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EMDR and the Art of Psychotherapy with Children

ISBN-10: 0826111173
ISBN-13: 9780826111173
Edition: 2008
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Description: This book features: A standard EMDR protocol for treating children using the eight phases, including an overview of how to adjust the presentation of each phase to individual children, Goals for each phase of the protocol, including directions for  More...

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Book details

Copyright year: 2008
Publisher: Springer Publishing Company, Incorporated
Binding: Hardcover
Pages: 408
Size: 6.25" wide x 9.25" long x 1.00" tall
Weight: 1.760
Language: English

This book features: A standard EMDR protocol for treating children using the eight phases, including an overview of how to adjust the presentation of each phase to individual children, Goals for each phase of the protocol, including directions for each session, instructions for the therapist, and a script for therapists to use with child clients, Subheadings of procedural considerations and clinical implications where therapists are given options for deciding how to proceed with the EMDR protocol, Additional chapters describing advanced skills for using EMDR with special populations, Case studies integrating the stories of children treated with EMDR, A complete transcript of an EMDR session with a 3-year-old child (given with parental consent). Now, with this book, even more clinicians will get the concrete guidance they need to help treat an untold number of children who desperately need EMDR. Book jacket.

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

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