threat. The other set of processes is concerned with the challenge the trauma poses to the victim's beliefs and identity. These processes are not specific to trauma, hence the overlap between symptoms of PTSD and other disorders. Repeated exposure to threat will lead to the longer term establishment of identities that have lost much capacity for optimism, trust or intimacy. But even a single event which is merely upsetting for one person may fatally undermine the positive aspirations of another. Negative reactions to trauma go beyond thoughts and include impulses, imagined pictures, emotions, such as anger and shame, a feeling of being more than one person and a sense of disconnection from others. These individual responses are also highly varied and yet at the same time contain their own internal organisation, suggesting that a helpful framework for understanding them is the social psychological approach to identity involving multiple selves. Treating PTSD involves understanding how the survivor adapts to these twin challenges of memory and identity.
Keywords: PTSD Memory Posttraumatic Stress Disorder Identity
78. Brewin, C. R., Scragg, P., Robertson, M., Thompson, M., D'Ardenne, P., & Ehlers, A. (2008, February). Promoting mental health following the London bombings: A screen and treat approach. Journal of Traumatic Stress, 21(1), 3-8.
Language: English
Format: Journal
Abstract: Following the 2005 London bombings, a novel public health program was instituted to address the mental health needs of survivors. In this article, the authors describe the rationale for the program, characteristics of individuals assessed within the program, and preliminary outcome data. In addition to validated screening instruments and routine service usage data, standardized questionnaire outcome measures were collected. 71% of individuals screened positive for a mental disorder. Of those receiving a more detailed clinical assessment, PTSD was the predominant diagnosis. Preliminary outcome data on 82 patients revealed large effect sizes for treatment comparable to those previously obtained in randomized controlled trials. The program succeeded in its aim of generating many more referrals of affected individuals than came through normal referral channels. [Author Abstract]
Keywords: Terrorism London Transport Bombings (2005) Survivors Victim Services Psychiatric Disorders PTSD (DSM-IV) Epidemiology British Cognitive Therapy Treatment Effectiveness Adults PTSD (ICD-10)
79. 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.
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
80. Brokensha, G. (1992, August). Recent advance in the treatment of PTSD. Australian Family Physician, 21(8), 1202.
Language: English
Format: Journal
Abstract: Letter reiterates the value of eye movement desensitization and reprogramming as a treatment for PTSD.
81. Brown, S., & Gilman, S. (in preparation). An integrated trauma treatment program: Enhancing drug court program outcomes using EMDR to treat co-occurring PTSD and substance use disorder. Brown, S. & Gilman, S..
Language: English
Format: Other
Abstract: The prevalence of co-occurring Posttraumatic Stress Disorder (PTSD) and Substance Use Disorder (SUD) in the criminal justice system is a serious issue for both men and women. The inattention to trauma before, during, and after involvement in the criminal justice system is problematic. Some research suggests that trauma-related disorders among those with SUD negatively affect post-incarceration outcomes (Kubiak, 2004). Therefore, from a practice and policy perspective, interventions addressing these co-occurring disorders should be made available to men and women within the criminal justice system. Current research recommends a phased and integrated treatment approach for co-occurring PTSD and SUD. SAMHSA (2005) reports that the integration of substance abuse treatment and mental health services for persons with co-occurring disorders (COD) has become a major treatment initiative. The specific Integrated Trauma Treatment Program (ITTP) described in this report is one possible treatment approach for this challenging population. This report will outline the rationale for the ITTP implemented in the Thurston County Drug Court Program (TCDCP) in Olympia, WA. In addition, it is hoped that results from this project will be considered when making policy recommendations for Drug Courts and other programs in the criminal justice system, as well as other public and private substance abuse treatment settings.
Keywords: PTSD Substance Use Disorder
82. Brown, S., Gilman, S. G., & Kelso, T. (2008, September). Integrated trauma treatment program: A novel EMDR approach for PTSD and substance abuse. Paper presented at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract: PTSD and substance abuse is a common co-occurring disorder for which current research recommends a phased, integrated treatment approach. This presentation covers the 4-year pilot program using EMDR and Seeking Safety© as an Integrated Trauma Treatment Program (ITTP) in a Drug Court. The process, rationale and clinically significant outcomes of this study will be presented. Participants will learn how to implement EMDR in other similar settings and will learn how to develop a simple research model to collect data. Time will be provided for discussion of clinical issues addressed in this ITTP and video of study participants post-treatment.
Keywords: PTSD Substance Abuse
83. Bruck, N. R. V. (2007). A psicologia das emergências: um estudo sobre angústia pública e o dramático cotidiano do trauma - [Psychology of emergencies: A study of public anguish and dramatic daily life of trauma, year of degree]. Pontifica Universidade Catolica Do Rio Grande Do Sul, Programa De Pos-Graduacao Em Psicologia Doutorado Em Psicologia, Porto Alegre. --.
Language: Portuguese
Format: Dissertation/Thesis
Keywords: Stress Emergency Treatment PTSD Social Psychology
84. Bryant, R. A., & Friedman, M. J. (2001, March). Medication and non-medication treatments of post-traumatic stress disorder. Current Opinion in Psychiatry, 14(2), 119-123.
Language: English
Format: Journal
Abstract: Recent developments in the psychological and pharmacological management of post-traumatic stress disorder are reviewed. This review of controlled outcome studies indicates that: (i) cognitive behavior therapy is the psychological treatment of choice; (ii) different components of cognitive behavior therapy can be effective; (iii) eye movement desensitization and reprocessing is not as effective as cognitive behavior therapy; (iv) selective serotonin re-uptake inhibitors are the pharmacological treatment of choice; and (v) there is increasing support for nefazadone but not for cyproheptadine in reducing the symptoms of post-traumatic stress disorder. The need for increased treatment effectiveness and the integration of recent findings into clinical practice is discussed.
Keywords: Drug Therapy Treatment PTSD Literature Review Treatment Effectiveness Cognitive Therapy Selective Serotonin Reuptake Inhibitors Atypical Antidepressants
85. Bryant, R. A., Harvey, A. G., Gordon, E., & Barry, R. (1995). Eye-movement and electrodermal responses to threat stimuli in post-traumatic stress disorder. International Journal of Psychophysiology, 20, 209-213.
Language: English
Format: Journal
Abstract: A core feature of post-traumatic stress disorder (PTSD) is hypervigilence to threatening material. This study measured processing of threat material in PTSD with simultaneously acquired initial eye movements and electrodermal activity, following presentation of threatening and neutral words. Ten PTSD subjects and 10 controls were presented with 4 words in parafoveal range. On trials in which a threat word was present, PTSD subjects demonstrated initial eye fixations on the threat word more than controls. PTSD subjects also demonstrated more orienting responses on all trials than controls. These results suggest that processing of threat information in PTSD can be usefully investigated with convergent psychophysiological methodologies.
Keywords: Electrodermal Responses PTSD
86. Burgmer, M., & Heuft, G. (2004, Feb). Occurrence and treatment of post-traumatic stress disorder in an elderly patient after a traffic accident. International Journal of Geriatric Psychiatry, 19(2), 185-188.
Language: English
Format: Journal
Abstract: In our present study, we report on the development of PTSD after a traffic accident and present the trauma-specific treatment with Eye Movement Desensitization and Reprocessing (EMDR). Despite the controversy about its novelty and other competing trauma-specific treatment methods like CBT, EMDR seems to be an effective and efficient trauma-specific treatment method particularly for usage by pscyhodynamic oriented therapists. [Adapted from Text] [Pilots]
Keywords: PTSD Aged Females Motor Traffic Accidents Headache Case Report Germans Treatment Effectiveness
87. Burne, J. (Publication Date Unknown). Not drowning but waving. Health.
Language: English
Format: Other
Abstract: Sufferers of Post Traumatic Shock Syndrome have in the past had to bear their recurring nightmares, flashbacks and cold sweats with stoicism. Now the accidental discovery of a laughably simple therapeutic technique involving finger waving could release many from a lifetime of tortured memories.
Keywords: PTSD
88. Butler, A. C., Chapman, J. R., Forman, E. M., & Beck, A. T. (2006, January). The empirical status of cognitive-behavioral therapy: A review of meta-analyses. Clinical Psychology Review, 26(1), 17-31.
Language: English
Format: Journal
Abstract: This review summarizes the current meta-analysis literature on treatment outcomes of CBT for a wide range of psychiatric disorders. A search of the literature resulted in a total of 16 methodologically rigorous meta-analyses. Our review focuses on effect sizes that contrast outcomes for CBT with outcomes for various control groups for each disorder, which provides an overview of the effectiveness of cognitive therapy as quantified by meta-analysis. Large effect sizes were found for CBT for unipolar depression, generalized anxiety disorder, panic disorder with or without agoraphobia, social phobia, PTSD, and childhood depressive and anxiety disorders. Effect sizes for CBT of marital distress, anger, childhood somatic disorders, and chronic pain were in the moderate range. CBT was somewhat superior to antidepressants in the treatment of adult depression. CBT was equally effective as behavior therapy in the treatment of adult depression and obsessive-compulsive disorder. Large uncontrolled effect sizes were found for bulimia nervosa and schizophrenia. The 16 meta-analyses we reviewed support the efficacy of CBT for many disorders. While limitations of the meta-analytic approach need to be considered in interpreting the results of this review, our findings are consistent with other review methodologies that also provide support for the efficacy CBT. [Author Abstract]
Keywords: Meta Analysis Literature Review Cognitive Therapy Treatment Effectiveness PTSD Survivors Stressors
89. Buttsworth, J. (1991, October 7). REM reprocessing. Medical Journal of Australia, 155, 500.
Language: English
Format: Journal
Abstract: Comments on the effectiveness of REM (Rapid Eye Movement) reprocessing in therapy. States that further research into its benefits would be useful. [Adapted from Text, p. 500]
Keywords: Treatment Effectiveness Letter PTSD Anxiety Disorders Stressors Survivors
90. Byron, H. (1999). Clinician adherence to and combination of methods with EMDR for post traumatic stress disorder. University of Canberra, Australia. --.
Language: English
Format: Dissertation/Thesis
Abstract: Thesis--(Master's)
Keywords: PTSD
91. Cahill, P. C., Pontoski, K., & D’Olio, C. M. (2005, September). Posttraumatic stress disorder and acute stress disorder II: Considerations for treatment and prevention. Psychiatry, 2(9), 34-46.
Language: English
Format: Journal
Abstract: Abstract Posttraumatic stress disorder is a common and often chronic and disabling anxiety disorder that can develop after exposure to highly stressful events characterized by actual or threatened harm to the self or others. This is the second of two invited articles summarizing the nature and treatment of PTSD and the associated condition of acute stress disorder (ASD). The present article reviews evidence for the efficacy of psychological and pharmacological treatments for PTSD and ASD. In summary, cognitive behavior therapy (CBT) has been found efficacious in the treatment of chronic PTSD as well as the treatment of ASD/prevention of PTSD. The selective serotonin reuptake inhibitors, sertraline, paroxetine, and fluoxetine, have been found efficacious in the treatment of chronic PTSD, with sertraline and paroxetine receiving the FDA indication for this condition. There is less evidence for efficacious medications in the treatment of ASD/prevention of PTSD. At present, hydrocortisone and propranolol show the greatest promise. Limitations of these treatments, including dropout and a significant number of patients showing no or only partial response, are discussed as well as issues related to selecting among efficacious treatments.
Keywords: PTSD Acute Stress Disorder
92. Cahill, S. P. (2000, July 1). Counterpoint: Evaluating EMDR in treating PTSD. Psychiatric Times, 17(7), 3.
Language: English
Format: Journal
Abstract: EMDR: Is Psychiatry Missing the Boat? (point) EMDR in Treating PTSD (counterpoint) This discussion focuses on the efficacy of Eye Movement Desensitization and Reprocessing (EMDR), a highly controversial treatment for patients with posttraumatic stress disorder (PTSD). The point article stresses the extensive body of literature that shows the efficacy and safety of EMDR as a treatment protocol. It also explains the treatment process. The counterpoint article argues that much of the research supporting EMDR may not be methodologically sound and that attempting to make statements of efficacy based on the current literature may not be wise.[Psychiatric Times]
93. Cahill, S. P., & Foa, E. B. (2007, March 1). PTSD: Treatment efficacy and future directions. Psychiatric Times, 24(3), 3 pages.
Language: English
Format: Journal
Abstract: In this article, we provide a summary of research on the efficacy of treatments for PTSD and suggest directions for future work. Although numerous psychological therapies have been suggested and used in patients with PTSD, most efficacy research using gold standard randomized controlled treatment methodology2 has focused on various cognitive-behavioral therapy (CBT) programs. Accordingly, our review will also focus on CBT.
Keywords: PSTD Treatment Efficacy
94. Cahill, S. P., Carrigan, M. H., & Frueh, B. C. (1999, January-April). Does EMDR work? And if so, why?: A critical review of controlled outcome and dismantling research. Journal of Anxiety Disorders, 13(1-2), 5-33.
Language: English
Format: Journal
Abstract: Research on Eye Movement Desensitization and Reprocessing therapy (EMDR) was reviewed to answer the questions “Does EMDR work?” and “If so, Why?” This first question was further subdivided on the basis of the control group: (a) no-treatment (or wait list control), (b) nonvalidated treatments, and (c) other validated treatments. The evidence supports the following general conclusions: First, EMDR appears to be effective in reducing at least some indices of distress relative to no-treatment in a number of anxiety conditions, including posttraumatic stress disorder, panic disorder, and public-speaking anxiety. Second, EMDR appears at least as effective or more effective than several nonvalidated treatments (e.g., relaxation, active listening) for posttraumatic stress reactions. Third, despite statements implying the contrary, no previously published study has directly compared EMDR with an independently validated treatment for posttraumatic stress disorder (e.g., therapist-directed flooding). In the treatment of simple phobia, participant modeling has been found to be more effective than EMDR. Fourth, our review of dismantling studies reveals there is no convincing evidence that eye movements significantly contribute to treatment outcome. Recommendations regarding further research directions are provided(ScienceDirect).
Keywords: Anxiety Disorders Literature Review PTSD Relaxation Therapy Treatment Effectiveness
95. Cahill, S., & Frueh, C. (1997, September-October). Flooding versus eye movement desensitization and reprocessing therapy: Relative efficacy has yet to be investigated -- comment on Pitman et al (1996). Comprehensive Psychiatry, 38(5), 300-303.
Language: English
Format: Journal
Abstract: AbstractPitman et al. recently published a pair of studies on the relationship between indicators of emotional processing and outcome in flooding therapy and eye movement desensitization and reprocessing (EMDR) therapy. Among their conclusions, they asserted EMDR was found to be at least as effective [as] flooding in the treatment of combat-related PTSD and produced fewer adverse consequences. Although this research constitutes an important contribution to the literature on psychosocial treatments for PTSD, their conclusions regarding the relative effectiveness of these two treatments are unwarranted. The bases of our objections are that (1) assignment of participants to treatment conditions was nonrandom, and (2) several significant procedural differences existed between the two studies in addition to the specific treatments under investigation. These include different inclusion and exclusion criteria, the confounding of psychological treatment with psychiatric medication status, and differences in assessment procedures. Since the two treatments were not compared in a single head-to-head controlled trial, we conclude that their relative efficacy has yet to be investigated. [Author Abstract]
Keywords: Exposure Therapy Professional Criticism PTSD Treatment Effectiveness Comment Reply
96. Canadian Coordinating Office for Health Technology Assessment (2005). EMDR for treatment of post-traumatic stress disorder. Canadian Coordinating Office for Health Technology Assessment.
Language: English
Format: Other
Keywords: PTSD Practice Guidelines
97. Capps, F. (2006, January). Combining eye movement desensitization and reprocessing with Gestalt techniques in couples counseling. Family Journal: Counseling and Therapy for Couples and Families, 14(1), 49-58.
Language: English
Format: Journal
Abstract: Eye movement desensitization and reprocessing (EMDR) is gaining acceptance as efficacious treatment for PTSD for individuals but not for couples. This article reports three case studies of couples in which EMDR is combined with Gestalt therapy in a single session to resolve relational trauma effects, increase empathy and awareness in the supportive partner, and deepen intimacy within the couple. Case studies are described, and implications for research and clinical applications are discussed. [Author Abstract]
Keywords: Gestalt Therapy Family Therapy PTSD Spouse Abuse Survivors Adults Americans Perpetrators Psychotherapeutic Processes Trauma Couples Therapy Nonclinical Case Study Qualitative Study
98. Carbone, D. J. (2008). Treatment of gay men for post-traumatic stress disorder resulting from social ostracism and ridicule: Cognitive behavior therapy and eye movement desensitization and reprocessing approaches. Archives of Sexual Behavior, 37(2), 305-316.
Language: English
Format: Journal
Abstract: 10.1007/s10508-007-9239-3
This report describes the clinical treatment of a sample of 4 gay men suffering from PTSD attributed to their repeated experiences with peer ridicule and ostracism throughout childhood and adolescence, caused by their gender variant appearance and behavior. All of the men in the sample shared the following features: (1) a childhood history of ridicule and ostracism from both peers and adults focused on their gender variant presentation designed to elicit gender norm compliance; (2) a lack of social support networks to assist them in coping with the stress; (3) self-destructive coping responses that began in childhood and continued into adulthood in an attempt to lessen the experience of shame; and (4) symptoms of PTSD. A treatment model utilizing cognitive-behavioral therapy and eye movement desensitization and reprocessing was discussed. [Author Abstract]
Keywords: Persecution Survivors Homosexuals Males PTSD: Cognitive Therapy Psychotherapeutic Processes Adults Americans Case Report Cognitive Behavior Therapy Gay Men
99. Carbonell, J. L., & Figley, C. R. (2005). A systematic clinical demonstration of promising PTSD treatment approaches. In V. R. Volkman (Ed.), Traumatic incident reduction: Research and results (pp. 75-94). Ann Arbor, Michigan: Loving Healing Press.
Language: English
Format: Book Section
Abstract: Traumatic Incident Reduction, Visual-Kinesthetic Dissociation, Eye Movement Desensitization and Reprocessing, and Thought Field Therapy were investigated through a systematic clinical demonstration (SCD) methodology. This methodology guides the examination, but does not test the effectiveness of clinical approaches. Each approach was demonstrated by nationally recognized practitioners following a similar protocol, though their methods of treatment varied. A total of 39 research participants were treated and results showed that all four approaches had some immediate impact on clients and appear to also have some lasting impact. The paper also discusses the theoretical, clinical, and methodological implications of the study. [Author Abstract]
Keywords: Traumatic Incident Reduction Neurolinguistic Programming Thought Field Therapy Treatment Effectiveness PTSD Survivors Stressors
100. Carbonell, J. L., & Figley, C. R. (1999). Promising PTSD approaches: A systematic clinical demonstration of promising PTSD treatment approaches. Traumatology, 5(1), Article 4.
Language: English
Format: Journal
Abstract: Traumatic Incident Reduction, Visual-Kinesthetic Disassociation, Eye Movement Desensitization and Reprocessing, and Thought Field Therapy were investigated through a systematic clinical demonstration (SCD) methodology. This methodology guides the examination, but does not test the effectiveness of clinical approaches. Each approach was demonstrated by nationally recognized practitioners following a similar protocol, though their methods of treatment varied. A total of 39 research participants were treated and results showed that all four approaches had some immediate impact on clients and appear to also have some lasting impact. The paper also discusses the theoretical, clinical, and methodological implications of the study. [Author Abstract]
Keywords: Traumatic Incident Reduction Neurolinguistic Programming Thought Field Therapy Treatment Effectiveness PTSD Survivors Stressors
101. Carlson, J. G., & Chemtob, C. (1996, June). Scientific investigations into EMDR (Part I) – A controlled study of eye movement desensitization and reprocessing (EMDR) for combat-related post-traumatic stress disorder (PTSD). Paper presented at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
102. Carlson, J. G., Chemtob, C. M., Rusnak, K., & Hedlund, N. L. (1995). A controlled study of EMDR and biofeedback assisted relaxation for the treatment of PTSD. Paper presented at the Fourth European Conference on Traumatic Stress.
Language: English
Format: Dissertation/Thesis
Keywords: Biofeedback Assisted Relaxation
103. Carlson, J. G., Chemtob, C. M., Rusnak, K., Hedlund, N. L., & Muraoka, M. Y. (1997). 戦闘活動による心的外傷後ストレス障害に対する眼球運動性脱感作と再構成法(EMDR) - [Eye movement desensitization and reprocessing (EMDR) treatment for combat-related posttraumatic stress disorder]. バイオフィードバック研[Japanese journal of biofeedback research, 24, 50-64] .
Language: English
Format: Journal
104. Carlson, J. G., Chemtob, C. M., Rusnak, K., Hedlund, N. L., & Muroaka, M. Y. (1995, June). EMDR in combat-related PTSD: A controlled study. Paper presented at the EMDR Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract: In view of potential, but largely undocumented benefits of eye movement desensitization and reprocessing (EMDR) as an intervention for PTSD in combat veterans, in our laboratory a study of EMDR treatment included (1) randomized patient assignment, (2) clinically appropriate comparison (treatment and control) groups, (3) a 12-session EMDR protocol administered by experienced, EMDR trained clinicians, and (4) extensive clinical assessment, including physiological evaluation at pre-treatment, post-treatment, and 3-month follow-up. Thirty-five veterans who met DSM-IV criteria for PTSD completed an extensive multimodal assessment protocol. Assessment instruments included: The Mississippi Scale for Combat-Related PTSD, the Impact of Events Scale (IES), the Clinician Administered PTSD Scale (CAPS), a self-rating of overall severity of "PTSD symptoms," the Beck Depression Inventory, and the Spielberger State and Trait Anxiety Inventories (STAI). In addition, each subject completed a Stressful Scene Construction Questionnaire (SSCQ) in which scripts of specific traumatic combat incidents were prepared for presentation during psychophysiological assessment. Following pre-assessment, a subset of the subjects constituted a waiting list control (CON, N = 12). Routine clinical care for these subjects was available at the VA Medical Center. Seven of these subjects also participated in group sessions for discussion of PTSD designed as an attentional control. There were no differences between the two control subgroups and their data was combined for all subsequent analyses. For the treatment groups, subjects assigned to the EMDR (EMD, N = 10) and relaxation (RXT, N = 13) groups were seated in a semi-reclined chair and continuous measures were taken of muscle tension levels (four sites), hand temperature, skin conductance levels, heart rate, and blood pressure. For all subjects, there were 20 minutes in each of the baseline sessions with no additional stimuli presented. At the end of session 2 of baseline, the patients remained in the experimental room and were assessed for an additional 20 minutes (pre-treatment) during which the SSCQ scripts also were presented. There were two sessions per week with a minimum of one day between sessions. Each subsequent treatment session for the EMD and RXT subjects was approximately 60 minutes in duration, allowing for set-up time and briefing. In the EMD group, a standard protocol for the EMDR interventions was administered, including periodic SUDS ratings and VoC scaling of combat and related images and cognitions (cf Shapiro, 1995). In the RXT group, home relaxation tapes and biofeedback on four sites (face, neck, arm, and back) to assist lowered muscle tension were provided. Following 12 treatment sessions (post-treatment), and again after three months (follow-up) the psychometric instruments and psychophysiological assessment were readministered using the format outlined above. Relative to the other conditions, the EMDR treatment produced substantially more positive clinical effects at post-treatment and follow-up. Comparing the EMD group to the CON group, significant effects (p<.05 or better) were obtained on measures of PTSD including the Mississippi and PTSD symptoms self-rating, and on the Beck and STAI-Trait. Comparing the EMD group to the RXT subjects, significant differences were found on the Mississippi, the IES-Intrusion scale, the CAPS, PTSD symptoms ratings, and the STAI-Trait scale. No differences were obtained on any of the physiological measures. Therefore, the present results support the effectiveness of EMDR with combat veterans with chronic PTSD. The data strongly suggest that some previous negative results obtained when EMDR was applied to chronic and severe combat PTSD may have resulted from methodological artifacts, such as inadequate amount of treatment and therapist inexperience. While the failure to find physiological effects is consistent with results of other controlled treatment exposure trials in PTSD, this finding raises clinical and conceptual questions with respect to the arousal component of the disorder.
Keywords: Combat Controlled Study
105. Carlson, J. G., Chemtob, C. M., Rusnak, K., Hedlund, N.L., & Muraoka, M. Y. (1998, January). Eye movement desensitization and reprocessing (EMDR) treatment for combat-related posttraumatic stress disorder. Journal of Traumatic Stress, 11(1), 3-24.
Language: English
Format: Journal
Abstract: Despite the clinical and social impact of PTSD, there are few controlled studies investigating its treatment. In this investigation, the effectiveness of two psychotherapeutic interventions for PTSD were compared using a randomized controlled outcome group design. 35 combat veterans diagnosed with combat-related PTSD were treated with either (a) 12 sessions of eye movement desensitization and reprocessing, EMDR (n = 10), (b) 12 sessions of biofeedback-assisted relaxation (n = 13), or (c) routine clinical care, serving as a control (n = 12). Compared with the other conditions, significant treatment effects in the EMDR condition were obtained at posttreatment on a number of self-report, psychometric, and standardized interview measures. Relative to the other treatment group, these effects were generally maintained at 3-month follow-up. Psychophysiological measures reflected an apparent habituation effect from pretreatment to posttreatment but were not differentially affected by treatment condition. [Author Summary]
Keywords: Adults Americans Biofeedback Training Males Arousal PTSD Randomized Clinical Trial Relaxation Therapy Treatment Effectiveness Veterans War
106. Carlson, J., & Chemtob, C. (1997, Spring). The role of "resolute perception" in EMDR: Reply to Linda Waters. Psychotherapy: Theory, Research, Practice, Training, 34(1), 100.
Language: English
Format: Journal
Abstract: Replies to the comments by L. Waters (see record 84-36309) on the article by J. G. Carlson et al (see record 84-01737) regarding the use of eye movement desensitization and reprocessing treatment (EMDR) to treat posttraumatic stress disorder (PTSD) in Vietnam combat veterans. The authors suggest that Waters' interest in considering curative elements in psychotherapy common to a number of methods is useful because it encourages clinicians to focus on EMDR as a complex of procedures. The EMDR method of psychotherapy purports to provide a mechanism to enable and accelerate the resolution of experiences that otherwise might remain in stasis indefinitely. Waters' thoughtful letter suggests to the authors that EMDR may be reaching a level of clinical acceptance that is provoking a careful examination beyond an exclusive focus on 1 component, the eye movements, to consideration of EMDR as a sophisticated method of brief psychotherapy. (PsycINFO Database Record (c) 2007 APA, all rights reserved)
Keywords: Rapid PTSD Vietnam War Veterans Commentary Reply Combat Experience PSTD Military Veterans Letter Comment Reply
107. Carlson, J., Chemtob, C., Rusnak, K., & Hedlund, N. (1996, Spring). Eye movement desensitization and reprocessing treatment for combat PTSD. Psychotherapy: Theory, Research, Practice, Training, 33(1), 104-113.
Language: English
Format: Journal
Abstract: 4 Vietnam veterans diagnosed with PTSD were treated with 12 sessions of eye movement desensitization and reprocessing (EMDR), targeting their combat memories. An extensive multimodal assessment battery showed very substantial clinical improvement for 3 of the veterans along a number of psychological dimensions that characterize the disorder, but not along several physiological parameters. A fourth veteran showed only very modest changes. The results are discussed in terms of the importance of several issues, including numbers of treatment sessions and differential effects of treatment on cognitive-behavioral and physiological symptoms. [Author Abstract]
Keywords: African Americans Case Report European Americans Male Middle Aged PTSD Treatment Effectiveness Veterans Vietnam War Psychophysiology
108. Carpenter, M. N. (1999). Eye movement desensitization and reprocessing in battered women: Alleviation of post-traumatic stress disorder. California State University, Fullerton. AAT 1394355.
Language: English
Format: Dissertation/Thesis
Abstract: This study assessed the effectiveness of eye movement desensitization and reprocessing (EMDR) in treating battered women. 5 battered women who received EMDR treatment experienced a significant reduction from pre to posttest (approximately 45 days) in post traumatic stress (t = 3.68, p < .05), state anxiety (t = 5.86, p < .05), trait anxiety (t = 6.14, p < .05) and depression (t = 5.60, p < .05). Battered women (N = 5) who completed the same shelter program but did not undergo EMDR treatment also showed reduced PTSD (t = 4.50, p < .05), state anxiety (t = 3.28, p < .05), and depression (t = 6.03, p < .05). The average reduction for the shelter + EMDR subjects on the four independent measures was as follows: Impact of Events: 27.8, STAI Y-1: 30.2, STAI Y-2: 21.8 and Beck: 16.8. Scores for the shelter-only subjects were reduced on all four measures but to a far lesser extent: Impact of Events: 16.8, STAI Y-1: 15, STAI Y-2: 2.6 and Beck: 8.8. Results appear to support the efficacy of both EMDR with battered women and the shelter program itself. [Author Abstract]
Keywords: Adults Anxiety Disorders Battery Depressive Disorders Females PTSD Spouse Abuse Survivors Treatment Effectiveness Shelter Residents
109. Carrigan, M., & Cahill, S. (1995, December). The relevance of the anxiety literature to research on eye movement desensitization. Journal of Behavior Therapy and Experimental Psychiatry, 26(4), 365-366.
Language: English
Format: Journal
Abstract: The purpose of this letter is to draw attention to anxiety literature that we believe is relevant to research in eye movement desensitization and reprocessing therapy but has not been adequately integrated as of yet. [Text]
Keywords: Exposure Therapy Letter PTSD Treatment Effectiveness
110. Carter, A. (2007, June). Assessment and treatment of complex PTSD and dissociative disorders in childhood and adolescence, the role and use of EMDR. Paper presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract: Damage occurs to a child’s self in the context of relationship when raised in an environment of abuse and neglect. This damage to self is manifested through disruptions in development. A child or adolescent will be unable to perform tasks a non-traumatized child or adolescent has not difficulty mastering. These tasks may be physical, emotional, intellectual, sexual, social, or spiritual. When these disruptions become manifest in the environment with which the child or adolescent is interacting, home, school, or community, conflict arises. The conflict is both internal with self and external in relationship, behavioral, and biological. This is generally when a child or adolescent is brought into therapy for intervention Caregivers are not always aware of the impact traumatic events have on a child’s life or may not want to deal with the impact and the long term implications. The therapeutic relationship is ac context outside of the system where the child was traumatized that provide the potential environment and relationship which can facilitate healing for the child, adolescent, and possible, the system in which they live.
Children and adolescents with a complex PTSD will often employ the use of dissociation as a way to cope with overwhelming events or chronically dysfunctional lifestyles. The degree and way in which the child dissociates to self regulate internal systems will determine behavioural and neurological trajectories in their life such as, how the child will cope, rupture of developmental task attainment, and it will determine what type of attachment process the child experiences. Also determined are: impulse control, sleep regulation, meta cognitive functioning, neurobiological processes and the integrative processes of self. When there is no therapeutic intervention, the self which emerges as a result of these processes is a “traumatic self” organization, that is a self structural in response to traumatic experience determined to avoid the repetition of the traumatic experience “at all costs.” The biological body that emerges is the traumatized body organized for avoidance in the forms of fighting, fleeing, or freezing and submitting.
The assessment phase of therapy will map for the therapist and client where the internal dysregulation occur, what are the maladaptive response which have been developed, and what the negative beliefs are which all contribute to the construction of the “traumatic self.: There are a variety of assessment tools specifically designed for this purpose.
Once the map is established, a plan can be developed to use with children and adolescents and family for therapy and for EMDR. There are a variety of models which have been developed to use with children and adolescents to process bad memories, negative cognitions and to strengthen internal resources. EMDR can also be used to facilitate state change, strengthen self regulatory capacities, and promote integrative processes of authentic self, facilitating healing throughout self, body, and relational systems.
Keywords: Children Adolescents Complex PTSD Dissociative Disorders
111. Catherall, D. R. (2003, Jun). How fear differs from anxiety. Traumatology, 9(2), 76-92.
Language: English
Format: Journal
Abstract: Animal models conceptualize anxiety as a response to potential danger while fear is a response to present danger. The way humans experience anxiety involves our capacity for higher thinking while the human experience of fear appears to be much the same as the animal model. This article examines these differences at both a phenomenological and neurological level and highlights implications for the treatment of conditioned fear in PTSD. The stimuli for human fear are sensory-perceptual, while the stimuli for most forms of anxiety are conceptual-linguistic. Individuals in a state of fear/terror undergo a radical shift from top-down to bottom-up processing in which access to conceptual-linguistic thought processes is severely restricted and the frontal regions of the cortex are no longer able to override impulses from brain stem and midbrain regions. Conditioned fear involves actual neurological changes in the limbic system. To overcome a traumatic memory, the individual must (1) gain some level of access to the bottom-up state in order to habituate or extinguish the conditioned fear response, and (2) also achieve access to the top-down state in order to process the fear. ]Sage Journals]
Keywords: Fear Anxiety PTSD Cognitive Neuroscience
112. Cerone, M. R. (2000, November). EMDR treatment of combat-related guilt: A study of the effects of eye movements. Poster session presented at the annual meeting of the International Society for Traumatic Stress Studies, San Antonio, TX.
Language: English
Format: Conference
Keywords: Guilt War Veterans Adults Americans PTSD Treatment Effectiveness Poster
113. Cerone, M. R. (2001, April). Eye movement desensitization and reprocessing in the psychological treatment of combat-related guilt: A study of the effects of eye movements. Temple University. AAT 9990301.
Language: English
Format: Dissertation/Thesis
Abstract: The purpose of this study was to investigate the role of eye movements in eye movement desensitization and reprocessing (EMDR), and to test the efficacy of EMDR in the treatment of guilt associated with combat trauma. EMDR was compared to a non-eye movement (NEM) analog, which entailed the full EMDR procedure minus the eye movements. A single-case multiple component cross-over design across 7 participants was utilized.Participants were combat veterans who were receiving inpatient treatment for PTSD at the Coatesville Veterans Administration Medical Center. 4 participants were introduced first to the EMDR condition and 3 participants were introduced first to the NEM analog condition. Each participant was exposed to both conditions. Dependent measures included: (1) pre- and post-treatment scores on the Clinician Administered PTSD Scale for DSM-IV - One Week Symptom Status Version (CAPS-SX), Beck Depression Inventory (BDI), Impact of Event Scale (IES), and Trauma Related Guilt Inventory (TRGI), (2) self-monitoring data on the frequency and intensity of intrusive thoughts, disturbing dreams, and guilt, and (3) measures of participants' subjective level of distress within sessions and pre- and post-treatment using the Subjective Units of Distress Scale (SUDS). As measured by SUDS ratings, EMDR resulted in a greater decrease in dyphoric affect within-session than the NEM analog. EMDR also resulted in a significant decrease in mean SUDS ratings from pre- to post-treatment. EMDR resulted in significant decreases in combat-related PTSD symptomatology, as measured by pre- and post-treatment scores on the CAPS-SX, BDI, and IES. EMDR also resulted in significant decreases in mean pre- and post-treatment frequency of self-reported intrusive thoughts and mean pre- and post-treatment intensity of intrusive thoughts, disturbing dreams, and guilt. Additionally, EMDR resulted in a significant decrease in pre- and post-treatment scores on one scale and two subscales of the TRGI. No differences in the mean frequency and intensity of self- reported intrusive thoughts, disturbing dreams, and guilt were detected between EMDR and the NEM analog. Results of the present study support the role of eye movements in attaining treatment gains with EMDR. Additionally, this study supports the efficacy of EMDR in the treatment of combat-related guilt. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 61(10-B), Apr 2001, pp. 5555.
Keywords: Guilt War Veterans Adults Americans PTSD Treatment Effectiveness Empirical Study
114. Chang, S. H. (2005). Mechanism of EM in EMDR: Change strength of semantic associations. Paper presented at the annual meeting of the American Psychological Association, Washington, DC.
Language: English
Format: Conference
Abstract: (NSC 93-2413-002-002-) ABSTRACT: Research background & objectives: Based on REM-sleep dependent memory reprocessing model, this study examined possible therapeutic mechanisms of eye movements in Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1989, 1995, 2001). Stickgold (2002) proposed that sleep induced change in associative memory via activation of weak association during REM state and EMs functioned as REM sleep to integrate the episodic memory of trauma into general semantic memory. Specifically, the effect of EM in relation to order of relatedness of associations on change of strength of semantic associations for negative words after saccadic bilateral eye movements was examined in the present study. Methods: Sixty-four college students were recruited as participants. Via semantic priming task, a 2 (eye movement condition: horizontal saccadic eye movements vs. no eye movements) × 3 (strength of semantic association: strong priming vs. weak priming vs. unrelated priming) × 2 (block order of presentation: related prime first vs. unrelated prime first) mixed factorial design was performed, with strength of semantic association serving as within Ss factor and the other two variables serving as between Ss factors. The primes consisted of negative word stimuli. Each trials consisted of an 8 seconds saccadic horizontal eye movement manipulation (200 ms per movement in EM condition), followed by 500-msec fixation point and then prime displayed for 32msec, which was followed immediately by the target. The participant was instructed to read the target as soon as possible and the reaction time was recorded by the compuer. While absolute primeability index for strong (or weak) association was calculated as (RT related – RT unrelated) for strong primes or weak primes, respectively, relative primeability index was calculated as (RT related – RT unrelated)/RT unrelated. The dependent variables were correct (%), error (%), and primeability index for each of strong prime and weak prime. Change of primeability of weak associations for negative stimuli as opposed to that of strong ones under different EM conditions and different block order was compared. Results: For absolute primeability index, the 2 (EM condition) × 2 (order) × 2 (strength of priming) ANOVA showed that only the interaction effect of EM × strength of semantic association was approaching significance, indicating that weak priming significantly exceeded strong priming after EM (F (1, 56) = 18.01, p < .001; partial ω 2= .210), while the opposite was true after non-EM (F (1, 56) = 25.86, p < .0001; partial ω 2 = .280). Further, for weak prime, the priming effect was stronger after EM than after non-EM (F (1, 56) = 74.62, p < .0001; partial ω 2 = .535). For relative primeability index, it also revealed that only the interaction effect of EM × strength of semantic association was significant (F (1, 56) = 6.09, p < .02; partial ω 2 = .074), and tests of simple main effects showed similar patterns as those of absolute primeability index. Conclusions: 8s EMs was associated with change of strength of semantic associations. While EM didn’t weaken the primeability for the strong association, EM did enhance the primeability for weak associations. Further, weak priming significantly exceeded strong priming after EM, while the opposite was true after non-EM. The results echoed REM-sleep dependent memory reprocessing model, suggesting that EM in EMDR might reflect a shift in associative memory systems by activating different strength of associations of negative semantic nodes for different semantically related words. Given that order of relatedness didn’t play a role and previous research showed that EM resulted in decreased vividness and emotionality and generated greater amount of associations for negative stimuli as well, the implications of the present results from theoretical and psychotherapy point of views and future research possibilities are discussed.
Keywords: EMDR PTSD Saccadic Eye movement REM Semantic Association REM-sleep Dependent Memory Reprocessing Model
115. Chang, S. H. & Chen, K. P. (2004, July). Saccadic eye movement and change of semantic associations: Possible therapeutic mechanisms of EMDR. Paper presented at the Hawaii International Conference on Social Science, Honolulu, Hawaii, In 2004 HICSS (Hawaii International Conference on Social Science) Conference Proceedings (pp. 569-574).
Language: English
Format: Conference
Abstract: In light of a putative model proposed by Stickgold and to mimic clinical trial of Eye Movement Desensitization and Reprocessing (EMDR), this study examined possible therapeutic mechanism and effect of eye movements (EM) on change of semantic associations and to explore if the effect would be influenced by valence of stimuli and order of presentation. Seventy-five college students were recruited as participants. The results showed that the effect of 8s saccadic bilateral eye movement in terms of change of semantic associations was associated with valence of words and their presentation order, which echoed Stickgold’s model, Shapiro’s clinical procedure, and also advanced the evidence regarding the mechanism of EM from the framework of working memory model. The present study further highlights the importance of taking into consideration these three treatment variables simultaneously when doing EM. The implications of the findings from both the theoretical and clinical viewpoints are discussed.
Keywords: EMDR PTSD Saccadic Eye Movement Semantic Association Working Memory Imagery Vividness Negative Emotiveness
116. Chang, S. H. & Lin, C. P. (2004, September). From REM to EM in EMDR: Saccadic eye movements and change of strength of semantic associations. Paper presented at the 43rd annual conference of the Taiwan Psychological Association, Chengchi University, Taipei, Taiwan .
Language: Chinese
Format: Conference
Abstract: Symposium on Anxiety Disorders: Diabetes, Mediators and Therapeutic Implications; (NSC 92-2825-C-002-072-H) Research background & aims: This study examined possible therapeutic mechanisms of Eye Movement Desensitization and Reprocessing (EMDR) from REM-sleep dependent memory reprocessing model (Shapiro, 1995; Stickgold, 2002) that proposed that sleep induced change in associative memory via activation of weak association during REM state and EMs functioned as REM sleep to integrate the episodic memory of trauma into general semantic memory. The effect of EM on change of semantic associations after saccadic bilateral eye movements was examined in the present study. Methods: Twenty two college students were recruited as participants. Via semantic priming task, a 2 (eye movement condition: horizontal saccadic eye movements vs. no eye movements) × 2 (strength of semantic association: strong vs. weak) between subject factorial design was performed to examine the effect of EM on change of strength of semantic association for negative words. Change of primeability of weak associations for negative stimuli as opposed to that of strong ones under different EM conditions was compared. Results: The 2 × 2 ANOVA showed a significant main effect for EM and a significant interaction effect of EM × strength of semantic association, indicating that weak priming significantly exceeded strong priming after EM, while the opposite was true after non-EM. Conclusions: The results echoed REM-sleep dependent memory reprocessing model, suggesting that EM in EMDR might reflect a shift in associative memory systems by activating different strength of associations of negative semantic nodes for different semantically related words. The implications of the results for psychotherapy and future research possibilities are discussed.
Keywords: Symposium EMDR PTSD Saccadic Eye Movement REM Semantic Association REM-sleep dependent memory reprocessing model 類 別 ： （ ˇ ） 小 型 專 題 研 討 會 （ 主 題 ： Anxiety Disorders: Diatheses, Mediators, and Therapeutic Implications） 獨 立 論 文 （ 學 組 歸 屬 ： 臨 床 心 理 學 ）
117. Chang, S. H., & Chen, K. P. (2009). Saccadic eye movement and change of semantic associations: Possible therapeutic mechanisms of EMDR. (manuscript for submission).
Language: English
Format: Journal
Abstract: (NSC 92-2413-H-002-024-) In light of a putative model proposed by Stickgold and to mimic clinical trial of Eye Movement Desensitization and Reprocessing (EMDR), this study examined possible therapeutic mechanism and effect of eye movements (EM) on change of semantic associations and to explore if the effect would be influenced by valence of stimuli and order of presentation. Seventy-five college students were recruited as participants. The results showed that the effect of 8s saccadic bilateral eye movement in terms of change of semantic associations was associated with valence of words and their presentation order, which echoed Stickgold’s model, Shapiro’s clinical procedure, and also advanced the evidence regarding the mechanism of EM from the framework of working memory model. The present study further highlights the importance of taking into consideration these three treatment variables simultaneously when doing EM. The implications of the findings from both the theoretical and clinical viewpoints are discussed.
Keywords: EMDR PTSD Saccadic Eye Movement Semantic Association Working Memory Imagery Vividness Negative Emotiveness
118. Chang, S.H. & Lee, Y.C. (2003, October). Eye movement and emotionality: The role of eye movement in the therapeutic mechanism of EMDR. Paper presented at the 42nd annual conference of the Chinese Psychological Association, Fu-Jen Catholic University, Taiwan.
Language: Chinese
Format: Conference
Abstract: Shapiro 認為演動訊息在處理法（EMDR）治療程序中規 律的多次快速動眼作業有助於創傷記憶的處理 (Shapiro, 1989a)，但其可能涉及的療效機制之研究尚 少。本研究擬從工作記憶模式的角度來探討動眼作業在 EMDR 的療效機制。根據工作記憶模式(working memory model)，動眼作業可視為一種爭奪工作記憶中視覺和空 間訊息處理能力(VSSP)系統資源的干擾作業。因此，當 回憶創傷事件時，施以動眼作業可降低創傷受害者對於 創傷事件記憶的清晰程度，並降低患者對於創傷事件的 情緒反應，以達到某種程度的治療目的。實驗一（N = 120） 採動眼作業（有、無）× 圖片的性質（正向、負向）× 時 間（前測、後測）的三因子混合設計，依變項 為圖片 影像的清晰度與情緒感受度。實驗二（N = 120）採動 眼作業（有、無）× 刺激材料的性質（圖片、影片）× 時 間（前測、後測）的三因子混合設計，依變項同實驗一。 實驗一與實驗二的結果皆顯示，如同工作記憶模式的預 期，動眼作業造成VSSP 所同時處理的影像訊息的清晰 度降低，此結果與工作記憶模式的預期一致。另外，本 研究亦顯示動眼作業亦造成情緒感受度降低。上述結果 顯示動眼作業可能具有臨床治療上的功效，且可藉由工 作記憶模式瞭解其療效機制。本研究亦對結果所顯示的 意義與未來研究方向提出討論 [Eye‐movement desensitization‐reprocessing therapy (EMDR) has recently been the new effective technique to treat post‐traumatic stress disorder and other disorders. Contrasted with other psychotherapies, eye‐movements are the novel component. According to the working memory model, eye‐movements could reduce the vividness of distressing images and the intensity of the emotion associated with the images. In this study, we designed two experiments to test the effects of eye‐ movements on vividness and emotionality of imagery. In Experiment 1, with positive and negative photos as stimuli, the results showed that eye movements significantly reduced the vividness and emotionality of traumatic images. In Experiment 2, with negative photos and negative films as stimuli, we also found eye‐movements significantly reduced the vividness and emotionality of traumatic images. The implications and future research possibilities are discussed.](NSC 91-2815-C-002-125-H)
Keywords: EMDR Eye Movements Working Memory Vividness Emotionality PTSD
119. 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: Journal
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: PTSD Treatment Cognitive Therapy Exposure Therapy Brief Psychotherapy
120. Chemtob, C. (2003, January 15). Eye movement desensitization and reprocessing (EMDR). In National Crime Victims Research and Treatment Center Medical University of South Carolina and Center for Sexual Assault and Traumatic Stress (2003), Child Physical and Sexual Abuse: Guidelines for Treatment (39-42). Washington, DC: Office for Victims of Crime, Office of Justice Programs, U.S. Department of Justice.
Language: English
Format: Publication
Abstract: This document may be downloaded electronically at:
http://www.musc.edu/cvc/
Brief Description:
EMDR is a multi-component therapeutic procedure for traumatic memories and for posttraumatic
stress disorder (PTSD) that purports to restart and facilitate blocked processing of the
traumatic memory, promote more adaptive cognitions regarding the trauma, and to install
alternate positive cognitions, coping strategies, and adaptive behaviors.
Keywords: Sexual Assault Traumatic Stress Posttraumatic Stress Disorder PTSD
121. 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.
Language: English
Format: Journal
Abstract: 10.1002/jclp.1131
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: Brief Psychotherapy Elementary School Students School Age Children PTSD Follow-up Study Treatment Effectiveness Hurricanes Americans Hurricane Iniki (1992) Survivors Health Care Utilization Victim Service Randomized Clinical Trial Empirical Study
122. Chivers-Wilson, K. A. (2006). Sexual assault and posttraumatic stress disorder: A review of the biological, psychological and sociological factors and treatments. McGill Journal of Medicine, 9(2), 111-118.
Language: English
Format: Journal
Abstract: Sexual assault occurs with alarming frequency in Canada. The prevalence of Posttraumatic Stress Disorder (PTSD) in assault survivors is drastically higher than the national prevalence of the disorder, which is a strong indication that the current therapies for sexualassault- related PTSD are in need of improvement. Increasing knowledge and understanding of the pathologies associated with rape trauma in biological, psychological and sociological domains will help to develop more effective treatments for survivors. A dysregulation of the Hypothalamic- Pituitary-Adrenal (HPA) axis is observed in survivors of sexual assault and this may be a fundamental cause of the structural and functional abnormalities contributing to PTSD symptoms. Pharmacotherapies are available to treat PTSD; however, they are often inadequate or unwanted by the survivor. Psychological health is compromised following interpersonal trauma and many psychological therapies are available, but with varying efficacy. A person's cognitions have a dramatic effect on the onset, severity, and progress of PTSD following sexual assault. Sociological impacts of assault influence the development of PTSD through victim-blaming attitudes and the perpetuation of rape myths. Perceived positive regard and early social support is shown to be important to successful recovery. Education is vital in rape prevention and to foster a supportive environment for survivors. The biological, psychological and sociological impacts and treatments should not remain mutually exclusive. A better appreciation of the biopsychosocial repercussions of sexual assault will aid in developing a more holistic and individualized therapy to help alleviate the physical and emotional pain following the trauma of rape.
Keywords: Sexual Assault PTSD Posttraumatic Stress Disorder Trauma Sexual Assault Rape Pharmacotherapy
123. Choi, J., Kim, D., Kim, S., Lee, J., & Park, D. (2004, September). Functional MRI gindings of EMDR for PTSD: A case series using script-driven imagery procedure. Poster session presented at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.
Language: English
Format: Conference
Keywords: Poster
124. Chung, M. Y. (2005). Treatment of posttraumatic stress disorder. Journal of the Korean Neuropsychiatric Association, 44(2), 145-146.
Language: English
Format: Journal
Abstract: Posttraumatic stress disorder (PTSD) is a psychiatric disorder which cause is certain, and mechanism of PTSD has been stu-died actively for decades. The various kinds of therapy, based on the pathophysiology of PTSD, were applied and among them eye movement desensitization and reprocessing (EMDR), therapy for sleep, transcranial magnetic stimulation (TMS) and psychopharmacotherapy that showed considerable effect for patients with PTSD would be introduced.
Keywords: PTSD
125. 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: PTSD Psychotherapy Literature Review Cognitive Therapy Treatment Effectiveness Exposure Therapy Survivors Stressors
126. Cocco, N., & Sharpe, L. (1993, Dec). An auditory variant of eye movement desensitization in a case of childhood post-traumatic stress disorder. Journal of Behavior Therapy and Experimental Psychiatry, 24(4), 373-377.
Language: English
Format: Journal
Abstract: The present paper reports a case study documenting the success of a child-appropriate variant of eye movement desensitization (EMD) in the treatment of PTSD. Although there have been numerous case studies and some preliminary controlled trials of this method in adult cases of PTSD, there does not appear to be any information on its use in children. The available literature suggests that it is a more rapid and less traumatic treatment than traditional exposure based therapies. The present paper describes a child-appropriate auditory variant of eye-movement desensitization applied to a case of childhood PTSD. [Author Summary]
Keywords: Case Report Males Preschool Age Children PTSD Robbery Survivors Terrorism
127. Coetzee, R. H., & Regel, S. (2005, September). Eye movement desensitisation and reprocessing: An update. Advances in Psychiatric Treatment, 11(5), 347-354.
Language: English
Format: Journal
Abstract: Eye movement desensitisation and reprocessing (EMDR) is a relatively recent therapeutic approach to the treatment of traumatic memories in the wake of psychological trauma such as those found in PTSD. It is based on the theory that bilateral stimulation, mostly in the form of eye movements, allows the processing of traumatic memories. While the patient focuses on specific images, negative sensations, and associated cognitions, bilateral stimulation is applied to desensitise the individual to these memories, and more positive sensations and cognitions are introduced. Although there is still uncertainty about the theoretical concepts underlying EMDR and the role of bilateral stimulation, it is an effective and proven treatment for PTSD and traumatic memories. It should form part of treatment approaches offered to individuals with PTSD. [Author Abstract]
Keywords: PTSD Etiology Treatment Effectiveness
128. Cohen, J. A., Mannarino, A. P., & Rogal, S. (2001, January). Treatment practices for childhood posttraumatic stress disorder. Child Abuse and Neglect, 25(1), 123-135.
Language: English
Format: Journal
Abstract: OBJECTIVE: This study surveyed practices in treating childhood PTSD among child psychiatrists and non-M.D. therapists with self-identified interest in treating traumatized children.METHOD: An anonymous survey was mailed to 207 child psychiatrists ("medical") [members of the American Academy of Child and Adolescent Psychiatry] and 460 nonphysician ("non-medical") therapists [members of the International Society for Traumatic Stress Studies] inquiring about current interventions used to treat children with PTSD. RESULTS: 247 responses were received: of 77 medical and 82 nonmedical respondents who currently treat children with PTSD, a wide variety of modalities are used. Most preferred modalities among medical responders were pharmacotherapy, psychodynamic, and cognitive-behavioral therapy. Most preferred modalities among nonmedical respondents were cognitive-behavioral, family, and nondirective play therapy. 95% of medical respondents used pharmacotherapy for this disorder; most preferred medications to treat childhood PTSD were selective serotonin reuptake inhibitors and alpha-adrenergic agonists. Several significant differences between medical and nonmedical practices were identified. CONCLUSIONS: There is little clinical consensus regarding the effectiveness of the many modalities used to treat traumatized children who have PTSD symptoms; empirical research is particularly needed to evaluate the efficacy of pharmacotherapy and EMDR. [Author Abstract]
Keywords: Treatment PTSD Children Drug Therapy Treatment Effectiveness Adolescents Reexperiencing Avoidance Arousal Mental Health Personnel
129. Cole, J. W. (2005). The reenactment protocol for trauma and trauma-related pain. In R. Shapiro, Robin (Ed.), EMDR solutions: Pathways to healing (pp. 213-227). New York: W W Norton & Co. xi, 360 pp.
Language: English
Format: Book Section
Abstract: After a trauma, an individual is often tormented by the images of the tragic incident. These recollections return as nightmares, intrusive thoughts, and flashbacks. Physical pain related to the trauma triggers recollections of the trauma. These images reinforce the victimization. Those who take flight or who fight back during a trauma hold images of being active while those who freeze have more passive images. The Reenactment Protocol (RP) is a process of developing a new active image that reflects control, safety, and efficacy that is then associated with the trauma to allow the client a new set of meanings. I've never seen an abreaction, or reexperiencing of the trauma, arise during the RP. After the RP, clients report feeling in control. Their Subjective Units of Distress Scale (SUDS) have significantly lowered. Their physical pain has often lessened or disappeared. Clients often laugh at the point of reenacting their story, and the positive affect remains for the rest of the session. In therapies that have relied heavily on the RP, many clients gain a sense of control and sureness and increase their assertive behaviors. [Text, p. 213] [Pilots]
Keywords: Stressors Survivors Reexperiencing Physical Pain PTSD Psychotherapeutic Processes
130. Coleman, G. L. (1999, October). Eye movement desensitization and reprocessing in the treatment of posttraumatic stress disorder: An investigational study of the eye movement component using a within-subject design. Chicago School of Professional Psychology. AAT 9926476.
Language: English
Format: Dissertation/Thesis
Abstract: Eye movement desensitization and reprocessing (EMDR) is a recently developed psychotherapy treatment procedure which combines imaginal exposure with eye movements and is reported to dramatically reduce negative symptoms associated with trauma related psychological disturbances and memories. The author reviewed and analyzed the current literature regarding EMDR, and conducted a within-subject design investigating the importance of the eye movement component in the EMDR treatment protocol by comparing the efficacy of an eye movement treatment condition, with two non-eye movement treatment conditions. The use of two different control conditions allowed comparisons of the eye movement condition (EMDR), which involved bilateral stimulation of the brain, with exposure to memory of the trauma without eye movements (Eye-Focus Desensitization), which served as a placebo, and exposure to memory of the trauma with a competing motor activity (Single Hand Tapping), which represented unilateral stimulation of the brain. This study also employed a delayed treatment condition to investigate the overall effectiveness of EMDR in treating PTSD. The subject was a 53-year-old Caucasian female who met DSM-IV criteria for PTSD. Dependent variables included a diagnostic instrument, which was the Structured Interview for Posttraumatic Stress Disorder (SI-PTSD); global instruments, which included the Beck Anxiety Inventory (BAI), Impact of Events Scale (IES), and Subjective Units of Distress scale (SUDs); process measures, which included the Subjective Units of Distress scale (SUDs) and Validity of Cognition (VOC) scale; and a self-report measure of overall improvement, which was the Image Desensitization Rating Scale (IDRS).Results demonstrated support for the superiority of an eye movement condition over that of both a no-eye movement condition (EFD), and a competing motor activity of single hand tapping (SHT) on process variables (SUDs and VOC), but not on weekly global measures (IES, BAI, and SUDs) in the single subject studied. Also, this study found support for the effectiveness of EMDR (delayed treatment phase) in reducing symptoms of anxiety, intrusiveness and avoidance, and subjective distress related to memory of trauma as measured by BAI, IES, and SUDs, and also in alleviating DSM-IV symptoms of Posttraumatic Stress Disorder for this subject. Experimental single-subject studies, as well as group designs, need to investigate possible neurological and theoretical explanations for the effectiveness of EMDR in future research. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 60(4-B), Oct 1999, pp. 1846.
Keywords: Avoidance Case Report Females Intrusive Thoughts Middle Aged PTSD Treatment Effectiveness Empirical Study Treatment Outcome/Clinical Trial
131. Colosetti, S. D. (1997). Effect of relaxation training alone and relaxation training paired with EMDR on incarcerated, battered women. University of Georgia. AAT 9735499.
Language: English
Format: Dissertation/Thesis
Abstract: Every 15 seconds a woman is beaten in the U.S. Many of these women meet the criteria for a diagnosis of PTSD. Some of them end up in prison. This study used a sample of 5 battered women, incarcerated in a Southern state prison, to test the efficacy of EMDR following relaxation training. A-B-C designs were used to compare baseline assessment (Phase A), relaxation training utilizing Miller and Halpern's audiotaped instructions (Phase B), and EMDR (Phase C). A script of the worst memory of abuse was dictated by each woman during assessment and read by the researcher at the beginning of each session. The Beck Anxiety Inventory and Impact of Events Scale, measuring avoidant behaviors and intrusive thoughts, were given weekly, following the script. Client logs and measures of SUDS and VOC were taken during the EMDR phase only. A one-month follow-up was used. ANOVAs with repeated measures comparing 2 groups, E1 (n = 2) that received 3 weeks of relaxation training prior to EMDR and E2 (n = 3) that received 6 weeks of relaxation training prior to EMDR, were not statistically significant. Avoidant Behaviors scores approached significance for the main effect of treatment (F = .06) and for the group by phase interaction (F = .08). Due to intrasubject variability, blocking was used to identify trends. A distinct improvement was noted in Subject 2 -- Anxiety dropped from 36.5 to 8.0, Intrusive Thoughts 27.5 to 11.0, and Avoidant Behaviors 27.0 to 24.0. Individually graphed data and calculated mean scores by phase permit further investigation. Implications for future research include appropriate screening for dissociation and development of coping skills prior to EMDR, decreasing avoidance by having the woman read her script aloud prior to completing outcome measures, monitoring medication during treatment, continuing treatment as needed, using additional outcome measures, and employing a multi-baseline design across subjects, matching women on several demographic variables. [Author Abstract] Dissertation Abstracts International Section A: Humanities and Social Sciences. 58(6-A), Dec 1997, pp. 2392.
Keywords: Adults Americans Battery Females Prison Inmates PTSD Relaxation Therapy Survivors Treatment Effectiveness Empirical Study
132. Colosetti, S., & Thyer, B. A. (2000, October). The relative effectiveness of EMDR versus relaxation training with battered women prisoners. Behavior Modification, 24(5), 719-739.
Language: English
Format: Journal
Abstract: 5 women prisoners with a history of being battered and who met the DSM-IV criteria for PTSD were assessed (A phase) and provided with structured relaxation training (RT) (B phase, or placebo treatment), followed by eye movement desensitization and reprocessing (EMDR) therapy (C phase). Using the Beck Anxiety Inventory and the Impact of Events Scale's avoidance behavior and intrusive thoughts subscales as outcome measures, RT alone did not result in any clinical improvements. The subsequent provision of EMDR did not improve upon this lack of success with 4 of the 5 participants; 1 did improve on anxiety and intrusive thoughts. The apparent ineffectiveness of EMDR with these participants may be attributed to several explanations. Foremost perhaps is the hypothesis that EMDR is not sufficient to ameliorate the effects of chronic abuse. [Author Abstract]
Keywords: Females Prison Inmates Battery PTSD Survivors Relaxation Therapy Treatment Effectiveness Spouse Abuse Adults Drug Abuse African American European Americans Rape Anxiety Disorders Avoidance Intrusive Thoughts Empirical Study Quantitative Study Treatment Outcome/Clinical Trial
133. Commons, M. L. (2000, August). The power therapies: A proposed mechanism for their action and suggestions for future empirical validation. Traumatology, 6(2), 119-138.
Language: English
Format: Journal
Abstract: Power Therapies claim to achieve rapid results in reducing fear elicited by a large number of situations. This paper presents a theory of how competition among stimuli may be the basis for how the Power Therapies work. The compelling features of these therapies are that they all interrupt old habits and conditioned reflexes and provide new habits and conditioning. Therefore, many of the protocols involve overcoming prior-stimulus dominance. In addition to proposing a mechanism for these therapies, this article also reveals that, despite superficial differences, power therapies fundamentally accomplish the same thing. These therapies reduce the intensify of emotional responses elicited by stimuli associated with trauma. It is proposed that they accomplish this end through working at the subcortical level of brain activity to interrupt the negative emotional responses elicited by the trauma stimuli. [Author Abstract]
Keywords: Thought Field Therapy Neurolinguistic Programming Traumatic Incident Reduction PTSD Conditioned Emotional Responses
134. Cook, J. M., & O’Donnell, C. (2005). Assessment and psychological treatment of posttraumatic stress disorder in older adults. Journal of Geriatric Psychiatry and Neurology, 6 (18), 61-71.
Language: English
Format: Journal
Abstract: Knowledge regarding the assessment and treatment of posttraumatic stress disorder in older adults continues to be limited in both psychological research and practice. This article provides a summary of this literature. In particular, the psychometric properties of several posttraumatic stress disorder assessment measures in their use with older individuals are reviewed. Although the evidence base on effective treatments for posttraumatic stress disorder in older adults is virtually nonexistent, this article highlights the innovative clinical endeavors that have been conducted in this regard. Explicit suggestions for best practices are made.
Keywords: PTSD Aging Assessment Measurement Psychotherapy
135. Cool, C. (1999, August). The mind’s eye. Penthouse, 30(360), 24-26, 32-34, 46.
Language: English
Format: Magazine
Abstract: Since Cox switched to EMDR she has had dramatically good results.
Keywords: PTSD General Overview
136. Cooper, G. (2008, November-December). Clinician's Digest: PTSD Treatments and the Dodo Bird. Psychotherapy Networker, 32(6), 17-20.
Language: English
Format: Journal
Keywords: PTSD Treatment Efficacy Metanalysis Dodo Bird Verdict
137. Covitz, H. H. (2005, December). Psychic trauma: Dynamics, symptoms and treatment. American Journal of Psychoanalysis, 65(4), 412-417.
Language: English
Format: Journal
Abstract: Reviews the book, Psychic Trauma: Dynamics, Symptoms and Treatment by Ira Brenner (2004). This book is described as an elegant and compelling piece of thinking that accomplishes its stated task, specifically in working with those suffering from dissociative states. Brenner presents a reasoned way of examining situations as diverse as dissociative identity disorder; responses to genocidal atrocities in survivors, children of survivors, and children of perpetrators; and enactments in both patient-survivors and analytic clinicians treating trauma. The concluding chapter deals with eye movement desensitization and reprocessing (EMDR). The reviewer closes with some psychoanalytic-historical comments related to Francine Shapiro's (1989) short-term technique for the treatment of PTSD and other trauma-related disorders, which is related to EMDR. It is concluded that while Freud and many of his followers (such as Brenner), are convinced of the therapeutic value of lifting repressions, it is by no means obvious that Freud, in The Studies, was not seeking as much to bind dissociative states as he was intending to remove repressions, giving all the more credence to Brenner's suggestion for the existence of a dissociative continuum. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Dissociative Identity Disorder Emotional Trauma Psychodynamics Posttraumatic Stress Disorder Psychoanalytic Theory Symptoms Treatment PTSD
138. Creamer, M., & O'Donnell, M. (2002). Post-traumatic stress disorder. Current Opinion in Psychiatry, 15(2), 163-168.
Language: English
Format: Journal
Abstract: This paper provides an overview of recent developments in the literature on post-traumatic stress disorder. Epidemiological studies indicate that approximately 15-25% of individuals experiencing a significant trauma will go on to develop post-traumatic stress disorder, although approximately half will recover without formal intervention. Potential vulnerability factors for post-traumatic stress disorder have been identified, but the mechanisms and complexities require further exploration, with recent research suggesting that prevalence rates and risk factors may differ across populations. Studies of psychological treatment have demonstrated prolonged exposure and cognitive therapies to be equally beneficial, whereas eye movement desensitization and reprocessing may be useful but perhaps less effective in the long term. Pharmacological treatment studies indicate that selective serotonin reuptake inhibitors may be the first choice of drug treatments for post-traumatic stress disorder. Non-selective primary prevention strategies remain contentious, although secondary prevention, in the form of cognitive behavioural interventions for acutely symptomatic survivors, appears to reduce the subsequent development of post-traumatic stress disorder.
Keywords: PTSD Vulnerability Factors Exposure Therapies Cognitive Therapies Drug Therapy Primary Prevention Secondary Prevention Risk Factors Susceptibility (Disorders) Treatment Exposure Therapy Prevention
139. Cusack, K. J. (2001). Refugee experiences of trauma and PTSD: Effects on psychological, physical, and financial well-being. Western Michigan University. AAT 3028752.
Language: English
Format: Dissertation/Thesis
Abstract: Abstract (Summary) This study examined the traumatic experiences and psychological symptoms of 60 refugees who were recently resettled in the United States. Subjects were from Cuba, Iraq, Haiti, Sudan, and Bosnia. Data was collected for each subject on traumatic experiences occurring prior to their arrival. In addition, anxiety and depression were assessed using the Hopkins Symptom Checklist (HSC-25). Quality of life and coping skills were assessed using the WHO Quality of Life-BREF and the Coping Styles Questionnaire, respectively. Trained, bi-lingual interviewers assessed for PTSD using the Clinician-Administered PTSD Scale. All instruments were translated into the appropriate language for subjects who did not speak English. Measures were back-translated to assure accuracy of translations. Three months following their arrival, information was collected regarding employment and public assistance. Predictors of PTSD, quality of life, and refugee self-sufficiency were analyzed using multiple regression and logistic regression analyses. Trauma-related variables were predictive of PTSD, which in turn had a negative impact on quality of life and self-sufficiency. Implications for the resettlement programs of government and non-governmental organizations are discussed.
Keywords: PTSD PTSD Scale Hopkins Symptom Checklist (HSC-25) Surveys
140. Cusack, K. J., & Spates, C. R. (1999, January-April). The cognitive dismantling of eye movement desensitization and reprocessing (EMDR) treatment of posttraumatic stress disorder (PTSD): A case report. Journal of Anxiety Disorders, 13(1-2), 87-99.
Language: English
Format: Journal
Abstract: Twenty-seven subjects were exposed to standard Eye Movement Desensitization and Reprocessing (EMDR) treatment or a similar treatment without the explicit cognitive elements found in EMDR. Standardized psychometric assessments were administered (Structured Interview for Post Traumatic Stress Disorder, Impact of Event Scale, Revised Symptom Checklist-90) by independent assessors at pretest, posttest and two separate follow-up periods. Potential subjects met specific inclusion/exclusion criteria. Subjective measures including Subjective Units of Disturbance and Validity of Cognition assessments were also conducted. A two-factor repeated measures analysis of variance revealed that both treatments produced significant symptom reductions and were comparable on all dependent measures across assessment phases. The present findings are discussed in light of previous dismantling research that converges to suggest that several elements in the EMDR protocol may be superfluous in terms of the contribution to treatment outcome. These same elements have nevertheless entered unparsimoniously into consideration as possible explanatory variables (ScienceDirect).
Keywords: Adults Americans Longitudinal Study PTSD Randomized Clinical Trial Stressors Survivors Treatment Effectiveness Empirical Study Treatment Outcome/Clinical Trial
141. Cvetek, R. (2008). EMDR treatment of distressful experiences that fail to meet the critieria for PTSD. Journal of EMDR Practice and Research, 2(1), 2-14.
Language: English
Format: Journal
Abstract: Eye movement desensitization and reprocessing (EMDR) is thought to successfully treat not only PTSD but also other psychiatric disorders and mental health problems inasmuch as these have experiential contributions. This randomized clinical trial investigated the effects of treatment of distressful experiences (or small "t" trauma) that fail to meet the criteria for PTSD. Three hours of a slightly adapted form of EMDR were compared to active listening (attentional placebo, also 3 hours) and wait list. Results with 90 participants showed that EMDR produced significantly lower scores on the Impact of Event Scale than active listening or wait list. EMDR also resulted in a significantly smaller increase on the State-Trait Anxiety Inventory (State subscale) after memory recall. Some limitations and implications of findings are discussed. [Author Abstract]
Keywords: Effectiveness Dysfunctionally Stored Stressful Experiences Small “t” trauma Randomized Clinical Trial Life Experiences Survivors Randomized Clinical Trial Treatment Effectiveness Young Adults Slovenes Effects
142. Cvetek, R. (2002). Obravnava disfunkcionalno shranjenih izkušenj z metodo desenzitizacije in ponovne predelave z očesnim gibanjem - EMDR - [Treatment of dysfunctionally stored experiences with the method eye movement desensitization and reprocessing - EMDR]. Psiholoska Obzorja [Horizons of Psychology], 11(3), 55-79.
Language: Slovenian
Format: Journal
Abstract: In this paper, a new therapeutic method called Eye Movement Desensitization and Reprocessing (EMDR) is described. The method was formed mainly for treatment of posttraumatic stress disorder, but there also are some reports about its efficiency with other mental disorders. The author presents the theoretical base for EMDR and especially the accelerated information processing model, the concept of memory networks, and the explanations of effects of eye movements. The process of EMDR also is described. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Accelerated Information Processing Model PTSD Mental Disorders Memory Networks Cognitive Processes Memory Eye Movements Information Processing Model Models
143. D'Anca, J. A. (1996). Employing eye movement, desensitization/reorientation (EMDR) to treat posttraumatic stress disorder: A case study. Chicago School of Professional Psychology. AAT 9701975.
Language: English
Format: Dissertation/Thesis
Abstract: The author presents a case study of a 42- year-old white female, the victim of multiple sexual traumas resulting in PTSD. Eye Movement Desensitization/Reorientation (EMDR), a relatively new technique, is employed within the broader context of talk therapy to effect change. EMDR's therapeutic effectiveness is evaluated on a trauma-by-trauma basis through Subjective Units of Distress (SUD), pre- and post-treatment. The maintenance of sustained effected change in SUD ratings is monitored over time on a monthly basis throughout psychotherapy's duration. The patient's changes in overall level of functioning resulting from EMDR and talk therapy are evaluated through changes in MMPI and Rorschach scores. Patient progress is monitored three times through the assessment combination of these two measures: pre-, mid-, and post-treatment. This study addresses the following questions: Is Eye Movement Desensitization/Reorientation an effective technique in decreasing or eliminating symptomatology and psychopathology resulting from PTSD; and are any therapeutic benefits from its use maintained over a period of at least one year? Finally, what changes in the patient's overall level of functioning result from the combination of EMDR and talk therapy?The review of literature presents four models of PTSD: (a) the information processing model, (b) the psychological model, (c) the structural-developmental model (Fluid character pathology), and (d) the structural-developmental model (Dysregulation of impulse). These models offer a basis for conceptualizing PTSD as well as present the typical features of this pathology. The current diagnostic criteria for diagnosis as presented in DSM-IV also are included. Finally, a comprehensive review of the current literature available on Eye Movement Desensitization is presented. Results from the employ of EMDR evidence substantial reduction of PTSD symptomatology for all traumas treated. The reduction of symptomatology sustained for as long as 26 months. A summary of the case, findings, discussion of relevant information along with recommendations completes this work. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 57(8-B), Feb 1997, pp. 5321.
Keywords: Adults Case Study Females PTSD Rape Survivors Treatment Effectiveness Adult Child Abuse Empirical Study Treatment Outcome/Clinical Trial
144. Darker-Smith, S. (2007, June). Mindfulness meditation to enable attenuation on imagined exposure in PTSD - A single case study. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract: Mindfulness mediation (based on Buddhist meditative techniques) has previously been advocated for depression relapse prevention and chronic pain reduction in former research trials (Teasdale; Kabat-zinn, etc.). Because the practice of mindfulness relates to body scans and focusing attention upon the body, it has been advised that it may cause problems in suing such a method for sexual abuse and rape survivors, although no research appears to have been carried out in this area. In a single case study of child-sexual-abuse adult survivor who frequently dissociated and experienced “flashbacks” during clinical sessions, the methods of Mindfulness Mediation were introduced to her, in an attempt to keep an awareness of her surroundings whilst doing imaged exposure in for PDSD (post duress stress disorder). From dissociative phases, flashbacks and cognitive avoidance of stimuli, the client became able to related and process trauma memorizers, which previously she had been unable to do. Her ability to attenuate upon traumatic information was increased, habituation was easier from a clinical perspective, her anxiety levels decreased (BAI) and her depression levels eased (BDI). (N.B. The client’s improved anxiety and depression scores may have been due to Mindfulness Mediation practices or to the processing of highly emotive information).
Conclusion: Mindfulness Meditation can be a useful adjunct to trauma processing when imagined exposure is being implemented for PTSD/PDSD for processing of un-integrated traumatic information, where dissociation, cognitive avoidance or flashbacks occur within the context of treatment, creating a barrier to habituation from traumatic information.
Keywords: Poster Mindfulness Attenuation Imagined Exposure PTSD Case Study
145. Daroff, L. H. (1996). Efficacy of eye movement desensitization and reprocessing procedure in the treatment of traumatic memories: a replication study. Temple University. AAT 9632020.
Language: English
Format: Dissertation/Thesis
Abstract: The purpose of this replication study was either to support or refute the original Eye Movement Desensitization and Reprocessing research conducted by Shapiro. The present study was amended with two additional indices to assess anxiety and social functioning.14 subjects suffering long standing (one or more years) traumatic memory symptomatology, concerning rape, physical abuse, incest, and childhood sexual molestation, were randomly assigned to one of two treatment conditions. Traumatic memories were pivotal to presenting symptoms, which included panic attacks, self-blaming/guilt, intrusive thoughts, anxiety, nightmares, insomnia and avoidant thinking/behavior. All subjects were diagnosed with PTSD, by an independent licensed clinical psychologist. There were 13 females and 1 male. The male subject was in the Control Group. Age range was from 25 to 49 years with a Mean age of 38.64 years. Range for age of traumatic event was five to 19 years of age, with a Mean age of 10.14 years. Range for duration of the subjects' symptoms since traumatic event was 18 to 44 years with a Mean age of 28.5 years. Dependent variables were (1) anxiety level, (2) validity of a positive self-statement/assessment of the traumatic incident, (3) primary presenting symptom and (4) social adjustment. Measures utilized were the Subjective Units of Disturbance Scale (SUDS), the Validity of Cognition (VoC) self evaluation, primary presenting symptom self report, the Impact of Event Scale (IES), and the Social Adjustment-Self Report (SAS-SR). Initial measures demonstrated that all subjects were essentially the same prior to any treatment. Measures were obtained at the initial session and at 1- and 3-month follow-up sessions. Where applicable the analyses conducted paralleled those used in the original research. The results of the study indicated that a single session of EMDR successfully desensitized the subjects' traumatic memory, significantly mediated their cognitive assessment of the situation, as well as their social adjustment. Treatment effects were maintained over the period of the study for all subjects. These findings support the original conclusions in Shapiro's seminal study of the Eye Movement Desensitization and Reprocessing procedure. The exact neurological mechanisms involved in the Eye Movement Desensitization and Reprocessing procedure remain unknown. [Author Abstract]
Keywords: Adults Child Abuse Incest PTSD Rape Survivors Treatment Effectiveness Anxiety Self-Evaluation Social Adjustment Memory Empirical Study Experimental Replication
146. Davidson, J. R. T., Stein, D. J., Shalev, A.Y., & Yehuda, R. (2004, May). Posttraumatic stress disorder: Acquisition, recognition, course, and treatment. Journal of Neuropsychiatry and Clinical Neuroscience, 16, 135-147.
Language: English
Format: Journal
Abstract: Following exposure to trauma, a large number of survivors will develop acute symptoms of posttraumatic stress disorder (PTSD), which mostly dissipate within a short time. In a minority, however, these symptoms will evolve into chronic and persistent PTSD. A number of factors increase the likelihood of this occurring, including characteristic autonomic and hypothalamic-pituitary-adrenal axis responses. PTSD often presents with comorbid depression, or in the form of somatization, both of which significantly reduce the possibilities of a correct diagnosis and appropriate treatment. Mainstay treatments include exposure-based psychosocial therapy and selective serotonin reuptake inhibitors, such as paroxetine and sertraline, both of which have been found to be effective in PTSD. This paper looks at the course of PTSD, its disabling effect, its recognition and treatment, and considers possible new research directions.
Keywords: PTSD: SSRIs Comorbidity Recognition and treatment
147. Davidson, P. R., & Parker, K. C. H. (2001, April). Eye movement desensitization and reprocessing (EMDR): A meta-analysis. Journal of Consulting & Clinical Psychology, 69(2), 305-316.
Language: English
Format: Journal
Abstract: Eye movement desensitization and reprocessing (EMDR), a controversial treatment suggested for PTSD and other conditions, was evaluated in a meta-analysis of 34 studies that examined EMDR with a variety of populations and measures. Process and outcome measures were examined separately. and EMDR showed an effect on both when compared with no treatment and with therapies not using exposure to anxiety-provoking stimuli and in pre-post EMDR comparisons. However, no significant effect was found when EMDR was compared with other exposure techniques. No incremental effect of eye movements was noted when EMDR was compared with the same procedure without them. R. J. DeRubeis and P. Crits-Christoph noted that EMDR is a potentially effective treatment for noncombat PTSD. but studies that examined such patient groups did not give clear support to this. In sum, EMDR appears to be no more effective than other exposure techniques, and evidence suggests that the eye movements integral to the treatment, and to its name, are unnecessary. [Author Abstract]
Keywords: Meta Analysis Treatment Effectiveness PTSD Behavior Therapy Exposure Therapy
148. 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: ulti-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: Police Personnel PTSD Brief Psychotherapy Stressors Survivors
149. de Jongh, A. & Arts, B. (2004, April). Eye movement desensitization and reprocessing bij PTSS. Patient Care/Neuropsychiatrie & Gedragsneurologie, 3, 61-65.
Language: Dutch
Format: Journal
Abstract: In de recente multidisciplinaire richtlijn angststoornissen wordt Eye Movement Desensitization and Reprocessing (EMDR) aanbevolen als psychologische interventie bij de posttraumatische stress-stoornis. Wat houdt deze methode in? En welke bewijzen zijn er voor het effect? [Author Abstract]
Keywords: Posttraumatische Stress-Stoornis PTSS Posttraumatic Stress Syndrome PTSD
150. de Jongh, A. & Arts, B. (2005). Eye movement desensitization and reprocessing bij PTSS. Patient Care [Belgische editie], 28, 19-21.
Language: Dutch
Format: Journal
Abstract: No abstract available.
Keywords: Posttraumatische Stress-Stoornis PTSS Posttraumatic Stress Syndrome PTSD Letter
151. de Jongh, A., & Strack, M. (2006, Mai 10-13). EMDR und biofeedback in der therapie posttraumatischer belastungsstörungen. Evaluation eines neuropsychotherapeutischen behandlungsprogramms. Symposium at the (R. Keller, Chair) Workshoptagung der European Society for Traumatic Stress Studies (EWOTS), Hamburg, Germany.
Language: Dutch
Format: Conference
Abstract: Evaluiert wurde ein neu entwickeltes multimodales, neuropsychotherapeutisches Programm zur Behandlung der posttraumatischen Belastungsstörung (PTB). Ausgehend von neueren Befunden aus den Neurowissenschaften, die darauf hinweisen, dass eine Dissoziation zwischen implizitem und explizitem Traumagedächtnis die wesentliche Grundlage der PTB darstellt, wurden verschiedene Module in das Behandlungsprogramm integriert. Dazu gehören neben der gezielten Bereitstellung von Informationen über die Störungszusammenhänge, ein Patientenedukationsfilm, spezielle kognitiv-behaviorale Interventionstechniken sowie Biofeedback gestütztes Eye Movement Desentization and Reprocessing (EMDR). Ziel der Anwendung des Biofeedback im Rahmen der EMDR-Sitzungen ist es zum einen, den PatientInnen implizite Prozesse während der Traumaexposition zurückzumelden, zum anderen wird anhand der Biofeedback-Aufzeichnung das Ausmaß der Übereinstimmung zwischen subjektivem Belastungsgrad durch die traumatische Erinnerung (SUD-Rating) und physiologisch messbarer Erregung überprüft. Als physiologischer Parameter wurde die elektrodermale Aktivität (Hautleitwert, EDA) erhoben.
Keywords: Biofeedback PTSD Symposium
152. de Jongh, A., & ten Broeke, E. (1996, March). Eye movement desensitization and reprocessing (EMDR): Een procedure voor de behandeling van aan trauma gerelateerde angst - [Eye movement desensitization and reprocessing (EMDR): A procedure for the treatment of trauma-related anxiety]. Tijdschrift voor Psychotherapie, 22(2), 93-114.
Language: Dutch
Format: Journal
Abstract: Discusses the background and principles of eye movement desensitization and reprocessing (EMDR) and the scientific support for its effectiveness as a psychotherapeutic treatment for anxiety-related disorders, including posttraumatic stress disorder (PTSD). Recent controlled and quasiexperimental studies using EMDR are reviewed. The case history of a 40-yr-old woman with panic disorder and dental phobia who was treated with short-term EMDR and who was symptom-free 1.5 yrs later is reported. (English abstract) (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Psychotherapeutic Processes PTSD Dental Phobia Phobia Stressors Survivors Treatment Effectiveness Panic Disorder Clinical Case Study Empirical Study Followup Study
153. de Jongh, A., & ten Broeke, E. (2001). EMDR bij de behandeling van PTSS na verkrachting - [EMDR treatment of PTSD following rape]. Directieve Therapie, Directieve Therapie, 21(3), 229-245.
Language: Dutch
Format: Journal
Keywords: Case Report Females PTSD Rape Survivors Young Adults
154. de Jongh, A., ten-Broeke, E., & van der Meer, K. (1995). Eine neue entwicklung in der behandlung von angst und traumata: “Eye movement desensitization and reprocessing (EMDR)” - [A new development in the treatment of anxiety and trauma: Eye movement desensitization and reprocessing (EMDR)]. Zeitschrift für Klinische Psychologie, Psychopathologie und Psychotherapie, 43(3), 226-233.
Language: German
Format: Journal
Abstract: This article presents a new development on the field of psychotherapy: Eye-Movement Desensitization and Reprocessing (EMDR). This recently developed procedure promises rapid and effective treatment of anxiety related complaints, including PTSD (DSM-III-R). In essence the therapist induces a series of rapid and rhythmic eye-movements. EMDR facilitates cognitive changes and lasting decrease of anxiety. As indicated by research and illustrated by case histories, EMDR can be effective in one session. Until now there is no definitive explanation for the effectiveness of this method. [Author Abstract]
Keywords: Adult Anxiety Disorders Dental Procedures Females Males PTSD Rape Survivors
155. de Jongh, A., van den Oord, H., & ten Broeke, E. (2002, December). Efficacy of eye movement desensitization and reprocessing in the treatment of specific phobias: Four single-case studies on dental phobia. Journal of Clinical Psychology, 58(12), 1489-1503.
Language: English
Format: Journal
Abstract: 10.1002/jclp.10100
A series of single-case experiments was used to evaluate the application of Eye Movement Desensitization and Reprocessing (EMDR) to traumatically induced dental phobia. Following two to three sessions of EMDR treatment, three of the four patients demonstrated substantially reduced self-reported and observer-rated anxiety, reduced credibility of dysfunctional beliefs concerning dental treatment, and significant behavior changes. These gains were maintained at six weeks follow-up. In all four cases, the clinical diagnosis present at pretreatment was not present at posttreatment at a clinical level. All patients actually underwent the dental treatment they feared most within three weeks following EMDR treatment. The findings support the notion that EMDR can be an effective treatment alternative for phobic conditions with a trauma-related etiology. [Author Abstract]
Keywords: Treatment Effectiveness Dental Procedures Survivors Phobia Case Report PTSD Females Males Young Adults Adults Follow-up Study
156. Dean, G. L., Fenstermaker, D., & Anderson, K. J. (1991, November). Clinical use of eye movement desensitization/reprocessing (EMD/R) in recall and reprocessing of traumatic material in MPD patients PTSD treatments grow in evidence, effectiveness. International Society for the Study of Dissociation Fall Conference, Chicago, IL. Rush University, 79 and Monitor on Psychology, 39(1), 40-45.
Language: English
Format: Conference
Keywords: MPD
157. DeAngelis, T. (2008, January). PTSD treatments grow in evidence, effectiveness. Monitor on Psychology, 39(1), 40-45.
Language: English
Format: Journal
Abstract: It's a bittersweet fact: Traumatic events such as the Sept. 11 attacks, Hurricane Katrina, and the wars in Iraq and Afghanistan have enabled researchers ro learn a lot more about how best to treat post-uaurnatic stress disorder (PTSD).
Keywords: PTSD
158. DeBell, C., & Jones, R. D. (1997, April). As good as it seems? A review of EMDR experimental research. Professional Psychology: Research & Practice, 28(2), 153-163.
Language: English
Format: Journal
Abstract: The article reviews 7 experimental studies that examined eye movement desensitization and reprocessing (EMDR) treatment. The 7 studies varied greatly in their complexity, their designs, how treatment effects were measured, and their results. Each study is detailed and critically examined. A summary of results is provided as well as suggestions for clinical application and future research. In addition, questions are raised regarding F. Shapiro's approach to disseminating information about EMDR. [Author Abstract]
Keywords: Literature Review Methodology Professional Criticism PTSD Research Needs Treatment Effectiveness
159. Dees, L. (2006, September 5). Eye of the beholder. New Orleans Gambit Weekly, 27(36), 29-30.
Language: English
Format: Magazine
Abstract: Medical personnel travel to New Orleans for workshops on a therapy that use eye movements to help alleviate PTSD.
Keywords: Overview General PTSD
160. Dees, L. (2006, November 2). Eye-movement therapists tackle post-traumatic stress. Portland, OR: The Forecaster.
Language: English
Format: Newspaper
Abstract: Eye Movement Desensitization and Reprocessing (EMDR) is a form of psychotherapy used to relieve the symptoms of post-traumatic stress disorder. EMDR was developed in 1987 by American psychologist Dr. Francine Shapiro. Shapiro studied the impact of EMDR on reducing the symptoms of post-traumatic stress syndrome in Vietnam combat veterans. EMDR has since been expanded to include applications for grief, phobias, anxiety, depression, abuse, performance anxiety and addictions.
Keywords: PTSD General Overview Portland Molly Stanley
161. Del Rosario, J. R. (2005). Attitudes toward EMDR: Differences between psychologists and psychiatrists. Midwestern University, Downer's Grove, IL. --.
Language: English
Format: Dissertation/Thesis
Abstract: Thesis--(Master's)
Keywords: Stress Disorders PTSD Psychotherapy Methods
162. Descilo, T. (1999). Relieving the traumatic aspects of death with traumatic incident resolution and EMDR. In C. R. Figley (Ed.), Traumatology of grieving: conceptual, theoretical, and treatment foundations (pp. 153-182). Philadelphia: Brunner/Mazel.
Language: English
Format: Book Section
Abstract: The author notes the significance of the child-adult system and the effects of the death of either person on the other. She describes two treatment approaches: traumatic incident resolution (TIR) and eye movement desensitization and reprocessing (EMDR). Both approaches are reviewed, beginning with the theoretical model on which they are based. In a synthesis of both TIR and EMDR, the author offers "clinical traumatology skills" to overcome the potential bias introduced by the therapist. She discusses three focusing drills to develop practitioners' effectiveness in focusing on the most critical issues and procedures of trauma work. Acknowledgement and closure drills enable practitioners to more effectively end trauma work sessions. The author also discusses what effective trauma treatment should look like. These end points help assure both client and therapist that the distress associated with the memories has been removed permanently. After discussing the role of emotions in processing traumatic events, the chapter focuses on TIR and then EMDR regarding assessment and treatment procedures. This is followed by a discussion of what can go wrong when applying the treatment procedures. The chapter ends with presentation and discussion of a case example. [Adapted from Introduction]
Keywords: Bereavement Survivors PTSD Traumatic Incident Reduction Psychotherapeutic Processes Assessment
163. Desland, M. (1997). Post-traumatic stress disorder. Australian Journal of Clinical and Experimental Hypnosis, 25(1), 61-73.
Language: English
Format: Journal
Abstract: A 40-year-old woman presented with a complex chronic PTSD, including a rape (18 months before admission), a rape at age 15, and a childhood sexual abuse history. Coupled with this was a previous negative therapy experience. At presentation she was severely symptomatic, excessively anxious and avoidant. This case study discusses her history and presentation information, assessment of hypnotisability, case formulation in light of a previous negative therapy experience, counter-transferential issues, and initial interventions utilising hypnosis and cognitive behaviour therapy. Therapy is still continuing, so follow-up and outcome data are not available. [Author Abstract]
Keywords: Australians Case Report Cognitive Therapy Complex PTSD Female Hypnotherapy Middle Aged Negative Therapeutic Reaction Psychotherapeutic Processes Rape Survivors
164. Devilly, G. (2001, January). The influence of distraction during exposure and researcher allegiance during outcome trials. the Behavior Therapist, 24(1), 18-21.
Language: English
Format: Journal
Abstract: The utility of distraction during exposure is a hotly debated topic, and research into its utility for the treatment of PTSD has been unyielding. This paper aims to briefly present an explanation for a trend that has become apparent in the outcome data of some studies investigating Eye Movement Desensitization and Reprocessing (EMDR) and generalizing from this example, a caution against the use of distraction during other exposure based treatments. [Text, p. 18] For a comment on this article, see: Howard J. Lipke, "Response to Devilly's (2001) claims on distraction and exposure", The Behavior Therapist 24(9): 195 (October 2001) [25297]. [Pilots]
Keywords: Exposure Therapy Treatment Effectiveness Research Needs PTSD
165. Devilly, G. J. (1999). EMDR or distracted exposure: Is there a difference in the treatment of PTSD. Institute of Psychiatry, London, England.
Language: English
Format: Other
Keywords: Distracted Exposure PTSD Treatment
166. Devilly, G. J. (1996, November). EMDR and PTSD: The score at half time. Psychotherapy in Australia, 3 (1), 26-31.
Language: English
Format: Journal
Abstract: The treatment of post traumatic stress disorder (PTSD) has been a hot topic of debate since it’s inclusion into the Diagnostic and Statistical Manual of Mental Disorders in the 1980’s. However, it was not until 1989, with the introduction of Eye Movement Desensitization and Reprocessing (EMDR), that this debate reached such lofty heights of vigour. The lack of any theoretical models as to why the EMDR process might work has not helped in gaining professional credence. It will be the purpose of this article to briefly review the reasons for this debate, give a short outline of the EMDR procedure and comment upon the current state of research.
Keywords: PSTD
167. Devilly, G. J. (2001, January). The successful treatment of PTSD through overt cognitive behavioral therapy in non-responders to EMDR. Behavioural and Cognitive Psychotherapy, 29(1), 57-70.
Language: English
Format: Journal
Abstract: This research investigated the efficacy of an operantly cognitive-behavioural trauma treatment protocol (TTP) in two cases that had previously been treated unsuccessfully with EMDR. In line with previous research, both participants improved following TTP, to the extent where one of the participants was asymptomatic at post-treatment and 3 month follow-up. These cases also demonstrate the ability of a cognitive-behavioural intervention to successfully treat childhood sexual abuse victims later in life. (Cambridge Journals)
Keywords: Treatment Effectiveness PTSD Cognitive Therapy Child Incest Middle Aged Females Young Adults Survivors Homicide Death of Child Battery Case Report College Students Clinical Case Study Empirical Study Followup Study Treatment Outcome/Clinical Trial
168. Devilly, G. J. (2001, October). Effect size and methodological rigor in EMDR: A reply to Lipke's (2001) comment. the Behavior Therapist, 24(9), 195-196.
Language: English
Format: Journal
Abstract: The author defends the conclusions regarding EMDR and the methodology used in his study of the distraction hypothesis for EMDR. A reply to: Howard Lipke, "Response to Devilly's (2001) claims on distraction and exposure", The Behavior Therapist 24(9): 195-196 (October 2001) [25297]. [Pilots]
Keywords: Professional Criticism Reply Methodology Exposure Therapy PTSD
169. Devilly, G. J. (1994). An investigation into the efficacy of EMDR on post traumatic stress disorder within a veteran population. University of Queensland, Brisbane St. Lucia, Australia. --.
Language: English
Format: Dissertation/Thesis
Abstract: Thesis--(M.Psych.Clin)
Keywords: PTSD
170. Devilly, G. J. (2001, March). The rise and fall of distracted exposure in the treatment of post traumatic stress disorder: The example of EMDR. University of Melbourne Psychology Colloquium .
Language: English
Format: Other
Keywords: Distracted Exposure PTSD
171. Devilly, G. J., & Borkovec, T. D. (2000, June). Psychometric properties of the credibility/expectancy questionnaire. Journal of Behavior Therapy and Experimental Psychiatry, 31(2), 73-86.
Language: English
Format: Journal
Abstract: The present research evaluated the psychometric properties of the credibility/expectancy questionnaire, a quick and easy-to-administer scale for measuring treatment expectancy and rationale credibility for use in clinical outcome studies. The results suggested that this questionnaire derives the two predicted factors (cognitively based credibility and relatively more affectively based expectancy) and that these factors are stable across different populations. Furthermore, the questionnaire demonstrated high internal consistency within each factor and good test-retest reliability. The expectancy factor predicted outcome on some measures, whereas the credibility factor was unrelated to outcome. The questionnaire is appended to the paper, yet the authors stress care when utilizing the scale. During the administration of the questionnaire, the participant sees two sections -- one related to thinking and one related to feeling. However, the researcher needs to be aware that the 2 factors derived are not grouped into those questions. Instead credibility was found to be derived from the first three think questions and expectancy was derived from the fourth think question and the two feel questions. [Author Abstract]
Keywords: Self Report Instruments PTSD Cognitive Therapy Stressors Australians Adults Survivors
172. Devilly, G. J., & Spence, S. H. (1998). Is EMDR superior to CBT within a generic PTSD population?. Paper presented at the World Congress of Behavioral and Cognitive Therapies, Acapulco, Mexico.
Language: English
Format: Other
173. Devilly, G. J., & Spence, S. H. (1999, January-April). The relative efficacy and treatment distress of EMDR and a cognitive-behavior trauma treatment protocol in the amelioration of posttraumatic stress disorder. Journal of Anxiety Disorders,13(1-2), 131-157.
Language: English
Format: Journal
Abstract: The growing body of research into treatment efficacy with Posttraumatic Stress Disorder (PTSD) has, by-and-large, been limited to evaluating treatment components or comparing a specific treatment against wait-list controls. (PubMed) This has led to two forms of treatment, Eye Movement Desensitization and Reprocessing (EMDR) and Cognitive-Behavior Therapy (CBT), vying for supremacy without a controlled study actually comparing them. The present research compared EMDR and a CBT variant (Trauma Treatment Protocol; TTP) in the treatment of PTSD, via a controlled clinical study using therapists trained in both procedures. It was found that TTP was both statistically and clinically more effective in reducing pathology related to PTSD and that this superiority was maintained and, in fact, became more evident by 3-month follow-up. These results are discussed in terms of past research. Directions for future research are suggested (ScienceDirect).
Keywords: Adults Australians Cognitive Therapy Longitudinal Study PTSD Non-Randomized Study Stressors Survivors Treatment Effectiveness Empirical Study Treatment Outcome/Clinical Trial
174. Devilly, G. J., Spence, S. H. & Rapee, R. M. (1996). EMDR, post traumatic stress disorder and war veterans: Little evidence for a new paradigm. Paper presented at the Australian Psychological Society Annual Conference, Sydney, Australia.
Language: English
Format: Conference
Keywords: PTSD War War Veterans
175. Devilly, G. J., Spence, S. H., & Hill, C. V. (1994). Are eye movements necessary when treating post traumatic stress with the eye movement desensitisation and reprocessing procedure?. World Congress of Behavioral and Cognitive Therapies. Copenhagen, Denmark.
Language: English
Format: Other
Keywords: Eye Movements PTSD
176. Devilly, G. J., Spence, S. H., & Rapee, R. M. (1998, Summer). Statistical and reliable change with eye movement desensitization and reprocessing: Treating trauma within a veteran population. Behavior Therapy, 29(3), 435-455.
Language: English
Format: Journal
Abstract: 51 war veterans with PTSD symptomatology were randomly allocated to one of three conditions: two sessions of eye movement desensitization and reprocessing (EMDR), an equivalent procedure without EMDR, or a standard psychiatric support control condition. There was an overall significant main effect of time from pre- to posttreatment, with a reduction in symptomatology for all groups. However, no statistically significant differences were found between the groups. Participants in the two treatment conditions were more likely to display reliable improvement in trauma symptomatology than subjects in the control group. By 6-month follow-up, reductions in symptomatology had dissipated and there were no statistical or reliable differences between the two treatment groups. Overall, the results indicated that, with this war veteran population, improvement rates were less than has been reported in the past. Also, where improvements were found, eye movements were not likely to be the mechanism of change. Rather, the results imply that other nonspecific or therapeutic processes may account for any beneficial effects of EMDR. [Author Abstract]
Keywords: Adults Australians Longitudinal Study Males PTSD Treatment Effectiveness Veterans Vietnam War Randomized Clinical Trial Empirical Study Followup Study
177. Dietrich, A. M. (2001, April). Risk factors in PTSD and related disorders: Theoretical, treatment, and research implications. Traumatology, 7(1), 23-50.
Language: English
Format: Journal
Abstract: Contemporary treatment approaches for Posttraumatic Stress Disorder (PTSD) include traditional approaches such as Cognitive-Behavioral therapy, Psychodynamic therapy, Group Therapy, Pharmacotherapy, et cetera, as well as experimental approaches such as Body therapies (e.g., Sensorimotor Processing) (Ogden & Minton, in press) and other Asian-based approaches (often termed “Energy Therapies”). These approaches have varying degrees of data in support of their effectiveness, that range from anecdotal case reports to randomized and controlled studies (e.g., see Dietrich, et al., 2000; Foa, Keane, & Friedman, 2000; Shalev, Bonne & Eth, 1996; van der Kolk, McFarlane, & van der Hart, 1996).
Keywords: PSTD Risk Factors
178. Dietrich, A. N., Baranowsky, A. B., Devich-Navarro, M., Gentry, J. E., Harris, C. J., & Figley, C. R. (2000, December). A review of alternative approaches to the treatment of past traumatic sequelae. Traumatology, 6(4), Article 1, 251-271.
Language: English
Format: Journal
Abstract: Approaches to the treatment of posttraumatic sequelae are reviewed in terms of criteria for evaluating inferential validity with case studies, and where applicable, effect sizes are provided where there are data from group comparisons. The approaches covered in this paper include the Trauma Recovery Institute (TRI) Method, Traumatic Incident Reduction (TIR), Visual/Kinesthetic Disassociation (V/KD), and Thought Field Therapy (TFT). Internal validity of case studies on the TRI Method and V/KD appear controlled for, whereas reports on TFT do not meet internal validity criteria. Effect sizes are reported on one study that compared TIR to waitlist control and Direct Therapeutic Exposure (DTE), suggesting that TIR is superior to waitlist control, and shows more modest gains over DTE. The available evidence suggests TIR, the TRI Method, and V/KD are effective treatments for posttraumatic sequelae.
Keywords: PTSD Alternative Treatments Case Study Evaluation Mechanisms of change
179. Dodgson, P. W. (2009). EMDR in the treatment of post-traumatic stress disorder: A practitioner’s guide. In Allen Rubin & David Springer (Eds.) The clinician’s guide to evidence-based practice: Treatment of traumatized adults and children (257-348). New York, NY: Wiley. 408 pp..
Language: English
Format: Book Section
Keywords: PTSD
180. Dodgson, P. W. (2009). EMDR and PTSD. In A. Rubin & D. W. Springer (Ed.), Treatment of traumatized adults and children: Clinician's guide to evidence-based practice pp. ). Austin, TX: University of Texas. 408 pages pp..
Language: English
Format: Book Section
Abstract: No abstract available.
Keywords: PTSD
181. Dworkin, M. (2003, June). Integrative approaches to EMDR: Empathy, the intersubjective, and the cognitive interweave. Journal of Psychotherapy Integration, 13(2), 171-187.
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: Psychotherapy Integrative Model Empathy Intersubjective Cognitive Interweave Transference Countertransference PTSD Cognitive Processes Integrative Psychotherapy Models Interpersonal Interaction Psychotherapeutic Transference Subjectivity
182. Dworkin, M. (2008, September). Advanced clinical strategies for clients with complex PTSD and dissociation. Paper presented at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract: Clients with complex PTSD and dissociation present many challenges. The neurosciences have helped us to begin to understand and deal with them through a recent clarification of mirror neurons and associated neural structures in both the clinician and client. Concepts from the Boston Change Process Study Group and ego state therapy provide methods of analyzing and intervening in the “microprocesses” that occur in treatment. Hoppenwasser’s concept of “dissociative attunement” challenges thinking about the “multiple self states” both clinician and client operate from. Her ideas push us to rethink current conceptualizations of relatedness. Participants will learn how to deal with ruptures in positive empathy that may result in the history taking, assessment, and desensitization phases. In the preparation phase, participants learn to use the therapeutic relationship as an additional resource for containment. Concepts of dyadic regulation of affect, now moments and moments of meeting will be taught to deal with ruptures to the therapeutic relationship throughout treatment. Dealing productively with countertransference ruptures poses additional challenges. Participants will learn a strategy called the “relational interweave”. Its function is to restore EMDR processing when an interpersonal “event” has temporarily derailed the work. A practicum using Dworkin’s Clinician Self Awareness Questionnaire will be held in the afternoon part of the workshop to enhance learning this strategy.
Keywords: Complex PTSD Dissociation
183. Dworkin, M. (2008, June). Using the therapeutic relationship in EMDR with patients with complex PTSD. Paper presented at the annual meeting of the EMDR Europe Association, London, England UK.
Language: English
Format: Conference
Abstract: Now that the therapeutic relationship is firmly part of EMDR, it is time to show its uses with difficult populations. Skilful emphasis on empathic attunement beginning in the history taking phase with emphasis on using the Procedural Steps Outline diagnostically, and Light stream as an affect management tool, starting in the first session will be shown to be of use specifically with this population. This population needs special attention regarding alterations in affect regulation, self perception, consciousness and attention, somatisation, trust, and identity. In the preparation phase participants will learn various relational strategies to accomplish these tasks. They will also learn to use the relationship as an additional resource for containment with appropriate boundaries. Relational concepts such as “Implicit Relational Knowing”, “Moments of Meeting”, and “Dyadic Expansion of Consciousness” will be taught to expand methods of stabilization for preparation, and for active trauma work. Modifications of active trauma work using active resourcing; titrating or dosing; treating transference and counter transference phenomenon will all be demonstrated to enhance EMDR work with complex PTSD and Dissociation. Dworkin's Trauma Case Conceptualization Questionnaire and his Clinician Self Awareness Questionnaire will be taught and used to
Keywords: Therapeutic Relationship Complex PTSD
184. Dworkin, M. (2005). EMDR and the relational imperative: The therapeutic relationship in EMDR treatment. New York: Routledge, xxiii, 298 pp.
Language: English
Format: Book
Abstract: This book is a commentary on Eye Movement Desensitization and Reprocessing (EMDR), based on my observations from clinical practice, that amplifies the relational perspective to Francine Shapiro's standard methodology. During the last 14 years I have conducted more than 5,000 EMDR sessions. The patterns of response I have seen in my clients and the latest discoveries in the neurosciences, which support my conviction in the relational imperative, have prompted me to write this commentary.The main theme of my book is that healing takes place when proper knowledge of the standard methodology is integrated into the context of the therapeutic relationship. I offer this work to enrich the reader's understanding of how I practice EMDR clinically. I have not conducted research to validate my opinions. This work is based on acute and repeated clinical observations of the many clients with whom I have had the privilege to work. [Adapted from Preface]
Keywords: Psychotherapeutic Processes PTSD Alliance
185. Dyck, M. J. (1993, Sep). A proposal for a conditioning model of eye movement desensitization treatment for posttraumatic stress disorder. Journal of Behavior Therapy and Experimental Psychiatry, 24(3), 201-210.
Language: English
Format: Journal
Abstract: Although eye movement desensitization (EMD) was introduced as a specific treatment for traumatic memories, a satisfactory explanation of the therapeutic mechanism underlying the method has not been offered. This article describes a model of traumatic memories and EMD based primarily on principles of respondent conditioning, emotional interference with learning, and operant conditioning. A method for evaluating the conditioning model is briefly described. [Author Summary]
Keywords: Conditioned Emotional Responses PTSD Review
186. Dyregrov, A. (1993, October). EMDR: Ny metode for traumebehandling - [EMDR: A new method in the treatment of trauma]. Tidsskrift for Norsk Psykologforening, 30(10), 975-981.
Language: Norwegian
Format: Journal
Abstract: Francine Shapiro's method of "Eye Movement Desensitization and Reprocessing" is described, illustrated with the successful treatment of three cases following armed robbery (two) and sudden death. Rapid reduction of intrusive images followed the treatment. A critical review of the literature is undertaken, and different methodological limitations in the existing studies are noted.Although the theoretical foundation is questionable, and there are serious methodological limitations in the studies that exist, clinical experiences with the method indicate very favourable results. Clinicians are encouraged to seek out more knowledge about the method, as well as use systematic methods to study its results. [Author abstract]
Keywords: Bereavement PTSD Robbery Survivors Eye Movements Systematic Desensitization Empirical Study
187. Dyregrov, A. (2004, October). Hjelper terapi for traumatiserte mennesker? - [Does trauma therapy help?]. Tidsskrift for Norsk Psykologforening, 41(10), 787-793.
Language: Norwegian
Format: Journal
Abstract: 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: Trauma Therapy Therapeutic Interventions PTSD Psychological Consequences Physical Consequences Psychotherapy Therapeutic Processes Literature Review
188. Eckley, T. L. (2002, August). Eye movement desensitization and reprocessing: Efficacy with residential latency-age children. Alliant International University, Fresno, CA. AAT 3042989.
Language: English
Format: Dissertation/Thesis
Abstract: This archival study examined the efficacy of EMDR with residential latency-age children. Participants in the study were the records of 5 children who completed a 10-week EMDR treatment protocol, and 4 children who were in a control group. Treatment included art therapy, play therapy, drama therapy, and talk therapy. EMDR was included as a component of the overall treatment for the experimental group. Pre- and post-measures were assessed using the Behavior Assessment Scale for Children (BASC) and the Trauma Symptom Checklist for Children (TSCC). Three versions of the BASC were used in this study: the Parent Rating Scale (PRS), the Teacher Rating Scale (TRS), and the Self Report of Personality (SRP).Paired-sample t tests demonstrated significant differences on the BASC-SRP and the TSCC for the experimental group at pre- and post-measures. For the BASC-SRP, the children in the experimental group endorsed significantly fewer items for Atypicality, Locus of Control, Social Stress, and Anxiety at the conclusion of the study as compared to initial results. For the experimental group, three of the six scales on the TSCC were significantly lower at the end of the study than at the beginning of the study. The children endorsed significantly fewer symptoms of PTSD, Depression, and Dissociation at the end of treatment as compared to the beginning of treatment. Because of the numerous limitations of this study, generalizability is inevitably limited. However, the outcome of this research indicates that EMDR can be effective to reduce overall symptomology of severely traumatized children. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 63(2-B), Aug 2002, pp. 1021.
Keywords: Treatment Effectiveness School Age Children PTSD Depressive Disorders Dissociative Symptoms Stressors Survivors Empirical Study
189. Edmond, T. E. (1998, August). Eye movement desensitization and reprocessing: Evaluating its effectiveness in reducing trauma symptoms in adult female survivors of childhood sexual abuse. University of Texas at Austin. AAT 9824929.
Language: English
Format: Dissertation/Thesis
Abstract: The purpose of the study was to evaluate, through the use of a randomized experimental design, the effectiveness of EMDR in reducing trauma symptoms in adult female survivors of childhood sexual abuse. No EMDR research to date has been exclusively comprised of adult survivors of childhood sexual abuse, a historically difficult treatment population. Additionally, while numerous clinical accounts of treatment with sexual abuse survivors have been published, controlled treatment research has rarely been done. Of the studies found that examine treatment efficacy exclusively with this population, none involved the use of random assignment.A sample of 60 adult female sexual abuse survivors were selected and randomly assigned to one of three groups: (1) individual EMDR treatment; (2) individual eclectic treatment; or (3) delayed treatment control group. The participating survivors' trauma symptoms were measured in pretests and posttests on standardized as well as subjective instruments that measured anxiety, posttraumatic stress, depression, negative beliefs about the sexual abuse, emotional distress and desired positive self beliefs. The survivors in the study assigned to the experimental or comparison treatment groups received six 90 minute individual sessions of either EMDR or eclectic therapy. The delayed treatment control group subjects were pretested, asked to delay treatment for six weeks, and after being post tested were assigned a therapist with which to work. Data analysis consisted primarily of multivariate and univariate analysis of variance. The posttest results indicated that EMDR was very effective in reducing the targeted trauma symptoms compared to the control group. Eclectic therapy at posttest was also found to be very effective, resulting in a lack of statistically significant differences between the experimental and comparison treatments. However, analysis conducted at the three month follow-up revealed that EMDR was significantly more effective than eclectic therapy at maintaining therapeutic gains. The results of this study suggest that while both EMDR and eclectic therapy, when applied as brief psychotherapy models of treatment for survivors, can produce significant alleviation of trauma symptoms, EMDR may provide more enduring resolution. These findings have important implications for both survivors and the service providers available to them. [Author Abstract] Dissertation Abstracts International Section A: Humanities and Social Sciences. 59(2-A), Aug 1998, pp. 0617.
Keywords: Adults Child Abuse Females PTSD Rape Survivors Treatment Effectiveness Empirical Study Treatment Outcome/Clinical Trial
190. 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: Females Survivors Child Abuse Treatment Effectiveness Self Efficacy Longitudinal Study Adults Rape Brief Psychotherapy PTSD Americans Randomized Clinical Trial Empirical Study Followup Study
191. 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, 7(14), 259-272.
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: Rape Females Adults Survivors Individual Psychotherapy Americans Child Abuse Treatment Effectiveness Psychotherapeutic Processes PTSD Depressive Disorders Mixed Methods Empirical Study Qualitative Study Quantitative Study
192. 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.
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. METHOD: 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: PTSD Children War Refugees CBT NET Literature Review
193. 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.
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 PTSD Refugees School
194. El-Khoury, M. (2009, June). Peripheral and cental mechanisms involved in PTSD and it treatment by EMDR. Symposium presented at the annual meeting of the EMDR Europe Association.
Language: English
Format: Conference
Keywords: Rsearch PSTD Symposium
195. Elofsson, U. O., Von Schèele, B., Theorell, T., & Söndergard, H. P. (2008, May). Physiological correlates of eye movement desensitization and reprocessing. Journal of Anxiety Disorders, 22(4), 622-634 .
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: PTSD Orienting Response Autonomic Physiology Heart Rate Variability Respiration Males Refugees Psychophysiology Empirical Study Quantitative Study
196. Errebo, N., & Sommers-Flanagan, R. (2007). EMDR and emotionally focused couple therapy for war veteran couples. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 202-222). Hoboken, NJ: John Wiley & Sons Inc. xxxiii, 470 pp.
Language: English
Format: Book Section
Abstract: To help veteran couples, therapists need to understand the effect of war on the warrior, the impact of the warrior's experience on intimate relationships, and effective individual and couple treatments. These considerations are discussed in this chapter. Topic include war trauma and complex posttraumatic stress disorder (PTSD); effects of PTSD symptoms on veterans and their intimate relationships; problems in veterans' marital relationships; and treatment considerations. The therapy process described here is an integration of Emotionally Focused Couple Therapy (EFT) and Eye Movement Desensitization and Reprocessing (EMDR). In case conceptualization and treatment planning, EMDR and EFT can be woven together harmoniously; many of their theoretical concepts and procedural steps are compatible with or parallel to one another. EFT and EMDR are first described separately. Next, the parallels between the two treatments are discussed. Then a plan is presented for combining EMDR and EFT in comprehensive treatment for couples affected by war trauma. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Emotionally Focused Couple Therapy PTSD EFT War Veteran Couples War Trauma Couples Therapy Emotion Focused Therapy Military Veterans Couples Trauma
197. Evans, R. (2000, February 21). Finger-flash therapy catches on. Healtheon/WebMD.
Language: English
Format: Magazine
Abstract: Though skeptics still criticize this unusual treatment, in which therapists wave their fingers in front of their patients' eyes, EMDR is gaining acceptance in the psychotherapy community. The approach was first developed by psychologist Francine Shapiro, Ph.D., of the Mental Research Institute in Palo Alto, California.
Keywords: PTSD Therapy Treatment
198. Everly, Jr., G. (2002). Nipping PTSD in the bud. Psychology Today.
Language: English
Format: Magazine
Abstract: A less traditional approach called eye movement desensitization and reprocessing (EMDR), which initially required patients to fix their eyes upon the therapist's rapidly moving finger, instead now employs oscillating taps or tones while the patient concentrates upon the traumatic event in the hope of becoming desensitized to it. Controlled research on EMDR is largely supportive and many practicing clinicians report positive results with their patients.
Keywords: Overview General PTSD
199. Falaschi, R., & Tizzani, E. (2001, October). Changes in electroencephalographic quantitative analysis in patients treated with EMDR. In International CIANS Conference (CIANS: Collegium Internationale Activitatis Nervosae Superioris; International Association for Integrative Nervous Functions, Neurobiology of behaiour and Psychosomatics), (p 159) Palermo.
Language: English
Format: Other
Abstract: EMDR’s basic working theory assumes that traumatic memories remain unprocessed because the innate information processing system is stuck by the psychophysiological effects of trauma. Traumatic events are stored in their original form, and the recall of traumatic memories causes a high level of disturbance.
Left-right rhythmic stimulations of EMDR seem to remove the block in the traumatic memories processing and help memories storing mechanism function at an adaptive level. In recent years, many scientific researches have focused on the opportunity to assess the functional connection between different brain areas through quantitative analysis of EEG.
According to the aim of this presentation, our attention was drawn to the correlation between slow bands (4- 7 Hz) and the activity in the sub-cortical areas involved in working memory and, also, high frequency ranges (> 36 Hz) and cortical activities during sensorial stimuli processing. There are a few quantitative EEG studies on patients with PTSD. The EEG analysis of subject with childhood abuse histories revealed less synchronization in the two hemispheres functioning compared to normal control subjects.
EEG quantitative analysis in abused children showed a higher intra-hemispheric left coherence and a lower intra-hemispheric right coherence in comparison with normal control subjects. According to these results, the aim of this presentation is to test if there are recordable changes in the intra and inter hemispheric synchronization between brain areas where information processing occurs (limbic system, prefrontal cortical area, and posterior cortical areas) in patients with PTSD after EMDR treatment.
200. Farma, T. (2003, May). Attachment and complex trauma – Attachment, trauma and EMDR. Symposium at the annual meeting of the EMDR Europe Association, Rome, Italy.
Language: English
Format: Conference
Keywords: Symposium Attachment Theory Complex PTSD
201. Farrell, D. P. (2004, September). Political elements of PTSD within former Royal Ulster Constabulary (RUC) Police Officers and its implications for effective psychological treatment. Paper presented at the 34th annual Conference of the European Association for Behavioural and Cognitive Therapies, University of Manchester Institute of Science and Technology(UMIST), Manchester, England.
Language: English
Format: Conference
Abstract: This paper will explore some of the limitations of the Post Traumatic Stress Disorder Framework in accounting for the myriad of psychological symptoms encountered by former Royal Ulster Constabulary (RUC) within the Northern Ireland Province. Several case studies of ex RUC police will be used to highlight not only the legacy of multiple trauma experiences, but also multiple re-traumatisation by both the RUC as an organisation and its individual membership. Within the context of the war in Northern Ireland, Catholic RUC officers in particular experienced discrimination that often maximised their exposure to additional traumas. This indicates a potential political dimension to our conventional understanding of PTSD, which therefore has subsequent psychological treatment implications. The Police Rehabilitation and Retraining Trust (PRRT) in Belfast offers a psychological therapy services for retired, retiring and/ or medically discharged police officers. Predominant treatment involves a combination of Cognitive Behavioural Therapy (CBT) and that of Eye Movement Desensitisation & Reprocessing (EMDR). However, because of the ongoing security issues in Northern Ireland, particularly for this client group, there are several limitations within treatment approaches particularly regarding the utilisation of exposure in vivo. In addition this client group is often ostracised by both communities further reinforcing isolationism and social exclusion.
202. Fay, J., Kamena, M. D., Benner, A., & Buscho, A. (2006, September). A residential milieu treatment approach for first-responder trauma. Traumatology, 12(3), 255-262.
Language: English
Format: Journal
Abstract: First responders, which include police officers, firefighters, correctional officers, emergency medical technicians, and dispatchers, face unique challenges in dealing with and recovering from critical incidents. In their work with emergency responders at the West Coast Post-Trauma Retreat (WCPR), the authors have found that short-term residential treatment is an effective treatment component. In this article, the authors discuss the WCPR residential treatment model.
Keywords: First Responders Trauma Residential Treatment Posttraumatic Stress Disorder Peer Support PTSD
203. Feener, R. S. (2004). EMDR: Eye movement desensitization and reprocessing: A new method in the treatment of performance anxiety for singers. Florida State Univerity, School of Music. AAT 3156073.
Language: English
Format: Dissertation/Thesis
Abstract: The purpose of this thesis is to provide information and exposure for EMDR therapy as it relates to performance anxiety in singers and other musicians. Since EMDR therapy is a relatively new approach to relieving issues of anxiety, this thesis provides a description of its discovery, background, development, and proper procedures and protocols. In 1987 Francine Shapiro discovered and began to develop a new method in the treatment of trauma using guided eye movements. These guided eye movements were theorized to create bilateral brain stimulation, which through the simultaneous component of recalling ones trauma both physically and emotionally, an individual’s trauma can be processed toward a state of mental health. This is similar to what is theorized to happen during REM sleep. Francine Shapiro states that every human being possesses an innate information processing system that guides each individual toward a balanced state of mental health, similar to the way our bodies heal physically. Once an individual experiences a trauma, the events become locked into the nervous system into its own separate neuro-network, unable to be accessed by the individual for positive processing. Our ability to process the traumatic experience is hindered and the trauma relives itself through nightmares, flashbacks, disturbing or intrusive thoughts, anxiety, or any number of life hindering events. The theory of EMDR is that through guided eye movements, or other sources of bilateral brain stimulation such as hand taps, alternating lights or sounds, or hand buzzers, the traumatic information held in its separate neuro-network is able to bridge itself to more positive information stored in the individual’s memory. EMDR not only helps to desensitize our traumatic memories but also helps to reprocess our thoughts and feelings regarding the trauma with positive statements and beliefs such as “I am in control” and “I deserve this”. One of the most impressive aspects of the therapy is the rate in which patients improve. The success rate of EMDR is between 84 and 90 percent effective in one to three sessions or less, depending on the severity of the trauma. EMDR began treating patients suffering primarily from PTSD (Post-Traumatic Stress Syndrome) but has expanded over the years to include a wide range of pathologies, traumas, and anxiety disorders. Francine Shapiro is continuously striving to enhance the protocols and procedures of EMDR in order to better understand and improve its effectiveness. I discovered EMDR only a ew years ago and realized that it was being used by therapists across the country in the treatment of performance anxiety, but very little had been written on this topic. Therefore, my goal is to expose both singers and instrumentalists to this new method as a new option in the treatment of performance anxiety. Dissertation Abstracts International: Section B: The Sciences and Engineering. 65(12-B), 2005, pp. 6648.
Keywords: Performance Anxiety Trauma Bilateral Brain Stimulation Mental Health Information Processing System PTSD Singers Brain Stimulation Cognitive Processes Eye Movement Desensitization Therapy Musicians Emotional Trauma Eye Movements Stress Syndromes
204. Feeny, N., Foa, E., Moser, J., Astin, M., Stines, L., Zoellner, L., Rothbaum, B., & Eftekhari, A. (2006, November). Prolonged exposure vs. EMDR for PTSD rape victims: Trauma related cognitions. Symposium at the 22nd annual meeting of the International Society for Traumatic Stress Studies Fall Conference, Hollywood, CA.
Language: English
Format: Conference
Abstract: Negative trauma related cognitions have been implicated in the onset and maintenance of PTSD, and often improve with treatment. This controlled study aimed to evaluate the relative efficacy of Prolonged Exposure (PE) and Eye Movement Desensitization and Reprocessing (EMDR) compared to a no-treatment wait-list control (WAIT) in the treatment of PTSD in adult female rape victims. In this study, 75 Ss with PTSD were randomly assigned to one of the three experimental conditions to achieve 20 completers per treatment group. All assessments were conducted by an Independent Assessor blind to the treatment condition. Participants completed the posttraumatic cognitions inventory (PTCI) and measures of PTSD symptomatology at pre- and post- treatment. We will investigate changes in cognitions across active treatment groups, and the extent to which cognitions at baseline predict treatment outcome.
Keywords: PTSD Rape Prolonged Exposure Cognitions Symposium
205. Feldner, M. T., Monson, C. M., & Friedman, M. J. (2007, January). A critical analysis of approaches to targeted PTSD prevention: Current status and theoretically derived future directions. Behavior Modification, 31(1), 80-116.
Language: English
Format: Journal
Abstract: Although efforts to prevent posttraumatic stress disorder (PTSD) have met with relatively limited success, theoretically driven preventive approaches with promising efficacy are emerging. The current article critically reviews investigations of PTSD prevention programs that target persons at risk for being exposed to a traumatic event or who have been exposed to a traumatic event. This review uniquely extends prior reviews in this area by using theories of PTSD to suggest future directions in the area of PTSD prevention. The authors first discuss the primary mechanisms of action believed to account for the failure for PTSD symptoms to remit among a substantial minority of traumatic event–exposed individuals. Second, empirical progress in PTSD prevention efforts is reviewed. Third, the authors consider how existing prevention programs target these mechanisms of action. Finally, the authors consider directions for future research in the area of targeted PTSD prevention.
Keywords: Posttraumatic Stress Disorder Trauma Prevention Risk
206. Ferguson, D. (2008, January-February). Case studies: Suddenly strangers Iraq war vets, PTSD, and the challenge of relationship. Psychotherapy Networker, 32(1), 65-68.
Language: English
Format: Journal
Abstract: Marriage therapists can be of tremendous help to military veterans and their families by focusing on relationships instead of the individual's Post Traumatic Stress Disorder symptoms. Veterans reluctant to admit to combat-related stress problems will often enter couples counseling if they believe their marriages are at stake
Keywords: Marriage Counseling Psychotherapy PTSD Veterans
207. 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.
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: Disaster PTSD Trauma Disaster-Response Tsunamis Indian Ocean Tsunami(2004) Survivors PTSD Case Report Adults Males Italians Psychotherapeutic Processes Brief Psychotherapy
208. Fernandez, I. (2007). EMDR as a treatment of post-traumatic reactions: A field study on child victims of an earthquake. Educational and Child Psychology, 24(1), 65-72.
Language: English
Format: Journal
Abstract: This field study explores the effectiveness of EMDR (eye movement desensitisation and reprocessing) for the post-traumatic reactions of child victims in the post-emergency context of an earthquake that occurred in 2002 in Molise, a region of Central Italy. EMDR was chosen as the treatment for the children of the San Giuliano Primary School in Molise. Twenty-two of the children who experienced the traumatic event, being suddenly buried under the debris of their collapsed school and in contact with the bodies of their dead classmates for hours, received three cycles of EMDR treatment over one year, with a total average of 6.5 sessions of EMDR each. The results show that EMDR contributed to the reduction or remission of PTSD symptoms and facilitated the processing of the traumatic experience. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Traumatic Experiences Post-Traumatic Reactions Child Victims Post-Emergency Context Molise Earthquake Field Study PTSD Symptoms Remission Emotional Trauma Natural Disasters PTSD Symptom Remission Elementary Schools
209. Fernandez, I. (2002, Dicembre). I disturbi post-traumatici da stress, fattori di rischio, aspetti diagnostici e trattamento con l'EMDR - [The post-traumatic stress disorder factors of risk, diagnostic aspects and treatment with EMDR]. Rivista Scientifica di Psicologia, SOMMARIO 01, 15-24.
Language: Italian
Format: Journal
Abstract: In seguito a un evento traumatico (critico) il cervello potrebbe immagazzinare una parte delle intense emozioni che scaturiscono al momento del trauma per elaborarle in un secondo momento, quando lo stato di sopravvivenza è recuperato e lo shock superato. Questi eventi critici possono dar seguito ad un Disturbo Post traumatico da Stress (PTSD). L’autrice espone l’EMDR (Desensibilizzazione e Rielaborazione attraverso i Movimenti Oculari) come metodo per risolvere questi disturbi. L’EMDR agisce ad un livello neuropsicologico ed è basato sulla stimolazione alternata dei due emisferi attuata nel momento in cui il paziente sta richiamando l’esperienza traumatica. Le ricerche sperimentali hanno convalidato l’efficacia del trattamento, che viene ora utilizzato in molte istituzioni nell’area della psicologia dell’emergenza
Keywords: PTSD Emergency Treatment Therapy
210. Ferrie, R. K. (2006, September). Transforming imagery in the treatment of complex PTSD. Paper presented at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract: Many trauma therapies, including EMDR, rely on the transformation of traumatic imagery to images of self-empowerment and safety, either spontaneously or by design. When traumatic memories resolve by transformation, many of the same areas of the brain are involved, as in the original perception: the brain revisits the scene and has a second chance to "see" it a different way i.e. to reprocess the memory. This workshop will begin by examining the neuroscience supporting this hypothesis. Fortunately, not only is mental imagery central to trauma therapy, facility with mental imagery is a set of skills, which can be learned by clients. Participants will be introduced to a method of teaching mental imagery skills as part of no overall resource development protocol the presenter has used in a single-case design study of Complex PTSD. This study examines the correlation between the client's degeee of facility with mental imagery and subsequent recovery from the symptoms of Complex PTSD. The method and results of this study will be presented. Client material will be used to illustrate these techniques and their application to EMDR therapy. Participants will be able to critique this study as well, and in the process, will learn how to apply the single case design paradigm to their own practices.
Keywords: Complex PTSD Mental Imagery
211. Feske, U. (1998, Summer). Eye movement desensitization and reprocessing treatment for posttraumatic stress disorder. Clinical Psychology: Science & Practice, 5(2), 171-181.
Language: English
Format: Journal
Abstract: A qualitative review of experimental and quasiexperimental outcome studies of eye movement desensitization and reprocessing (EMDR) treatment for persons with PTSD suggests that the treatment is effective for civilian but not combat PTSD. The current data indicate that additional research into EMDR's efficacy for PTSD is warranted. Further studies should include comparisons to placebo control procedures and existing validated treatments for PTSD, an adequate treatment dose, systematic efforts to establish and assess treatment integrity and quality, and long-term follow-up data. The therapeutic mechanisms underlying EMDR's observed benefits remain elusive. Whether the eye movement or some other type of stimulation is essential to EMDR's effects cannot be determined from the current data. [Author Abstract]
Keywords: Treatment Effectiveness PTSD Popular Work
212. Figley, C. R. (1998, January). Neurobiology, treatment innovations, and a cyclone in the Cook Islands: Implications for understanding and treating PTSD. Traumatology, 4, 41-46.
Language: English
Format: Journal
Abstract: This article is an overview of the three article published in the ejournal, TRAUMATOLOGYe's Volume IV, Issue 1 in 1998. Regarding the issue's first article (Bergmann, 1998), it is noted that recent discoveries make it possible to not only understand brain functions associated with experiencing and recovering from a traumatic experience, but may explain why EMDR works. This article then reviews Gentry (1998), noting the innovative treatment approach and the need for research. The latter part of the article includes a review of Taylor (1998). The author is impressed with the effort to respect cultural differences in providing post-disaster assistance. The final section discusses important research implications in each of the areas represented by these articles.
Keywords: Neurobiology Cook Islands PTSD
213. Figley, C. R. (1999). Traumatology of grieving: Conceptual, theoretical, and treatment foundations. Philadelphia: Brunner/Mazel.
Language: English
Format: Book
Abstract: TOPICS TREATED: Conceptualizing death and trauma: a preliminary endeavor; Empirical perspectives on contextualizing death and trauma; Factors associated with effective loss accommodation; Intersections of grief and trauma: family members' reactions to homicide; Duty-related deaths and police spouse survivors: group support effects; Emotional dissociation, self-deception, and adaptation to loss; Bereavement after homicide: its assessment and treatment; The treatment of PTSD through grief work and forgiveness; Relieving the naumatic aspects of death with naumatic incident resolution and EMDR; Death-related treatment applications for the elderly; Safety reconnaissance for grieving trauma survivors. [Pilots]
Keywords: Bereavement Survivors PTSD Effects Treatment
214. Figley, C. R. (2005, October 21). Treating combat/operational stress-related PTSD. Phoebe Behavioral Health Center at Phoebe Putney Memorial Hospital, Albany, GA.
Language: English
Format: Other
Abstract: Purpose: Emphasize the importance of caregiving to warfighters affected by combat/operational stress especially the stress from the current war in the Middle East and good strategies for diagnosis and treatment of the unwanted consequences of the warfighters and their families.
Keywords: Combat Stress Operational Stress War
215. 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(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: Methodology Treatment Effectiveness PTSD Brief Psychotherapy Traumatic Incident Reduction Thought Field Therapy Neurolinguistic Programming Systematic Clinical Demonstration methodology Randomized Controlled Clinical Trials Outcomes Research Treatment Effectiveness PTSD
216. Figley, C. R., Leeds, A. M., Tinker-Wilson, S. A., van der Kolk, B. A., Foa, E. B., Davidson, J. R. T., & Frances, A. J. (2000, October). Further discussion of EMDR for treatment of PTSD. Journal of Clinical Psychiatry, 61(10), 785-786.
Language: English
Format: Journal
Abstract: No abstract available.
Keywords: Professional Criticism Professional Criticism Reply PTSD Treatment Effectiveness Letter Practice Guideline
217. Figley, C., Leeds, A., Tinker-Wilson, S., & van der Kolk, B. (2000). The expert consensus guideline series: Treatment of posttraumatic stress disorder: reply Commentary. Journal of Clinical Psychiatry, 61(10), 785-786.
Language: English
Format: Journal
Abstract: The expert consensus guideline series: Treatment of posttraumatic stress disorder.
Keywords: Commentary PTSD
218. Fillmore, R. (1995, February). More PTSD sufferers are spelling relief E-M-D-R. The Stars and Stripes, 16.
Language: English
Format: Other
Abstract: Thousands of therapists
across the country, many at
VA medical centers, are using
a new weapon in the battle
against posbtraurnatic stress
disorder (PTSD).
Under "Eye Movement Desensitization
and Reprocessing"
(EMDR), is a therapy
based on having the client concentrate
on their disturbing
experiences in 20-second periods
while trackinga therapist's
moving finger with sweeping
left-to-right eye movements.
219. Fine, C. (2009). The wreathing protocol: The imbrication of hypnosis and EMDR in the treatment of dissociative identity disorder, dissocaitive disorder not otherwise specified, and post-traumatic stress disorder. In M. Luber's (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 329-349). New York: Springer Publishing.
Language: English
Format: Book Section
Keywords: Post-Traumatic Stress Disorder PTSD Dissociative Identity Disorder DID Dissociative Disorder Not Otherwise Specified DDNOS Protocol
220. Fine, C. G., & Berkowitz, A. (1999). The combined use of EMDR and hypnosis in the treatment of DID: The wreathing protocol:The imbrication of hypnosis and EMDR in the treatment of dissociative identity disorder and other dissociative responses. Paper presented at the International Society for the Study of Dissociation Fall Conference, Miami FL.
Language: English
Format: Conference
Keywords: Dissociative Identity Disorder Hypnotherapy PTSD Psychotherapeutic Processes
221. Fine, C., & Berkowitz, A. (2001, January-April). The wreathing protocol: The imbrication of hypnosis and EMDR in the treatment of dissociative identity disorder and other dissociative responses. American Journal of Clinical Hypnosis, 43(3-4), 275-290.
Language: English
Format: Journal
Abstract: Dissociative Identity Disorder (DID), a chronic childhood onset posttraumatic stress disorder, is currently recognized as a treatable condition. It is considered the paradigmatic dissociative condition and carries with it extreme posttraumatic symptomatology. Therapists skilled in the treatment of DID are typically fluent in the uses of hypnosis for stabilization, affect management, building a safe place, and grounding to name of few [sic]. EMDR, which has come to the forefront of clinical awareness in the last ten years, seems aptly suited for the treatment of trauma, but can be destabilizing. This paper proposes a protocol, called Wreathing Protocol, for the imbricated use of EMDR and hypnosis in the treatment of not only DID (though this will be the primary focus of the paper), but also Dissociative Disorder Not Otherwise Specified (DDNOS) and chronic PTSD. This protocol is useful to advanced clinicians skilled in both modalities independently. The sequential steps of the Wreathing Protocol will be described and illustrated by a clinical vignette on DID. The clinical implications of the use of the Wreathing Protocol will be discussed in DID as well as the chronic post traumatic spectrum. [Author Abstract]
Keywords: Dissociative Identity Disorder Hypnotherapy PTSD Psychotherapeutic Processes Review
222. Fisher, J. A., Fay, D., & van der Kolk, B. (2001, December). Becoming safely embodied: Body-mind approaches to working with complex post-traumatic stress. Paper presented at the International Society for the Study of Dissociation, Fall Conference, New Orleans, LA.
Language: English
Format: Conference
Keywords: Mind/Body Complex PTSD
223. Flint, R. T. (1992, December). Behavioral validation of EMDR: Two PTSD cases. EMDR Network Newsletter, 2(2), 5-6.
Language: English
Format: Newsletter
Abstract: Clinicians trained in Eye Movement Desensitization and Reprocessing (EMDR) often describe approaching the method with great skepticism that transforms into enthusiasm and a desire to proselytize. This enthusiasm is often mixed with the lament that more behavioral validation studieshave not been performed. This note records two cases in which people suffering from chronic Posttraumatic Stress Disorder (PTSD) symptoms demonstrated striking behavioral changes after a single brief EMDR treatment.
224. Foa, E. (1997). Trauma and women: Course, predictors, and treatment. Journal of Clinical Psychiatry, 58(Supplement 9), 25-28.
Language: English
Format: Journal
Abstract: Posttraumatic stress disorder (PTSD) resulting from aggravated assault, rape, or noncrime trauma affects over 4 million women in the United States, according to retrospective studies. Prospective studies reviewed here found that 3 months post assault the prevalence of PTSD was 48% in rape victims and 25% in nonsexual crime victims. Prolonged exposure treatment and stress inoculation training are both effective psychotherapeutic treatments for PTSD. Prolonged exposure involves having the patient relive the traumatic memory and recount the event in detail. This description is audiotaped and the patient is asked to listen to it as part of assigned homework. In vivo exposure to feared objects or situations is also assigned as homework. Stress inoculation training consists of teaching patients a variety of techniques for managing anxiety, including controlled breathing, deep muscle relaxation, thought-stopping, cognitive restructuring, preparation for stressors, covert modeling, and role-play. Both treatments have been proven to be effective alone and in combination in ameliorating chronic PTSD in women after traumatic sexual or nonsexual assault. This efficacy was maintained for 3 months of follow-up.
Keywords: Women Trauma Posttraumatic Stress Disorder PTSD
225. Foa, E. (2000). Psychosocial treatment of posttraumatic stress disorder. Journal of Clinical Psychiatry, 61(Supplement 5), 43-51.
Language: English
Format: Journal
Abstract: Abstract This article reviews empirically validated psychosocial treatments for PTSD and considers factors associated with successful therapy outcome. Most of the treatments whose efficacy was studied empirically fall within the broad category of cognitive-behavioral therapy. These include exposure therapy, anxiety management programs, and cognitive therapy. These therapy modalities have been developed to modify conditioned fear and erroneous cognitions that are thought to underlie PTSD. Exposure therapy has the most empirical support because it was found to be effective across different populations of trauma victims with PTSD. Combinations of therapies have also been used, and the value of these is discussed. In addition, this article presents recent evidence about the efficacy of eye movement and desensitization reprocessing. A growing body of evidence supports the use of psychosocial treatments for PTSD, but not all patients benefit. Future research should develop programs that increase the motivation of patients to take advantage of these efficacious treatments. [Author Abstract]
Keywords: PTSD Treatment Effectiveness Cognitive Therapy Exposure Therapy Literature Review
226. Foa, E. B., & Street, G. P. (2001). Women and traumatic events. Journal of Clinical Psychiatry, 62(Supplement 17), 29-34.
Language: English
Format: Journal
Abstract: PTSD gained the status of a psychiatric disorder in 1980, although the syndrome had already been recognized widely for many years. PTSD is distinguished by alternations between reexperiencing of the traumatic event that triggered the PTSD in the first place and avoidance and numbing. Increased arousal (e.g., exaggerated startle reaction) also forms part of the diagnosis. Although the majority of trauma victims recover spontaneously, more than 30% develop persistent PTSD symptoms, with women being twice as likely as men to suffer PTSD. To date, the most studied psychosocial treatments for PTSD are the cognitive-behavioral interventions. Exposure therapy (systematic exposure to the traumatic memory in a safe environment) has been demonstrated to be quite effective with adult women who were sexually or nonsexually assaulted in adulthood as well as with women who were sexually abused in childhood. Supportive counseling does not appear as effective as exposure therapy, but is better than no therapy. [Author Abstract]
Keywords: Stressors Survivors Females PTSD Cognitive Therapy Adults
227. Foa, E. B., Davidson, J. R. T., & Frances, A. J. (1999). Treatment of posttraumatic stress disorder. Journal of Clinical Psychiatry, 60 (Supplement 10).
Language: English
Format: Journal
Abstract: Expert consensus guideline series. No abstract available.
Keywords: PTSD Professional Criticism Professional Criticism Reply Professional Standards Letter Practice Guideline
228. Foa, E. B., Keane, T. M., Friedman, M. J., & Cohen, J. A. (2009). Effective treatments for PTSD: Practice guidelines from the International Society for Traumatic Stress Studies, (2nd ed.). New York, NY: Guilford.
Language: English
Format: Book
Abstract: In the Practice Guidelines of the International Society for Traumatic Stress Studies, EMDR was listed as an efficacious treatment for PTSD: Part IV Treatement Guidelines, No. 8 Eye Movement Desensitization and Reprocessing.
Keywords: Treatment Guidelines
229. Foa, E., & Dorfan, N. (2002, November). Dropout rates across treatments for PTSD. Symposium (N. Feeney, Chair) at the 18th annual meeting of the International Society for Traumatic Stress Studies, Baltimore, MD.
Language: English
Format: Conference
Abstract: Is Exposure Therapy For PTSD Helpful or Harmful?: Does exposure therapy cause severe symptom exacerbation or treatment
dropout? We will examine clinical impressions and research in this area. First,
clinical perspectives on the tolerability of exposure will be presented.Then,
three empirical papers will explore: dropout rates for exposure, symptom
exacerbation in women undergoing imaginal exposure, and factors that influence
treatment choices.
Dropout rates across treatments for PTSD: Many studies have demonstrated the efficacy of exposure therapy in the
treatment of chronic posttraumatic stress disorder (PTSD). Despite the convincing
outcome literature, a concern that this treatment may exacerbate
symptoms and lead to premature dropout has been voiced on the basis of a
few reports. In the present paper, we examined the hypothesis that treatments
that include exposure will be associated with a higher dropout rate
than treatments that do not include exposure. A literature search identified
17 controlled studies of cognitive behavioral treatment for PTSD that
67
Concurrent Sessions–Saturday,November 9
Saturday: 1:00 p.m.–2:15 p.m.
included data on dropout. The results indicated no difference in dropout
rates among exposure therapy, cognitive therapy, stress inoculation training,
and EMDR.These findings are consistent with previous research about the
tolerability of exposure therapy.
Keywords: Dropout Rate Symposium
230. Foa, E., Davidson, J., & Frances, A. (2000, October). Treatment of posttraumatic stress disorder. Journal of Clinical Psychiatry, 61(10), 784-785.
Language: English
Format: Journal
Abstract: Based on surveys of 52 experts on the psychotherapy treatment and 57 experts on the medication treatment of PTSD, these guidelines can be viewed as an expert consultation, to be weighed in conjunction with other information and in the context of each individual patient-physician relationship. [Adapted from Text, pp. 7-8]. Commentary: The expert consensus guideline series
Keywords: Practice Guidelines PTSD Treatment
231. Foa, E., Davidson, J., Frances, A., Culpepper, L., Ross, R., & Ross, D. (1999). Treatment of posttraumatic stress disorder. Journal of Clinical Psychiatry, 60 (Supplement 16), 4-76.
Language: English
Format: Journal
Abstract: The expert consensus guideline series. Treatment of Posttraumatic Stress Disorder. The Expert Consensus Panels for PTSD.
Keywords: PTSD Consensus Panels Treatment Guidelines
232. Foa, E., Rothbaum, B., & Furr, J. (2003, January). Augmenting exposure therapy with other CBT procedures. Psychiatric Annals, 33(1), 47-53.
Language: English
Format: Journal
Abstract: Most studies on treatment outcome for posttraumatic stress disorder (PTSD) have used cognitive behavioral therapy (CBR) programs, which include variants of exposure therapy, anxiety management, and cognitive therapy. Combinations of these interventions have also been investigated. More recently, eye movement desensitization and reprocessing (EMDR) has been employed for the treatment of PTSD, and a number of studies have explored its efficacy. In the treatment guidelines developed under the auspices of the International Society for Traumatic Stress Studies, exposure therapy has emerged as the most empirically supported intervention for PTSD. In this article the authors focus on reviewing well-controlled studies that compared the efficacy of exposure therapy to that of other interventions. In comparing outcome across studies, the focus is on percent change from baseline on the main PTSD measure calculated on completers whenever possible. Result suggest that exposure therapy is highly effective; treatment effects appear to be diminished by diluting exposure therapy when attempting to augment it with other treatments. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: PTSD Treatment Exposure Therapy Efficacy Literature Review
233. Follette, V., & and Smith, A. (2004). Exposure Therapy. In A. Freeman, S. H. Felgoise, A. M. Nezu, C. M. Nezu, & M. A. Reinke (Eds.), Encyclopedia of Cognitive Behavior Therapy (pp. 185-188). Springer.
Language: English
Format: Book Section
Abstract: Exposure therapy has increasingly been used in conjunction with other cognitive—behavioral therapies in a variety of formats and techniques, particularly in the treatment of anxiety disorders. Reasons for the addition of cognitive enhancements to exposure therapy include concerns for client well-being and/or an interest in increasing client willingness to engage the treatment. Other newer therapies such as CPT, ACT, and EMDR, while based in differing theoretical paradigms, incorporate cognitive and behavioral strategies that are consistent with exposure and cognitive change. Several empirical studies support combinations of exposure and other cognitive—behavioral therapies. However, studies evaluating a possible augmenting effect of other CBT components have generally shown equally promising effects with exposure alone and exposure combined conditions. Further research is needed to more fully understand which components of other cognitive—behavioral therapies are most helpful in addressing concerns of using exposure therapy alone, and the manner in which exposure therapy can be most effectively integrated.
Keywords: Exposure Cognitive Processing Therapy PTSD Stress Inoculation Training
234. Forbes, D. (1993). The efficacy of eye movement desensitisation and reprocessing (EMDR) in the treatment of post-traumatic stress disorder: A pilot study. University of Melbourne, Victoria, Australia. --.
Language: English
Format: Dissertation/Thesis
Abstract: Thesis(MA)
Keywords: PTSD Alternative Treatment Stress Management
235. Forbes, D., Creamer, M., & Rycroft, P. (1994, June). Eye movement desensitization and reprocessing in posttraumatic stress disorder: A pilot study using assessment measures. Journal of Behavior Therapy and Experimental Psychiatry, 25(2), 113-120.
Language: English
Format: Journal
Abstract: Spectacular claims have been made regarding the efficacy of eye movement desensitization and reprocessing (EMDR) in the treatment of PTSD, but almost entirely on the basis of patients' reports and without objective criteria. This study reports on the treatment of eight patients with a diagnosis of PTSD who received EMDR treatment over four sessions. Assessment measures included two structured interviews, three self-report inventories, and the electromyogram (EMG). Assessments were conducted pre and posttreatment, and at 3-month follow-up. Despite some residual pathology at posttreatment and follow-up, significant improvements were obtained on all measures and across all PTSD symptom clusters. Compared with other treatments of PTSD, change was achieved in far fewer sessions. [Author Summary]
Keywords: Adults Australians Longitudinal Study PTSD Stressors Survivors Treatment Effectiveness Empirical Study Release Date
236. Forbes, D., Creamer, M., Phelps, A., Bryant, R., McFarlane, A., Devilly, G. J., Lynda Matthews, L., Raphael, B., Doran, C., Merlin, T., & Skye N. (2007, August). Australian guidelines for the treatment of adults with acute stress disorder and post-traumatic stress disorder. Australian & New Zealand Journal of Psychiatry, 41(8), 637-648.
Language: English
Format: Journal
Abstract: Over the past 2-3 years, clinical practice guidelines (CPGs) for post-traumatic stress disorder (PTSD) and acute stress disorder (ASD) have been developed in the USA and UK. There remained a need, however, for the development of Australian CPGs for the treatment of ASD and PTSD tailored to the national health-care context. Therefore, the Australian Centre for Posttraumatic Mental Health in collaboration with national trauma experts, has recently developed Australian CPGs for adults with ASD and PTSD, which have been endorsed by the National Health and Medical Research Council (NHMRC). In consultation with a multidisciplinary reference panel (MDP), research questions were determined and a systematic review of the evidence was then conducted to answer these questions (consistent with NHMRC procedures). On the basis of the evidence reviewed and in consultation with the MDP, a series of practice recommendations were developed. The practice recommendations that have been developed address a broad range of clinical questions. Key recommendations indicate the use of trauma-focused psychological therapy (cognitive behavioural therapy or eye movement desensitization and reprocessing in addition to in vivo exposure) as the most effective treatment for ASD and PTSD. Where medication is required for the treatment of PTSD in adults, selective serotonin re-uptake inhibitor antidepressants should be the first choice. Medication should not be used in preference to trauma-focused psychological therapy. In the immediate aftermath of trauma, practitioners should adopt a position of watchful waiting and provide psychological first aid. Structured interventions such as psychological debriefing, with a focus on recounting the traumatic event and ventilation of feelings, should not be offered on a routine basis. [InformaWorld]
Keywords: ASD Guidelines PTSD Trauma Treatment
237. Forgash, C. (2009, June). The treatment of health problems of complex PTSD clients: An EMDR/ego stagte treatment plan. Paper presented at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.
Language: English
Format: Conference
Keywords: Health Problems Ego State Therapy Complex PTSD
238. Forgash, C. (2007, September). The negative impact of complex PTSD on health: an EMDR/ego state treatment plan. Paper presented at the annual meeting of the EMDR International Association, Dallas, TX.
Language: English
Format: Conference
Abstract: EMDR and Ego State integrated treatment provides a clinical model for dealing with health problems in complex trauma survivors. Health problems are made more complex by the presence of dissociative disorders and PTSD symptoms in adult survivors. This presentation will focus on the treatment of these disorders. EMDR and Ego State techniques will be utilized to help the CTS patient: a) manage triggers and avoid re-traumatization, hyperarousal and numbing; desensitize and reprocess traumatic events; b) become assertive health consumers and deal with medical/dental procedures and tests; c) learn skills such as rehearsal, identifying problems, planning visits, etc.
Keywords: Ego State Therapy Complex PTSD Integrated Treatment Phased Treatment Plan
239. Forgash, C. A. (2003, May). Attachment and complex trauma - Improving child sexual abuse survivor’s health with integrated EMDR & ego state treatment. Paper presented at the annual meeting of the EMDR Europe Association, Rome, Italy.
Language: English
Format: Conference
Keywords: Symposium Attachment Theory Complex PTSD, Ego State Therapy
240. Forgash, C. A. (2000). When a PTSD survivor becomes pregnant: Implications for EMDR treatment. Carol Forgash, LCSW, BCD.
Language: English
Format: Other
Abstract: There are many questions and issues concerning the use of EMDR in the treastment of pregnant PTSD survivors. I think Tom Cloyd's EMDR Portal summary of the issues involved in the EMDR treatment of pregnant women who suffer from PTSD is a wonderful opening to an in-depth discussion of the subject. Since approximately one out of four women (USA National Child Abuse statistics) are survivors of childhood sexual abuse, and many of these have a diagnosis of PTSD, a not inconsiderable number of pregnant women at any given time are going to have PTSD symptoms.
Keywords: PTSD Survivor Pregnancy
241. Forgash, C. A. (2003, November). Treating survivors of overwhelming trauma who present with pre-existing PTSD and dissociative disorders: An EMDR/Ego State approach. Paper presented at the International Society for the Study of Dissociation Fall Conference, Chicago, IL.
Language: English
Format: Conference
Keywords: PTSD Dissociative Disorders
242. Forgash, C. A. (2002). Treating complex posttraumatic stress disorder with EMDR and ego state therapy. The EMDR Practitioner. Retrieved December 27, 2008, from http://www.emdr-practitioner.net/.
Language: English
Format: Other
Abstract: In this adaptation of her keynote address presented at the European EMDR Annual Conference in Frankfurt, Germany, in May, 2002, psychotherapist Carol Forgash explains that the context of psychotherapeutics has changed since the early years of EMDR. This change supports the combining of EMDR with ego state psychology to better deal with the complex consequences of serious trauma. Forgash proposes that ego state conceptualizations provide a constructive, efficient, and accessible means for therapist and client to work through these complexities.
Keywords: Complex PTSD Ego State Therapy
243. Forgash, C. A. (2004, June). Treating complex posttraumatic stress disorder with EMDR and ego state therapy. Paper presented at the annual meeting of the EMDR Europe Association, Frankfurt, Germany.
Language: English
Format: Conference
Abstract: In this adaptation of her keynote address presented at the European EMDR Annual Conference in Frank,hrt, Germany, in May, 2002, psychotherapist Carol Forgash explains that the context of psychotherapeutics has changed since the early years of EMDR. This change supports the combining of EMDR with ego state psychology to better deal with the complex consequences of serious trauma. Forga,sh proposes that ego state conceptualizations provide a constructive, eficient, and accessible means for therapist and client to work through these complexities.
Keywords: Complex PTSD Ego State Therapy
244. Freeman, C. (2006). Psychological and drug therapies for post-traumatic stress disorder. Psychiatry, 5(7), 231-237.
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: Trauma Stress-related Disorders Cognitive Therapy Drug Treatment Exposure PTSD SSRIs Trauma Psychotherapy
245. Friday, S. (2005, September). Using EMDR as an intervention for symptom severity in ADD. Paper presented at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract: This study investigated the intervention effects of EMDR on the trauma and behavior symptom severity of ten children, ages 8 to 11, diagnosed with Attention Deficit Disorder (ADD). ADD is a common childhood disorder with increasing prevalence rates that raise questions concerning overdiagnosis, misdiagnoses, and possible inadequate assessment of primary, comorbid, and diffential diagnoses. ADD and trauma have comorbid symptoms that often inhibit an accurate diagnosis. Accurate assessments for ADD and trauma-related attention problems have important behavioral implications for diagnostic intervention and treatment planning. The purpose of this research was to investigate if a three-phased treatment intervention, including EMDR, would show a reduction in the trauma and behavior symptom severity in children with ADD and trauma symptoms.
Keywords: Disruptive Behavior Disorders School Age Children Elementary School Students Stressors PTSD Comorbidity Treatment Effectiveness Attention Deficit Disorder ADD
246. Friday, S. (2004, September). Using EMDR as an intervention for symptom severity in attention deficit disorder. Paper presented at the annual meeting of the EMDR International Association, Montréal, Ontario Canada.
Language: English
Format: Conference
Abstract: This study investigated the intervention effects of Eye Movement Desensitization Reprocessing (EMDR) on the trauma and behavior symptom severity of ten children, ages 8 to 11, diagnosed with Attention Deficit Disorder (ADD). ADD is a common childhood disorder with increasing prevalence rates that raise questions concerning over diagnoses, misdiagnoses, and possible inadequate assessment, of primary, comorbid and differential diagnoses. Accurate assessments for ADD and trauma related attention problems have important implications for diagnostic intervention and treatment planning. The purpose of this research was to investigate if a three-phased treatment intervention, including EMDR, would show a reduction in the trauma and behavior symptom severity in children with ADD and trauma symptoms.
Keywords: Disruptive Behavior Disorders School Age Children Elementary School Students Stressors PTSD Comorbidity Treatment Effectiveness
247. Friday, S. (2003). Using eye movement desensitization and reprocessing as an intervention for trauma and behavior symptom severity in attention deficit hyperactivity disorder. Capella University, Minneapolis, MN. AAT 3093820.
Language: English
Format: Dissertation/Thesis
Abstract: This study investigated the intervention effects of Eye Movement Desensitization Reprocessing (EMDR) on the trauma and behavior symptom severity of 10 children, ages 8 to 11, diagnosed with Attention Deficit Hyperactive Disorder (ADHD). ADHD is a common childhood disorder with increasing prevalence rates that raise questions concerning overdiagnoses, misdiagnoses, and possible inadequate assessment of primary, comorbid, and differential diagnoses. Accurate assessments for ADHD and trauma-related attentional problems have important implications for diagnostic intervention and treatment planning. The purpose of this research was to investigate if a three-phased treatment intervention including EMDR, a therapy method proven effective in the reduction of PTSD, would show a reduction in the trauma and behavior symptom severity in children with ADHD and trauma symptoms. Evaluation of the efficacy of EMDR in the treatment of ADHD was examined using a multiple-component case study and a repeated measure design for evidence of trauma. Two of the three treatment phases were randomly adjusted from one to three sessions in length, with the intervention method, EMDR, remaining constant for a total of three sessions. Outcome measures were the Subjective Units of Disturbance Scale (SUDS), the Behavioral Assessment of Children Scales (BASC), (teacher and parent forms), and repeated assessments of trauma using the Lifetime Incidence of Traumatic Events Scales (LITE-P&S, parent and student forms), the Child and Parent Reports of Post-Traumatic Symptoms Scales (PROPS & CROPS), and the Problem Rating Scales (PRS). The results from quantitative analysis suggested that the intervention method incorporating EMDR affected a decrease in Externalizing and Internalizing behavior symptom severity and trauma symptom severity in the ADHD children that were studied. Qualitative data suggested that trauma and behavioral symptom severity decreased as a result of the intervention method incorporating EMDR. The results underscore the need for further research to distinguish between the symptom presentation of ADHD and comorbid trauma and behavioral symptoms. A continuous refining of the method of diagnosis and determination of the comorbid disorders is warranted. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 64(6-B), 2003, pp. 2901
Keywords: Disruptive Behavior Disorders School Age Children Elementary School Students Stressors PTSD Comorbidity Treatment Effectiveness Empirical Study Quantitative Study
248. Frieder, P. (2008). Trastorno por estrés postraumático neurobiología y tratamiento farmacológico. Nuevas aportaciones – [Posttraumatic stress disorder neurobiology and medications. New contributions]. In P. Solvey & R. C. Ferrazzano de Solvey (Eds.), Terapias de avanzada - [Advanced therapies] : Vol. 5, Abordajes en EMDR : Trauma y disociacion – Ninos y adolescentes – Fertilidad, inferitilidad, y esterilidad - Psicoprofilaxis, quiruigica, adicciones - [Approaches in EMDR: Trauma and dissociation – Children and adolescents – Fertility, infertility, and sterility – Psychoprofilaxis, Surgery, Addictions] (1st ed) (pp. 93-107) Buenos Aires: TdeA Ediciones.
Language: Spanish
Format: Book Section
Abstract: No abstract available.
Keywords: PTSD Neurobiology Medications
249. Friedman, M. J. (1996, April). PTSD diagnosis and treatment for mental health clinicians...including commentary by Rosenheck, R. and Fontana, A. Community Mental Health Journal, 32(2), 173-189 [Discussion 191-193].
Language: English
Format: Journal
Abstract: This article focuses on four issues: PTSD assessment, treatment approaches, therapist issues, and current controversies. Important assessment issues include the trauma history, comorbid disorders, and chronicity of PTSD. Effective intervention for acute trauma usually requires a variant of critical incident stress debriefing. Available treatments for chronic PTSD include group, cognitive-behavioral, psychodynamic, and pharmacological therapy. Therapist self-care is essential when working with PTSD patients since this work may be functionally disruptive and psychologically destabilizing. Current controversies include advocacy vs. therapeutic neutrality, eye movement desensitization and reprocessing (EMDR), the so-called false memory syndrome, and the legitimacy of complex PTSD as a unique diagnostic entity.
Keywords: PTSD
250. Friedman, M. J. (2000). PTSD diagnosis and treatment for mental health clinicians. In M. J. Scott & S. Palmer (Eds.), Trauma and post-traumatic stress disorder (pp. 1-14) New York: Cassell Books.
Language: English
Format: Book Section
Abstract: This chapter focuses on four issues: PTSD assessment, treatment approaches, therapist issues, and current controversies. Important assessment issues include the trauma history, co-morbid disorders, and chronicity of PTSD. Effective intervention for acute trauma usually requires a variant of critical incident stress debriefing. Available treatments for chronic PTSD include group, cognitive-behavioural, psychodynamic, and pharmacological therapy. Therapist self-care is essential when working with PTSD patients since this work may be functionally disruptive and psychologically destabilizing. Current controversies include advocacy versus therapeutic neutrality, eye movement desensitization and reprocessing (EMDR), the so-called false memory syndrome, and the legitimacy of complex PTSD as a unique diagnostic entity. [Author Abstract]
Keywords: Diagnosis PTSD Treatment Vicarious Traumatization
251. Frueh, B. C., Turner, S. M., & Beidel, D. C. (1995). Exposure therapy for combat-related PTSD: A critical review. Clinical Psychology Review, 15(8), 799-817.
Language: English
Format: Journal
Abstract: This review critically examines the treatment outcome literature using exposure treatment for combat-related PTSD. Although the current literature is quite underdeveloped, available data suggest that exposure is superior to wait-list controls and "standard treatment." In particular, exposure treatment results in decreased symptoms of intrusive images, cognitions, and physiological arousal. Treatment gains are maintained for as long as 6 months. Limitations of current studies, important procedural variables, patient characteristics, and issues of measurement are highlighted. Finally, efficacy of exposure alone as a treatment for PTSD and the need for addition of other behavioral treatment strategies to exposure is discussed. [Author Abstract]
Keywords: Exposure Therapy Literature Review PTSD Systematic Desensitization Therapy Therapeutic Community Treatment Effectiveness Veterans War
252. Fröhling, H., & Maercker, A. (2006, Mai). Posttraumatische reifung und sozialer austausch bei traumatisierten und ihren partnern. Symposium at the (T. Zöllner, Chair), Workshoptagung der European Society for Traumatic Stress Studies (EWOTS), Hamburg, Germany .
Language: German
Format: Conference
Abstract: Die Fähigkeit zur Bewältigung eines Traumas hat mit dem eigenen Selbstkonzept, dessen Regulation und der Entwicklung des Selbst in der Vergangenheit zu tun. Eine Variable, über die hinweg in der Entwicklung das Selbstkonzept und dessen Regulation nachhaltig beeinflusst wird, ist die Fähigkeit des Individuum sozialen Austausch zu betreiben. Hierbei ist das Selbst nicht nur Empfänger von Hilfeleistungen aus seiner Umwelt, sondern ein mehr oder weniger aktiver Gestalter seiner eigenen positiven Entwicklung. In einem Überblick werden resiliente und Risiko bedingende Fähigkeiten und Fertigkeiten des sozialen Austausches und der Interaktion zwischen Partnern beschrieben. Der eigene inhaltsanalytische Ansatz bedient sich der qualitativen Auswertung von Interviews mit Paaren (n = 8 Paare) nach der traumatischen Erfahrung eines Partners. Hierbei werden die mit Ankerbeispielen dargestellten Kategorien vor dem Hintergrund der Resilienzforschung erörtert und in den Zusammenhang zur posttraumatischen Reifung als einem Merkmal positiver Entwicklung gestellt. Ergebnisse der z.Z. laufenden Auswertungen werden berichtet.
Keywords: PTSD
253. 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: Horowitz's Control Process Theory PTSD Clinical Case Study Empirical Study
254. Gallo, F. P. (1996., January). Reflections on active ingredients treatments of PTSD, Part 2. Traumatology, 2(2), 9-14.
Language: English
Format: Journal
Abstract: Part 1 of this essay summarized data and summarized the methods studied in the 'Active Ingredients' Project: Eye Movement Desensitization and Reprocessing, Visual/Kinesthetic Dissociation, Traumatic Incident Reduction, and Thought Field Therapy. Part 2 explores possible change-producing ingredients germane to each as well as across the methods. [Adapted from Author Abstract]
Keywords: PTSD Neurolinguistic Programming Traumatic Incident Reduction Thought Field Therapy Psychotherapeutic Processes
255. Gallo, F. P. (1996, January). Reflections on active ingredients treatments of PTSD, Part 1. Traumatology, 2(1), 7-12.
Language: English
Format: Journal
Abstract: This two-part essay summarizes the therapeutic procedures presented at The Active Ingredients in Efficient Treatments of PTSD Conference at Florida State University, May 12-13, 1995, and delineates some possible salient change-producing ingredients germane to these approaches.
256. Garsen, B. (2005). A comparison of post traumatic stress disorder treatment modalities for adolescents. California State University, Long Beach, CA. AAT 1426939.
Language: English
Format: Dissertation/Thesis
Keywords: Adolescents Posttraumatic Stress Disorder PTSD
257. Garvey, K. J. (2004). Increased interhemispheric interaction leads to decreased false memories for prose: the effects of degree of handedness and of eye movement-induced cortical activation. University of Toledo. AAT 3141037.
Language: English
Format: Dissertation/Thesis
Abstract: Two experiments examining the effects of mixed handedness (which is associated with increased interhemispheric interaction) and horizontal saccadic eye movements (which are associated with increased bihemispheric cortical activation) on the recognition of prose are reported. In study one mixed handedness was associated with greater accuracy in both rejecting new material and recognizing old material. In study two eye movements resulted in relative improvement of episodic memory. This improvement is hypothesized to reflect increased interaction between the left and right cerebral hemispheres, which is associated with superior episodic memory. Implications for possible neuropsychological mechanisms underlying eye movement desensitization and reprocessing (EMDR), a therapeutic techniquDissertation Abstracts International: Section B: The Sciences and Engineering. 65(7-B), 2005, pp. 3738.e for PTSD, are discussed. [Author Abstract]
Keywords: Neurobiology PTSD Cognitive Processes Eye Movements False Memory Handedness Interhemispheric Interaction Prose Empirical Study Quantitative Study
258. Gaudiano, B. A. (2002, Fall/Winter). EMDR and the media - Is change in the wind?. The Scientific Review of Mental Health Practice, 1(2), 201-203.
Language: English
Format: Journal
Abstract: Comments on the article "The finger-wagging cure. Saturday Night," (2001) by C. Milstone. The article began with the presentation of the harrowing story of a coal miner who developed symptoms of posttraumatic stress after being badly injured and nearly killed in a construction equipment accident. The man reported dramatic positive changes after only a few sessions of eye movement desensitization and reprocessing (EMDR) and testifies that the treatment "released the pain" of the trauma. This is usually the point at which many previous articles on EMDR would have presented one or two token skeptics and provided additional anecdotal evidence to counter any of the criticisms. However, Milstone's article did not follow this common formula. Instead, she chose to delve more deeply into the claims of EMDR proponents to contrast these claims with the research evidence. The article will likely be criticized by many EMDR proponents. Nevertheless, this article appears to be representative of a subtle shift hi the media coverage of EMDR that has been evident in recent years. (PsycINFO Database Record (c) 2007 APA, all rights reserved)
Keywords: PTSD Posttraumatic stress
259. Gaudiano, B. A., & Dalrymple, K. L. (2005). EMDR variants, pseudoscience, and the demise of empirically supported treatments?. PsycCRITIQUES, 50(8).
Language: English
Format: Journal
Abstract: In the world of psychotherapy, clinicians always seem to be looking for the "latest and greatest" approach. In recent history, perhaps no one has been more successful at promoting a novel psychotherapy than Francine Shapiro, the creator of EMDR. EMDR uses alternating eye movements, body taps, or tones that are theorized to aid in the desensitization of traumatic memories and in the amelioration of symptoms associated with posttraumatic stress disorder (PTSD). In "Psychotherapeutic Interventions for Emotion: EMDR and Bilateral Stimulation for Affect Management," (see record 2004-13301-000) John Omaha describes his new adaptation of EMDR, which is combined with a myriad of other traditional and nontraditional therapy techniques, for treating emotion regulation problems associated with a variety of Axis I and II disorders. This article reviews Omaha's book and his adaptation of EMDR. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Book Review EMDR Variants Psychotherapy Alternating Eye Movements Body Taps Tones Desensitization of Traumatic Memories PTSD Bilateral Stimulation Emotion Regulation Problems Emotional Control Emotional Instability Emotional Trauma Emotions
260. Gauvry, S. (2008, 2009). Incidencia del TEPT en las familias – [The effects of PTSD on families]. In P. Solvey & R. C. Ferrazzano de Solvey (Eds.), Terapias de avanzada - [Advanced therapies] : Vol. 5, Abordajes en EMDR : Trauma y disociacion – Ninos y adolescentes – Fertilidad, inferitilidad, y esterilidad - Psicoprofilaxis, quiruigica, adicciones - [Approaches in EMDR: Trauma and dissociation – Children and adolescents – Fertility, infertility, and sterility – Psychoprofilaxis, Surgery, Addictions] (1st ed) (pp. 29-40) Buenos Aires: TdeA Ediciones.
Language: Spanish
Format: Book Section
Abstract: No abstract available.
261. Gelbach, R. A. (2008). Trauma, research, and EMDR: A disaster responder's wish list. Journal of EMDR Practice and Research, 2(2), 146-155.
Language: English
Format: Journal
Abstract: Disasters, both natural and "man-made", affect a large portion of the Earth's population and can be expected to increase in intensity over the coming decades. The impact of disasters on mental health of affected populations is substantial and likely to be insufficiently addressed in the overall context of disaster response. While successful mental health intervention has been demonstrated in a variety of cases, including through the use of EMDR treatment, this problem needs more attention. Effective mental health response will be greatly supported by increased research on questions related to the incidence, form, and prognosis of disaster-generated traumatic stress, as these are affected by type of disaster, culture of affected population, sociological conditions, and neuropsychological factors, and the interactions among these. A brief summary of desirable research is presented that could help responders meet these challenges. [Author Abstract]
Keywords: Disister PTSD Trauma Disaster-Response
262. 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. xxxiii, 470 pp.
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: Post disaster Psychotherapy Therapy Process Family Systems Therapy Disaster Response PTSD Disasters Emotional Trauma Family Therapy Society Family Systems Theory Stress
263. Gelinas, D. (2007, September). Treating complex PTSD using EMDR. Paper presented at the annual meeting of the EMDR International Association, Dallas, TX.
Language: English
Format: Conference
Abstract: This workshop will provide a framework for treating complex PTSD using EMDR. It will first review the relevant characteristics of complex PTSD and then use this information to demonstrate EMDR case conceptualization, targeting strategies, trajectories of desensitization and will provide some cognitive interweaves that are particularly helpful for individuals with histories of repetitive trauma. The workshop will also describe how to recognize dissociation during the EMDR phases, including ego states, should they be present, and how to manage dissociation so that EMDR may proceed to its usual adaptive resolution of traumatic memories and the resolution of the individual’s complex PTSD.
Keywords: Complex PTSD
264. Gelinas, D. (2003). Integrating EMDR into phase-oriented treatment for trauma. Journal of Trauma and Dissociation, 4(3), 91-135.
Language: English
Format: Journal
Abstract: Originally introduced a century ago by Pierre Janet, phase-oriented treatment has been independently proposed by many authors and is now widely considered by trauma specialists to be the treatment of choice for PTSD and other posttraumatic disorders. Much more recently, introduced by Francine Shapiro in 1989, Eye Movement Desensitization and Reprocessing (EMDR) has also become available for the treatment of PTSD and other trauma-based disorders. EMDR has become widely accepted by clinicians and has received strong support regarding its efficacy from a wide range of empirical studies. However, with a very few exceptions (highlighted in this paper), these two major approaches for treating trauma have developed largely independently. The present paper integrates the major EMDR developments with the different stages of the phase-oriented approach to assess if such an integration is conceptually and clinically useful. The EMDR developments integrated into the phases of trauma treatment include: Shapiro's prototypic protocol for PTSD and the protocols for other trauma-based disorders, safety protocols, Leeds' and Korn's work with Resource Development and Installation, and Kitchur's Strategic Developmental Model for EMDR. The usefulness of integrating phase-oriented treatment and EMDR is then assessed. These approaches were found to strongly complement each other in their clinical strengths and weaknesses, while sharing many underlying theoretical and structural elements. [Author Abstract]
Keywords: Stressors Survivors PTSD Dissociative Identity Disorder Psychotherapeutic Processes
265. Gelinas, D. (2006, September). Treating complex PTSD with EMDR. EMDRIA Conference, Philadelphia, PA.
Language: English
Format: Conference
Abstract: Research has demonstrated that EMDR is efficacious in treating PTSD. Many clinicians however treat clients with more complicated forms of PTSD resulting from early, repeated trauma experiences. This workshop will provide a framework for beating complex PTSD using EMDR. It will first summarize the clinical picture of complex PTSD, including it's bi-phasic numbing/constricting interspersed with repetitive intrusions, chronic physiological hyperarousal, distortions of the self, and the presence of dissociation, which includes for some clients, the presence of ego states. This information will be used to demonstrate EMDR Case Conceptualizations and several approaches to target selection, depending upon the characteristics of the clinical situation. The workshop will provide a number of EMDR methods for stabilizing clients early in treatment then will focus on Assessment and Desensitization. Complex PTSD frequently calls for extensive use of cognitive interweaves because of the significant distortions in sense of self, and so their use will be reviewed. As they emerge in the different phases of EMDR, different types of dissociation present the clinician with choice points about how to proceed. The workshop will provide sevcral ways to recognize the emergence of dissociation during each of the 8 phases of EMDR and the choice points this represents. It will discuss several ways to manage dissociation as it emerges, including ego states, so that EMDR can proceed productively. Present triggers and future considerations will be included. Time will be included for questions and for focused discussion.
Keywords: PTSD
266. Gelinas, D. (2008, September). Treating complex PTSD using EMDR. Paper presented at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract: This workshop will provide a framework for treating complex PTSD (CPTSD) using EMDR. It will review core elements of PTSD and the added features of CPTSD, including dissociation, somatization, and affect dysregulation, then use this information to demonstrate EMDR case conceptualization, targeting strategies, and some cognitive interweaves that are particularly helpful for individuals with histories of childhood repetitive trauma. The workshop will also describe how to recognize and work with dissociation, including ego states, during the EMDR phases, so that the EMDR can proceed to its usual adaptive resolution of traumatic memories and the resolution of the individual’s complex PTSD.
Keywords: Complex PTSD
267. Gelinas, D. (2009, August). Using EMDR to treat complex PTSD and dissociation. Paper presented at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract: This workshop will provide a framework for treating complex PTSD (CPTSD) using EMDR. It will review core elements of PTSD, the three added features characteristic of CPTSD, then demonstrate EMDR case conceptualization and targeting strategies for both adult- and childhood-onset chronic traumatization. The workshop will review new material in the theory of structural dissociation, describe how to recognize when dissociation (including ego-states) is interfering, disrupting, or even precluding EMDR in its different phases, and will provide a number of interventions to manage such dissociation, including working with dissociative ego-states, so that the EMDR can proceed productively.
Keywords: Complex PTSD Dissociation
268. Gelinas, D. (2009). Protocol for releasing stuck negative cognitions in childhood-onset complex post-traumatic stress disorder (C-PTSD). In M. Luber's (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 427-446). New York: Springer Publishing.
Language: English
Format: Book Section
Keywords: Complex Post-Traumatic Stress Disorder C-PTSD Protocol Stuckness Negative Cognition
269. Gerge, A. (2009, June). EMDR and clinical hypnosis for enhanced healing of patients with complex PTSD and DID. Paper presented at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.
Language: English
Format: Conference
Keywords: DID Dissociative Identity Disorder Complex PTSD Hypnosis
270. 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
271. Giamp, J. S. (2003). Honoring their voice: Eye movement desensitization and reprocessing through the eyes of inmates with developmental disabilities. Walden University, Minneapolis, MN. AAT 3119790.
Language: English
Format: Dissertation/Thesis
Abstract: This study examined the efficacy of eye movement desensitization and reprocessing (EMDR) on inmates with developmental disabilities (DD) who were incarcerated in a special needs correctional facility in the southwestern United States. Cognitively, these inmates ranged from borderline intellectual functioning (BIF) to mild mental retardation (MMR), and all suffered from PTSD-like symptoms. A repeated measure pre- and postanalysis design with one sample group was utilized. The Emotional Problem Scales (EPS), Impact of Events Scales - 8 Items (IES-8), Validity of Cognition Scales (VOCS), and Subjective Units of Disturbance Scales (SUDS) were used to gather quantitative data on the 17 volunteer participants. Baseline and outcome data were collected by an independent assessor. The T-Test was incorporated to analyze the data and determine significance. Due to the small sample of convenience, the data were skewed, so the researcher also used the nonparametric Wilcoxon Signed Rank Test. Descriptive data on EMDR were collected and analyzed.As measured by the SUDS, IES-8, and VOCS, the statistical findings revealed self-reported reductions in levels of distress, avoidance, and intrusiveness of the traumatic memory, and an increase in self-esteem and the believability of positive cognitions about self and the event after the application of EMDR. However, the clinical scales from the Self-Report Inventory (SRI) of the EPS did not reveal any changes after the application of EMDR. Staff familiar with the study volunteers also reported a significant decrease in clinical pathology and an increase in prosocial behavior, as measured by the Behavior Rating Scale (BRS) of the EPS. Findings suggest that the utilization of EMDR with persons having developmental disabilities may have clinical utility. Thus, further research in this area is warranted. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 65(1-B), 2004, pp. 436.
Keywords: Prison Inmates Mentally Retarded Treatment Effectiveness Americans PTSD Self Esteem Empirical Study Quantitative Study
272. 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 considerations 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: PTSD Treatment Effectiveness Literature Review Disturbo Post-Traumatico da Stress
273. 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.
Keywords: PTSD
274. Giannantonio, M. (2001, October). L’eye movement desensitization and reprocessing (E.M.D.R.) negli adulti e adolescenti abusati sessualmente in età infantile - [The Eye movement desensitization and reprocessing (EMDR) in adults and adolescents sexually abused in childhood]. Congresso AIAMC, Palermo, Italy.
Language: Italian
Format: Conference
Abstract: L’Eye Movement Desensitization and Reprocessing (EMDR) nasce come interevento elettivo nella terapia del Disturbo Post-traumatico da Stress (PTSD) e, in particolar modo nelle fasi iniziali del suo consolidamento clinico e teoretico, ha calibrato il proprio protocollo di intervento standard sul PTSD generato da combattimenti bellici, catastrofi naturali e provocate dall’uomo. L’abuso sessuale, soprattutto se avvenuto nell’infanzia, in modo prolungato ed all’interno di un contesto familiare (ovvero il tipo di abuso sessuale sul quale concentrerò ora la mia attenzione), è un tipo di evento traumatico che può presentare caratteristiche peculiari: elementi dissociativi da marcati ad assenti, alterazioni mnestiche e codifiche mnestiche statodipendenti, massicci meccanismi di repressione operanti anche per decenni, condizionamento negativo dell’evoluzione del sistema comportamentale dell’attaccamento, presenza di memorie somatiche di difficile gestione da parte del paziente, disturbi sessuali, difficoltà nell’instaurazione e nel mantenimento della relazione terapeutica. L’abuso sessuale intrafamiliare si accompagna abitualmente alla trascuratezza emotiva ed alla violenza psicologica, in alcuni casi anche a quella fisica. Di fronte ad un quadro 2 clinico così complesso (laddove la presenza di PTSD è semplicemente uno dei possibili esiti psicopatologici, e con ogni probabilità non il più frequente), l’intervento con l’EMDR richiede modificazioni rispetto al protocollo standard di intervento per il PTSD ma, soprattutto, l'inserimento all'interno di un intervento clinico di respiro decisamente più ampio rispetto all’impiego di algoritmi terapeutici ridotti all’essenziale. Il sottoscritto ritiene che, al momento attuale, lo studio più approfondito sull’argomento sia una pubblicazione di Laurel Parnell del 1999. Personalmente, ed in modo concorde con quest’ultimo autore, ho verificato la notevole efficacia nell’operare con l'EMDR - anche molto direttivamente - sulla storia di attaccamento del paziente al fine di colmarne le falle evolutive o eliminare gli ostacoli per il conseguimento di questo fondamentale obiettivo terapeutico.
Keywords: Adults Adolescents Sexual Abuse Postttraumatic Stress Disorder PTSD Disturbo Post-traumatico da Stress Adolescenti Adulti Abusati Sessualmente
275. Giannantonio, M. (2000, Luglio-Settembre). Trauma, psicopatologia e psicoterapia: L’efficacia della psicoterapia ipnotica e dell'eye movement desensitization and reprocessing (EMDR) - [Trauma, psychopathology, and psychotherapy: The efficacy of hypnotherapy and EMDR]. Attualità in Psicologia, 15(3), 336-345.
Language: Italian
Format: Journal
Abstract: 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. 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.
Keywords: Hypnotherapy Treatment Effectiveness Stressors Survivors PTSD
276. Giannantonio, M. (2003, May). Dissociation and theoretical models - EMDR as an assessment tool in complex models of post-traumatic states. Paper presented at the annual meeting of the EMDR Europe Association, Rome, Italy.
Language: English
Format: Conference
Abstract: Though EMDR is normally conceived as a psychotherapeutical approach or, at least, as a clinical method with psychotherapeutical aims, any EMDR practitioner also knows it’s a useful means to make subtle diagnostic remarks on the client. Despite its importance, this matter has never been methodically studied in depth, but it’s informally discussed among clinicians when exchanging subtle pieces of information on micro-interventions and strategies employed in everyday practice. My purpose is therefore to make a report on EMDR as an assessment tool. Some cases will show how a full comprehension of EMDR as an assessment tool requires much more complex etiological and maintenance models of post-traumatic disorders than usually seen in part of the literature.[Author abstract]
277. Giannantonio, M., Guzzi, R., Fernandez, I., & Ziveri, D. (2003, May). Advances in EMDR research – Qualitative analysis of EMDR – Efficacy for PTSD. Paper presented at the annual meeting of the EMDR Europe Association, Rome, Italy.
Language: English
Format: Conference
Abstract: Research on the efficacy of EMDR as a treatment for PTSD has concentrated its focus mostly on the measurement of quantitative variables. This approach facilitates the application of effective procedures of statistical analysis and the comparison of EMDR efficacy with other treatments. Conversely, important information is not reported like the different levels of efficacy in relation to individual characteristics. During this presentation, through the thorough discussion of 3 experimental cases treated with EMDR, we will review how different analysis tools (clinical interviews, biofeedback measures, tests, self-report, etc.) show evidence of different features of EMDR efficacy. The positive results achieved with EMDR treatment with these three subjects will be compared through biofeedback measures and self-administered tests.
Keywords: Qualitative Analysis Efficacy
278. Gibson, R. (2000, Fall). Post traumatic stress disorder and the thalamic/cortical pause. ETC: A Review of General Semantics, 57(3), 354-361.
Language: English
Format: Journal
Abstract: Recent research supports use of "cortical/thalamic pause" treatment modality including EMDR. [Adapted from Text] [Pilots]
Keywords: PTSD Neurophysiology Cognitive Therapy
279. Gisick, M. (2007, Feb 27). N.M. prepares for a novel method for treating vets' PTSD. Albuquerque, NM: The Albuquerque Tribune, A1.
Language: English
Format: Newspaper
Abstract: In EMDR treatment, patients call to mind traumatic memories while following a counselor's finger with their eyes, said Peggy Moore, an Albuquerque social worker and one of the trainers in the state program. Exactly how that process helps a patient isn't fully understood.
Keywords: Veterans PTSD Albuquerque Peggy Moore
280. Glover, H., & Rosch, P. J. (1997, January-February). Letters to the editor. Psychosomatic Medicine, 59(1), 70-71.
Language: English
Format: Journal
Abstract: These letters criticize alleged omissions in a review of the literature on treatment of PTSD. [Pilots]
Keywords: Letter Professional Criticism PTSD Treatment
281. Gold, S. N. (2002, Jan). The future of trauma practice: Visions & aspirations. Journal of Trauma Practice, 1(1), 1-15.
Language: English
Format: Journal
Abstract: In the new and evolving field of traumatology, the need to keep practitioners apprised of emerging developments is acute. While many journals about trauma exist, most of them focus primarily on publication of empirical research studies. Applied professionals rarely read these journals because they see empirical investigations as having very little relevance to their daily practice. Regrettably, these circumstances foster divisiveness between traumatologists who identify themselves mainly as researchers and those who consider themselves chiefly practitioners. Providing an avenue for bridging and integrating the sub-cultures of trauma research and practice is one of the primary aims of the Journal of Trauma Practice (JTP). JTP also seeks to unite the diverse professions that routinely work with traumatized populations, such as emergency room personnel and other medical practitioners, attorneys and forensic specialists, law enforcement personnel, and emergency service workers. Accomplishing these objectives will require openness to innovation while maintaining high standards of scholarship.
Keywords: Trauma Posttraumatic Stress Disorder PTSD Trauma Practice Trauma Research Traumatology Traumatic Memory Critical Incident Stress Debriefing CISD
282. Gold, S., & Faust, J. (2001). The future of trauma practice: Visions and aspirations. Journal of Trauma Practice, 1(1), 1-15.
Language: English
Format: Journal
Abstract: In the new and evolving field of traumatology, the need to keep practitioners apprised of emerging developments is acute. While many journals about trauma exist, most of them focus primarily on publication of empirical research studies. Applied professionals rarely read these journals because they see empirical investigations as having very little relevance to their daily practice. Regrettably, these circumstances foster divisiveness between traumatologists who identify themselves mainly as researchers and those who consider themselves chiefly practitioners. Providing an avenue for bridging and integrating the sub-cultures of trauma research and practice is one of the primary aims of the Journal of Trauma Practice (JTP). JTP also seeks to unite the diverse professions that routinely work with traumatized populations, such as emergency room personnel and other medical practitioners, attorneys and forensic specialists, law enforcement personnel, and emergency service workers. Accomplishing these objectives will require openness to innovation while maintaining high standards of scholarship. [Author Abstract]
Keywords: Editorial PTSD Scientific Research Treatment
283. Goldstein, A. J., De Beurs, E., Chambless, D., & Wilson, K. (2000, December). EMDR for panic disorder with agoraphobia: Comparison with waiting list and credible attention-placebo control conditions. Journal of Consulting & Clinical Psychology, 68(6), 947-956.
Language: English
Format: Journal
Abstract: In a randomized controlled trial, eye movement desensitization and reprocessing (EMDR) for panic disorder with agoraphobia (PDA) was compared with both waiting list and credible attention-placebo control groups. EMDR was significantly better than waiting list for some outcome measures (questionnaire, diary, and interview measures of severity of anxiety, panic disorder, and agoraphobia) but not for others (panic attack frequency and anxious cognitions). However, low power and, for panic frequency, floor effects may account for these negative results. Differences between EMDR and the attention-placebo control condition were not statistically significant on any measure, and, in this case, the effect sizes were generally small (eta2 = .00-.06), suggesting the poor results for EMDR were not due to lack of power. Because there are established effective treatments such as cognitive-behavior therapy for PDA, these data, unless contradicted by future research, indicate EMDR should not be the first-line treatment for this disorder. [Author Abstract]
Keywords: Panic Disorder Phobia Randomized Clinical Trial Treatment Effectiveness PTSD Adults African Americans Asian Americans European Americans Empirical Study Treatment Outcome/Clinical Trial
284. Gomez, A. (2008, September). Beyond PTSD: Treating depression in children and adolescents using EMDR. Paper presented at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract: Traumatized children frequently exhibit symptoms of disorders other than PTSD. There is evidence of comorbidity between PTSD, depression and other behavioral disorders and a large overlap in symptom criteria between PTSD and depression in children and adolescents. The first part of this presentation explores what current research has identified as the key factors for the development of depression in children and adolescents. The evidence linking trauma, stress and PTSD to some forms of depression and the relationship between disorders of attachment, difficulties with affect regulation and the development of depression in children and adolescents will be explored. The second part of this presentation will introduce preliminary evidence that EMDR can be a potentially effective treatment for depression in children and adolescents through a series of case studies and anecdotal reports. The presentation will conclude with an overview of strategies for working with depressed children and adolescents across the eight phases of the EMDR protocol. Even though this presentation will focus on working with pediatric depression, it will provide a foundation for understanding and treating adult depression as well. Video clips of sessions will be shown to provide a concrete and tangible experience for clinicians.
Keywords: Depression Children Adolescents
285. Gomez, A. (2009, August). Treating children with persuasive emotion dysregulation using EMDR and adjunctive approaches. Paper presented at the annual meeting of the EMDR International Association, Atlanta, GA .
Language: English
Format: Conference
Abstract: This presentation will provide theoretical and practical step-by-step strategies to assist clinicians working with children with severe dysregulation of the affective system, such as children exhibiting insecure patterns of attachment, complex PTSD and dissociation. Clinicians will learn key elements to develop case conceptualization skills and treatment plans based on the Adaptive Information Processing Model (AIP). How to use EMDR with adjunct approaches and strategies, such as ego-state therapy and somatic intervention, with children will be addressed. Strategies directed to titrate amount of trauma and keep children manageable and tolerable levels of activation to facilitate reprocessing will be demonstrated.
Keywords: Dysregulation Children PTSD
286. Gosselin, P., & Matthews, W. (1995, December). Eye movement desensitization and reprocessing in the treatment of test anxiety: A study of the effects of expectancy and eye movement. Journal of Behavior Therapy and Experimental Psychiatry, 26(4), 331-337.
Language: English
Format: Journal
Abstract: Eye Movement Desensitization and Reprocessing (EMDR) is a recently invented technique acclaimed as a major breakthrough for a range of anxiety-related symptoms. To determine the importance of the eye movement and expectancy variables, we conducted a one-hour session with 41 undergraduate subjects (11 males and 30 females) with test anxiety. A 2 (eye movement vs no eye movement) x 2 (high expectancy vs low expectancy) analysis of variance was performed on 3 dependent measures: (1) Subjective Units of Disturbance Scale (SUDs); (2) Validity of Cognition Scale (VOC); and (3) the Test Anxiety Inventory (TAI). The data indicate that all subjects, regardless of treatment condition, showed a significant decrease in anxiety on the TAI. Subjects in the eye-movement condition reported feeling less anxious (SUDs) than those in the no-eye-movement condition. We found no significant main effect or interactions for any of the dependent measures for expectancy. [Author Summary]
Keywords: Adults Americans College Students Experimental Stressors PTSD Survivors Treatment Effectiveness
287. Grant, M. (2001). Pain control with EMDR. Oakland, CA: New Harbinger Publications, Inc.
Language: English
Format: Book
Abstract: An "information-processing" approach to the psychological management of pain, utilizing EMDR. Includes theory, assessment and clinical application of specialized protocols. [EMDR-HAP]
Keywords: Pain Pain Control PTSD Psychosomatic Symptoms Alternative Treatment
288. Grant, M. (1997). Pain control with EMDR Cassette tape 1 sound cassette : analog + 1 booklet (12 p.). Oakland, CA: New Harbinger Publications.
Language: English
Format: Audio
Abstract: Discusses the treatment of chronic pain with EMDR
Keywords: Chronic pain Psychosomatic Aspects PTSD Psychic trauma Treatment.
289. Grant, M. (1997). Pain control based on EMDR, Sound Recording : Non-music : Lectures, speeches : Cassette tape 1 Sound cassette (56 min.) analog. [Canada?] : TherapistsResources.com,. [Canada]: TherapistsResources.com,.
Language: English
Format: Audio
Abstract: Discusses the treatment of chronic pain with EMDR
Keywords: Chronic pain Psychosomatic Aspects PTSD Psychic trauma Treatment
290. Graves, A. L. (1993). Treatment of post-traumatic stress disorder with eye movement desensitization and reprocessing (EMDR). Chicago School of Professional Psychology. AAT 9414735.
Language: English
Format: Dissertation/Thesis
Abstract: This work examines the effect of Eye Movement Desensitization and Reprocessing (EMDR) on a 51-year-old PTSD patient. Using a multiple baseline design, the author compared EMDR with supportive therapy and a distraction technique. The author used the Impact of Events Scale (IES), the State-Trait Anxiety Inventory (STAI), and electromyograph (EMG) readings as treatment measures. The study specifically addresses the eye movement component of EMDR as the crucial element of the intervention.The literature review includes the etiology and treatment of PTSD, an overview of EMDR, and case studies of EMDR in the treatment of PTSD. Along with these topics, the author also examines Rapid Eye Movement (REM) sleep and its possible connection to EMDR. The results of this work indicate that, when compared to expressive interventions and eye fixation, EMDR made the greatest changes in the subject's PTSD symptoms, particularly in the area of intrusive thoughts. The author concludes this work with recommendations pertaining to EMDR and its impact on the future of PTSD treatment. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 55(2-B), 1994, pp. 592.
Keywords: Case Report Intrusive Thoughts Middle Aged PTSD Treatment Effectiveness Empirical Study
291. Grbesa, G. (2009, June). EEG asymmetry druing EMDR treatment in PTSD. Paper presented at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.
Language: English
Format: Conference
292. Greenwald, R. (1998, April). Eye movement desensitization and reprocessing (EMDR): New hope for children suffering from trauma and loss. Clinical Child Psychology and Psychiatry, 3(2), 279-287.
Language: English
Format: Journal
Abstract: Eye movement desensitization and reprocessing (EMDR) is a recently developed method for working through traumatic memories and related psychological problems. Recent literature reviews find strong support for EMDR's value in trauma therapy. The first studies using EMDR wth children and adolescents yield similar findings. A case is presented to illustrate the procedure as used in clinical practice. EMDR appears to be a promising new resource for helping children and adolescents recover from truama and loss. [Author Abstract]
Keywords: Case Report Females Preadolescents Rape Survivors Torture PTSD Clinical Case Study Empirical Study
293. Greenwald, R. (2000). The trauma orientation and child therapy. In K. N. Dwivedi (Ed.), Post-traumatic stress disorder in children and adolescents (pp. 7-24). London: Whurr Publishers.
Language: English
Format: Book Section
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: Stressors Survivors PTSD Assessment Children Adolescents
294. Greenwald, R. (2000). Eye movement desensitisation and reprocessing. In K. N. Dwivedi (Ed.). Post-traumatic stress disorder in children and adolescents (pp.198-212). London: Whurr Publishers.
Language: English
Format: Book Section
Abstract: Discusses the efficacy of EMDR in the treatment of child and adolescent trauma survivors, with two case examples of succesful EMDR therapy in preadolescents. [Pilots]
Keywords: Children Adolescents PTSD Stressors Survivors Disruptive Behavior Disorders Psychotherapeutic Processes Preadolescents
295. Gregoire, Pierre (2001, September). Psychotherapy with EMDR of a PTSD Patient. Paper presented at EMDR Clinical Rounds at the Allan Memorial Institute, Montreal, Canada.
Language: English
Format: Other
Keywords: Posttraumatic Stress Disorder PTSD
296. Groenenberg, J. M. (2005, October). EMDR in the treatment of traumatized refugees. Stickting Centrum '45.
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: Refugees PTSD Treatment
297. Grohol, J. M. (2007, February). Does EMDR work for PTSD in just 5 sessions?. PsychCentral Online.
Language: English
Format: Other
Abstract: For the first answer, I turn to Swedish researchers who examined 24 subjects who had just five sessions of EMDR therapy for the treatment of PTSD. After the five-session treatment, 67% of the subjects no longer met criteria for PTSD (compared to 10% of the control group), and there were significant differences post-treatment between the groups in Global Assessment of Function (GAF) scores and Hamilton Depression (HAM-D) scores. These latter two measures helped to measure how the person actually felt (versus some objective, but clinical, third-party diagnostic criteria). That’s significant, because it means that not only did two-thirds of those who received the EMDR treatment not meet the criteria for PTSD any longer, they actually felt better too. Sometimes researchers forget to measure silly things like that.
Keywords: PTSD
298. Grondahl, P. (1995, July 1). Mystery miracle? Eye movement therapy is helping trauma patients at Albany VA hospital, but no one can put a finger on why it works. Albany, NY: Times Union, One Star, Life & Leisure, D1.
Language: English
Format: Newspaper
Abstract: The therapy is known as Eye Movement Desensitization and Reprocessing (EMDR). Even while the experimental and controversial treament is being heavily scrutinized largely because it looks so simple yet purports to achieve remarkable success it has gained grudging acceptance at the Albany VA hospital for treatment of trauma in Vietnam veterans.
Keywords: PTSD Trauma Veterans Albany
299. 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: Hypnotherapy Thought Field Therapy Phobia Dissociative Disorders PTSD Eating Disorders Energy Psychotherapy Stressors Survivors Adults Psychotherapeutic Processes
300. Grozdanko, G., & Simonovic, M. (2003, May). The application of EMDR in different stages of the evolution of the PSTD symptoms. Poster session presented at the annual meeting of the EMDR Europe Association, Rome, Italy.
Language: English
Format: Conference
301. Guzzi, R., Bossa, R., & Masaraki, S. (2003). Psychophysiological analysis of eye movement desensitisation and reprocessing treatment. Homeostasis in Health and Disease, 42(3), 129-131.
Language: English
Format: Journal
Abstract: Eye Movement Desensitisation and Reprocessing (EMDR) is a new controversial treatment that claims to resolve long-standing traumatic memories within few treatment sessions. Evidence based data indicate that EMDR markedly reduces anxiety associated with a traumatic memory already at the first session, and behavioural changes tend to be maintained. In spite of the positive results, critical reviews have outlined some methodological biases in the EMDR previous studies, such as the lacking of a pre and post treatment standardised assessments, lacking of standardised inclusion criteria, poor study design. In the present study we have examined three subjects with PTSD, before and after EMDR therapy. Clinical interviews, psychological tests and self-reports have been administered. Biofeedback measures of electromyographic muscle tension, body temperature, heart rate and skin potential reaction have been used as well. An independent investigator was responsible for the collection of final data. The results showed an interesting trend after treatment compared to baseline. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: PTSD Empirical Study Quantitative Study Treatment Outcome/Clinical Trial Posttraumatic Stress Disorder
302. Hai-xia, S., Yun-ping, Y. (2004, August). The psychotherapy of eye movement desensitization and reprocessing. Chinese Journal of Clinical Psychology, 12(3), 324-326.
Language: English
Format: Journal
Abstract: EMDR (Eye movement desensitization and reprocessing) is one of the first therapy to treat PTSD patient. It integrate aspects of a variety of theoretical orientations and can provide rapid clinical results compare to other treatment. There is fruitful studies to analysis its validity, but it is still need more serious controlled study to assess EMDR.
Keywords: PTSD
303. Hamilton, C. (1999, June). EMDR in the treatment of a client with psychosis and post traumatic stress disorder. Paper presented at the annual meeting of the EMDR International Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract: Participants will: 1) increase his/her knowledge about identifying post traumatic stress disorder in persons with psychosis; 2) increase his/her intereste in exploring the potential benefit of EMDR with clients with psychosis and trauma disorders; 3) identify aspects of psychosis that according to this single case study did not appear to benefit from treatment with EMDR.
304. Hampel, J. C. (1997, November). The effects of eye movement desensitization and reprocessing (EMDR) on self-reported test anxiety in college students. Western Michigan University. AAT 9732881.
Language: English
Format: Dissertation/Thesis
Abstract: Test anxiety is a common problem among students in western culture due to the importance of academic achievement and the consequences for failure. Many consider test anxiety to be primarily an issue of poor study habits and test readiness. However, some students who appear to possess excellent study habits also appear to experience severe anxiety during tests. A recent meta-analysis of test anxiety research substantiated these claims, finding that test anxiety appeared to be an emotionally-based as opposed to a cognitively-based problem. Despite these findings, the etiologies for test anxiety remain unknown. Similar to nearly all DSM-IV diagnostic categories, test anxiety is a syndrome with no known pathognomonic sign(s) which singularly diagnose the condition. Hence, treatments for test anxiety, as for nearly all other DSM-IV mental disorders are symptomatic as opposed to strategic. Unfortunately, there are few symptomatic treatments for test anxiety that are both efficient and effective.Eye movement desensitization and reprocessing (EMDR), which was developed for the symptomatic treatment of PTSD, was chosen to treat the symptoms of test anxiety for the following essential reasons: (a) the reported efficacy of EMDR with PTSD; (b) the similarities between test anxiety and PTSD that include intrusive thoughts, inability to concentrate, behavioral avoidance, and emotional symptomatology; and (c) the need for a brief, effective symptomatic treatment for test anxiety. Using a waiting control group against which to compare the treatment group and subsequently replicate treatment effects, the results found that EMDR was highly effective for the symptomatic reduction of self-reported test anxiety as measured by all test anxiety scales. Moreover, these results also suggest that measures of study habits and attitudes are also sensitive to enhancement as a result of treatment with EMD/R. Although the current results did not suggest specific mechanism(s) by which EMDR was effective, the pattern of highly effective results across widely different types of test anxiety presentations suggests the actions of an active placebo treatment. It is suggested that future research contrast EMD/R with known active placebo protocols. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 58(5-B), Nov 1997, pp. 2676.
Keywords: Anxiety Disorders College Students Life Experiences PTSD Survivors Treatment Effectiveness Empirical Study
305. Haour, F. (2009, June). Brain source imaging of the alpha rhythm in PTSD patients using the MEG technique. Symposium presented at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.
Language: English
Format: Conference
Abstract: PTSD; MEG Technique; Alpha Rhythm; Brain Imaging
Keywords: Symposium: Research
306. Harvey, A.G., Bryant, R. A., & Tarrier, N. (2003). Cognitive behaviour therapy for posttraumatic stress disorder. Clinical Psychology Review, 23, 501-522.
Language: English
Format: Journal
Abstract: Following considerable empirical scrutiny, cognitive behaviour therapy (CBT) has proven to be a safe and effective treatment for posttraumatic stress disorder (PTSD). This article overviews the general principles of treatment and describes the components that comprise CBT for PTSD. We then move on to review the efficacy of CBT for the treatment of PTSD caused by various traumas, including assault, road traffic accident (RTA), combat, and terrorism. Recent advances in early intervention and in the treatment of disorders that are comorbid with PTSD are reviewed. Finally, future directions are discussed. In particular, it is proposed that randomised controlled trials (RCT) of CBT for PTSD must be conducted with enhanced methodological rigour and public health relevance. D 2003 Elsevier Science Ltd. All rights reserved.
Keywords: Cognitive Behavioral Therapy CBT Posttraumatic Stress Disorder PTSD
307. Hase, M. (2004, June). Symposium single trauma and grief - Application of eye movement desensitization and reprocessing (EMDR) on severe posttraumatic stress disorder following a single traumatic event in elderly psychiatric patients. Paper presented at the EMDR Europe Association annual meeting, Stockholm, Sweden .
Language: English
Format: Conference
Keywords: Symposium Grief Single Trauma Elderly Posttraumatic Stress Disorder PTSD
308. Hase, M. H. (2004, June). Application of eye movement desensitization and reprocessing (EMDR) on severe posttraumatic stress disorder following a single traumatic event in elderly psychiatric patients. Paper presented at the annual meeting of the EMDR Europe Association, Stockholm, Sweden.
Language: English
Format: Conference
Keywords: Posttraumatic Stress Disoder PTSD Complex PTSD Elderly
309. Hase, M. H. (2006). Eye movement desensitization and reprocessing zur beeinflussung des cravings alkoholabhängiger - [Eye movement desensitization and reprocessing to influence of cravings of alcohol]. Aus der Abteilung PsychosomatischeMedizin und Psychotherapie der Medizinischen Hochschule Hannover.
Language: German
Format: Dissertation/Thesis
Abstract: Klinische Erfahrung und Ergebnisse der experimentellen Suchtforschung weisen auf die Existenz eines Suchtgedächtnisses hin (Heyne, May et al. 2000; Böning 2001; Spanagel 2001). Nach wie vor ist dies Konzept jedoch umstritten (Böning 2000; Tretter 2000; Wolffgramm and Heyne 2000). Dabei könnte eine mögliche therapeutische Beeinflussung eines Suchtgedächtnisses von erheblicher Bedeutung sein. Die etablierten Therapieangebote der Suchtmedizin versuchen eine angenommene und je nach theoretischem Hintergrund unterschiedliche Grundstörung zu behandeln, zielen auf ein verbessertes Coping, beeinflussen aber kaum die zugrunde liegenden Mechanismen der Abhängigkeit sui generis. Eine tiefgreifende Veränderung der Abhängigkeit ist somit nicht zu erwarten. Vielmehr liegt die Abhängigkeit beständig „auf der Lauer“ (Böning 2001b). Eine Aktivierung des Suchtgedächtnisses wird mit dem Phänomen des Suchtdrucks, des Cravings in Verbindung gebracht und ist hier im Kern der Abhängigkeit, dem Verlust an Kontrolle über das eigene Verhalten, zu sehen. Die therapeutische Beeinflussung des Cravings wird aufgrund der großen Bedeutung für eine Abstinenz zum Beispiel bei Alkoholabhängigen intensiv erforscht. Bisher wurden vordringlich medikamentöse Strategien untersucht. Obwohl hier einige Fortschritte erreicht wurden (Böning 1999; Croissant 2004; Croissant, Scherle et al. 2004 (b)), können die vorliegenden Ergebnisse noch nicht zufrieden stellen (Wiesbeck, Weijers et al. 1999;Wiesbeck,Weijers et al. 2000; Böning 2001; Schmidt, Kuhn et al. 2002; Körkel and Schindler 2003). Zudem ist in Anbetracht des Leib-Seele-Dualismus ein psychotherapeutischer Ansatz zur Ergänzung der medikamentösen Anti-Craving-Behandlung wünschenswert. Dabei ist in Anbetracht des intensiven Leidens abhängiger Menschen und der sozioökonomischen Belastung durch Abhängigkeitserkrankungen eine Effektivierung der Therapie von großerWichtigkeit.
Keywords: PTSD Therapy Alcoholism
310. Hase, M., & Hofmann, A. (2005, March). Risiken und nebenwirkungen beim einsatz der EMDR-Methode - [Risks and adverse effects in treatment with EMDR]. PTT: Persönlichkeitsstörungen Theorie und Therapie, 9(1), 16-21.
Language: German
Format: Journal
Abstract: Eye Movement Desensitization and Reprocessing (EMDR) is a meanwhile well established approach in the treatment of posttraumatic stress disorder (PTSD). EMDR focuses on the reprocessing of traumatic memories, and other trauma-related symptoms, e.g., triggers or current trauma-related dysfunctional behaviors. A laissez-faire application and insufficient technique may contribute to accumulating patient discomfort. Risks and adverse effects of the EMDR-approach con be counteracted by comprehensive diagnostic procedures, assessment of patient stability, preparation, treatment planning and precise application of EMDR. The professional organizations should try to ensure the highest level of ethical and professional conduct in order to minimise the risk of adverse effects. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: PTSD Risk Factors Adverse Effects Side Effects (Treatment) Stress