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| Foreword | |
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| Preface | |
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| Acknowledgments | |
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| Theoretical Underpinnings and Research on EMDR with Children | |
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| Basic Training in EMDR | |
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| Adaptive Information Processing and EMDR in Child Psychotherapy | |
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| Assessing the Literature on EMDR With Children | |
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| Research on EMDR | |
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| Research on EMDR in Psychotherapy With Children | |
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| EMDR Individual Studies With Children | |
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| EMDR Group Studies With Children | |
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| Our First Research Study | |
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| Summary | |
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| Getting Started With EMDR | |
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| Getting Started With EMDR | |
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| Books on EMDR | |
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| Research on EMDR | |
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| The Eight Phases of EMDR | |
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| Client History and Treatment Planning Phase | |
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| Preparation Phase | |
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| Assessment Phase | |
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| Desensitization Phase | |
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| Installation Phase | |
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| Body Scan Phase | |
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| Closure Phase | |
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| Reevaluation Phase | |
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| First Client Considerations | |
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| The Therapist's Role in EMDR | |
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| Setting Up the Office for EMDR, and Especially for Working With Children | |
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| Integrating Play Therapy Into the EMDR Protocol | |
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| EMDR Progress Notes | |
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| Cognitive Interweaves | |
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| Additional Tools for Getting Started With EMDR | |
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| Study Groups | |
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| Listservs | |
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| Summary | |
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| EMDR Phase 1: Client History and Treatment Planning | |
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| Client History | |
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| Interviewing Parents and Children | |
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| Procedural Considerations | |
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| Listening for Targets | |
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| Presenting Problem | |
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| Psychosocial History | |
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| Parent-Child Attachment/Attunement | |
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| Educational History | |
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| Religious Affiliations/Cultural Dynamics | |
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| Developmental History | |
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| Medical History | |
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| Assessment of Current Stability | |
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| Affect Tolerance | |
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| Trauma History | |
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| Current Resources, Innerpersonal, and Interpersonal Skills | |
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| Potential Targets | |
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| Listening for Negative Cognitions | |
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| Treatment Planning | |
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| Therapist Script for Client History and Treatment Planning | |
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| Informed Consent | |
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| Establishing the Therapeutic Relationship and Engaging the Client in Therapy | |
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| Assessment Tools for Evaluating Children | |
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| Ethical and Legal Issues | |
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| Cognitive/Intellectual Assessment | |
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| Academic/Achievement Assessment | |
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| Developmental Assessment | |
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| Behavioral Assessment | |
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| Emotional Assessment | |
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| Assessing Children's Readiness for Therapy/Selection Criteria | |
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| Monitoring Child Symptoms | |
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| Providing Psychoeducational Information | |
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| Summary | |
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| Initial EMDR Session Protocol | |
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| EMDR Phase 2: Preparation Phase | |
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| Explaining EMDR and Informed Consent for Treatment | |
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| Explaining EMDR to Parents | |
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| Explaining EMDR to Children | |
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| Assessing the Child's Resources | |
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| Assessing the Child's Internal Resources and Skills | |
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| Assessing the Child's External Resources | |
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| Teaching the Mechanics of EMDR | |
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| Bilateral Stimulation (BLS) | |
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| Clinical Decision Making With BLS | |
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| Differences Between Adults and Children Regarding BLS | |
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| Speed and Number of Saccades | |
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| Demonstrating BLS to Clients | |
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| Safe/Calm Place | |
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| Safe/Calm Place Protocol for Children | |
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| Stop Signal | |
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| Metaphor for EMDR | |
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| Procedural Considerations | |
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| Techniques for Distancing and Titrating Intense Affect | |
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| Containers and Types of Containers | |
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| Organizing the Office for Treating Children With EMDR | |
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| Resourcing and Mastery Skills | |
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| Skills for Dealing With Between Sessions and Incomplete Sessions | |
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| Summary | |
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| Preparation Phase Session Protocol | |
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| EMDR Phase 3: Assessment Phase | |
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| Procedural Steps of the Assessment Phase of EMDR | |
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| Target Identification | |
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| Clinical Implications | |
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| Tools for Target Identification With Child Clients | |
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| Touchstone Event | |
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| Interviewing Children and Parents to Identify Targets | |
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| Floatback Technique | |
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| Creative Techniques for Identifying Targets for Reprocessing With EMDR | |
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| Mapping Targets for EMDR Processing | |
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| Graphing EMDR Mastery Experiences, Targets, and Symptoms | |
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| Additional Techniques for Target Identification of Children | |
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| Negative (NC) and Positive Cognitions (PC) | |
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| Identifying NCs and PCs With Children | |
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| Cognitive Themes: Responsibility/Safety/Choices | |
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| NCs and PCs and Cognitive Interweaves | |
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| Assessing the Validity of Cognition (VoC) | |
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| Procedural Considerations for Measurements in EMDR | |
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| Measuring the VoC | |
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| Identifying Emotions or Feelings and Body Sensations | |
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| Measuring the Subjective Units of Disturbance | |
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| Procedural Considerations for Body Sensations | |
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| Summary | |
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| Procedural Steps of the Assessment Phase | |
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| EMDR Phase 4: Desensitization | |
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| The Goal of the Desensitization Phase | |
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| Procedural Considerations | |
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| Evidence of Reprocessing During Desensitization With Children | |
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| Children Process Quickly | |
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| Affective and Behavioral Indicators of Reprocessing With Children | |
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| Implication of Developmental Milestones on Reprocessing | |
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| Use of Bilateral Stimulation (BLS) With Children During Reprocessing | |
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| Sets of BLS | |
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| Need to Change Type of BLS or Play or Focus | |
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| Eye Movements | |
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| Issues Unique to Desensitization With Children | |
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| Children May Display Hesitancy and Avoidance Behavior | |
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| Fluctuations in SUD Ratings | |
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| Children May Process in Fantasy Before Processing in Reality | |
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| Therapists' Role | |
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| Therapists' Skills, Tools, and Use of Self in Therapy With Children | |
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| Strategies for Regulating the Speed of Reprocessing | |
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| Flooding | |
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| Techniques for Distancing and Titrating Intensity of Memory Reprocessing With Children | |
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| Containers | |
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| Incomplete Accessing | |
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| Cognitive Interweaves | |
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| Procedural Considerations | |
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| Themes for Cognitive Interweaves: Responsibility/Safety/Choices | |
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| End of a Channel | |
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| Checking the Target | |
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| Incomplete Sessions | |
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| Procedure for Closing Incomplete Sessions | |
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| Summary | |
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| Instructions to the Client and Therapist's Script for Desensitization Phase | |
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| Case Presentation: EMDR Session With a 3-Year-Old Child | |
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| Transcript of a Therapy Session | |
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| EMDR Phases 5, 6, and 7: Installation, Body Scan, and Closure | |
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| Phase 5: Installation Phase | |
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| Script for Installation of Positive Cognition (PC) | |
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| Challenges to Installing the PC With Children | |
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| Procedural Considerations | |
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| Phase 6: Body Scan | |
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| Script for Body Scan | |
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| Procedural Considerations | |
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| Future Template | |
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| Future Template Script | |
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| Phase 7: Closure | |
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| Choosing an Ending Point for the Session | |
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| Tools for Assisting a Child to Debrief and Regroup at the End of a Session | |
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| Tools for Between Sessions, Including Coping Strategies if Additional Information Arises Between Sessions | |
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| Script for Closure/Debriefing the Experience | |
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| Summary | |
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| EMDR Phase 8: Reevaluation | |
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| Reevaluation Phase | |
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| Review What Is Currently Happening in the Child's Environment | |
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| Clinical Implications | |
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| Review the Child's Response to Previous Sessions | |
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| Reevaluate the Specific Target | |
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| Procedural Considerations | |
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| Reevaluation at the End of Treatment | |
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| Treatment Reevaluation With Single-Incident Traumas | |
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| Treatment Reevaluation With Chronic Trauma | |
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| Summary | |
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| Emotional Resources, Coping Skills, and Strengthening Mastery Experiences for Children | |
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| Goals of Resourcing, Coping, and Mastery | |
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| Emotional Resources, Coping, and Mastery Skills | |
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| Relaxation Skills | |
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| Breathing Techniques | |
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| Guided Imagery | |
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| Containers | |
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| Get a Grip | |
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| Techniques for Discharging Intense Emotions | |
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| Calming and Soothing Skills and Techniques | |
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| Mastery Skills for Children | |
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| Procedural Considerations for Mastery Skills | |
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| Resource Development and Installation (RDI) Skills for Children | |
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| Procedural Considerations for RDI With Child Clients | |
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| Scripts for RDI | |
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| Procedural Considerations for RDI Protocols With Children | |
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| Summary | |
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| Abbreviated RDI Protocol for Children | |
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| Tools for Blocked Processing and Cognitive Interweaves | |
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| Blocked Processing | |
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| Editing | |
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| Looping | |
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| Numbing | |
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| Avoidance/Reluctance | |
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| Dissociation | |
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| Abreactions | |
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| Intense Emotional Reactions | |
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| Clinical Implications for Therapists Working With Blocked Processing | |
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| Cognitive Interweaves | |
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| Motor Interweaves | |
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| Sensory Interweaves | |
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| Educational Interweaves | |
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| Narrative Interweaves | |
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| Cognitive Interweaves With Children | |
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| Examples of Cognitive Interweaves to Restart Processing With Children | |
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| Cognitive Interweaves for Current or Future Issues | |
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| Summary | |
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| Specialty Topics on Using EMDR With Children | |
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| Parents, Parenting Skills, and Active Parenting | |
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| General Categories of Childhood Concerns | |
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| Clinical Diagnoses of Childhood | |
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| Clinical and Behavioral Issues | |
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| Behavioral/Developmental Issues of Childhood | |
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| Situational Issues Unique to Children | |
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| Testifying in Court | |
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| Dealing With Divorce | |
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| Motor Vehicle Accidents | |
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| Child Abuse | |
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| Educational Issues | |
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| Summary | |
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| The Future of EMDR With Children | |
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| Adaptive Information Processing and EMDR in Child Psychotherapy | |
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| How Therapists Conceptualize Treatment With Children | |
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| How Children Construct Reality | |
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| How Children Learn | |
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| The Relationship Between the Child and Therapist | |
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| The Therapist's Role in Psychotherapy With Children | |
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| Theoretical Orientations of Psychotherapy | |
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| Theoretical Orientations and Psychotherapy Approaches With Children | |
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| Play Therapy | |
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| Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) | |
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| The EMDR Treatment Model as a Template for a Comprehensive Approach to Child Psychotherapy | |
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| EMDR With Children as Evidence-Based Practice | |
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| What Really Matters: The Children's Stories | |
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| The End Is Just the Beginning | |
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| Consent/Assent for Treatment Form | |
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| EMDR Client History/Treatment Planning Form | |
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| Child/Adolescent Symptom Monitoring Form | |
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| Safe/Calm Place Protocol for Children Worksheet | |
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| Mapping Targets for EMDR Processing | |
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| Graphing EMDR Targets or Symptoms | |
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| Recent Event Protocol for Children | |
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| Scripts for Assessment, Desensitization, Installation, Body Scan, Closure, and Reevaluation | |
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| Kids' List of Cognitions | |
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| EMDR Fidelity Questionnaire | |
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| References | |
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| Index | |