Eye Movement Desensitization and Reprocessing (EMDR), Second Edition Basic Principles, Protocols, and Procedures

ISBN-10: 1572306726
ISBN-13: 9781572306721
Edition: 2nd 2001
Authors: Francine Shapiro
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Book details

List price: $70.00
Edition: 2nd
Copyright year: 2001
Publisher: Guilford Publications
Publication date: 8/6/2001
Binding: Hardcover
Pages: 472
Size: 6.25" wide x 9.50" long x 1.50" tall
Weight: 1.738
Language: English

Background
A Chance Discovery
The First Controlled Study
Further Clinical and Experimental Observations
Shift in Paradigm
Adaptive Information Processing
Theoretical Convergences
Posttraumatic Stress Disorder
Psychodynamic Approaches
Behavioral Approaches
Cognitive-Behavioral Approaches
Integrative Approach
Summary and Conclusions
Adaptive Information Processing: The Model as a Working Hypothesis
Information Processing
Dual Attention Stimulation
Memory Networks
A Sample EMDR Session
Partial Transcript of the Sample Session
Evaluation of the Sample Session
Dysfunctional to Functional
Disparate Neuro Networks
Applications of EMDR to Other Disorders
Static Experience: Affect and Belief Statements
Resolution
Frozen in Childhood
"Time-Free" Psychotherapy
Targets
Access Restricted to Negative Material
Memory Lapses
Dissociation
Integrated Psychotherapy
Summary and Conclusions
Components of EMDR Treatment and Basic Treatment Effects
Basic Components of the EMDR Procedure
The Image
The Negative Cognition
The Positive Cognition
The Emotions and Their Level of Disturbance
The Physical Sensations
Activating the Information-Processing System
Eye Movements
Alternative Forms of Stimulation
The Eight Phases of EMDR Treatment
Client History and Treatment Planning
Preparation
Assessment
Desensitization
Installation
Body Scan
Closure
Reevaluation
Standard Three-Pronged EMDR Protocol
Choosing a Target
Patterns of Response
Multimemory Associative Processing
The Belief Inherent in the Trauma
The Major Participant or Perpetrator
The Pronounced Stimuli
The Specific Event
The Dominant Physical Sensations
The Dominant Emotions
Single-Memory Processing Effects
Changes in Image
Changes in Sounds
Changes in Cognitions
Changes in Emotions
Changes in Physical Sensation
Differential Effects
Supervised Practice
Summary and Conclusions
Phase One: Client History
Client Readiness
Client Safety Factors
Level of Rapport
Emotional Disturbance
Stability
Life Supports
General Physical Health
Office Consultation versus Inpatient Treatment
Neurological Impairment
Epilepsy
Eye Problems
Drug and Alcohol Abuse
Legal Requirements
Systems Control
Secondary Gains
Timing
Medication Needs
Dissociative Disorders
Treatment Planning
History-Taking Transcript
Supervised Practice
Summary and Conclusions
Phases Two and Three: Preparation and Assessment
Preparation
Adopting a Clinical Stance
Forming a Bond with the Client
Explaining the Theory
Testing the Eye Movements
Creating a Safe Place
Describing the Model
Setting Expectations
Addressing Client Fears
Assessment
Selecting the Picture
Identifying the Negative Cognition
Developing a Positive Cognition
Rating the Validity of Cognition
Naming the Emotion
Estimating the Subjective Units of Disturbance
Identifying Body Sensations
Importance of the Components
Supervised Practice
Summary and Conclusions
Phases Four to Seven: Desensitization, Installation, Body Scan, and Closure
Accelerated Reprocessing of the Memory
Desensitization
Associative Processing
Imagery
New Memory
Image Changes
Incident Unfolds
Appearance Changes
Sounds and Thoughts
Negative Statements
Mismatches
Positive Thoughts
Insights
Sensation and Affect
New Emotions
Shifting Sensations
Assessment
Installation
Body Scan
Closure
Visualization
Safety Assessment
Debriefing and Log
Supervised Practice
Summary and Conclusions
Working with Abreaction and Blocks
Abreaction
Guidelines for Facilitating Abreaction
If Abreaction Persists
Strategies for Blocked Processing
Primary Target
Altering the Eye Movement
Focusing on Body Sensation
All Sensation
The Primary Sensation
Unspoken Words
Using Movement
Pressing the Location
Scanning
Visual Cues
Sound Effects
Dialogue
Alterations
Appearance of Image
No Action
Hierarchy
Redirecting to Image
Redirecting to Negative Cognition
Adding a Positive Statement
Checking the Positive Cognition
Return to Target
Ancillary Targets
Feeder Memories
Blocking Beliefs
Fears
Fear of Going Crazy
Fear of Losing the Good Memories
Fear of Change
Wellsprings of Disturbance
Supervised Practice
Summary and Conclusions
Phase Eight: Reevaluation and Use of the EMDR Standard Three-Pronged Protocol
Reevaluation
The Standard EMDR Protocol
Working on the Past
Single-Target Outcome
Recycling through Multiple Targets
Primary Events
Past Events
Progressions
Clusters
Participants
Working on the Present
Using the Log to Report Systems Issues
Working on the Future
Significant People
Significant Situations
Incorporating a Positive Template
Concluding Therapy
Follow-Up
Terminating Therapy
Supervised Practice
Summary and Conclusions
Protocols and Procedures for Special Situations
The 11-Step Standard Procedure
Protocol for a Single Traumatic Event
Protocol for Current Anxiety and Behavior
Protocol for Recent Traumatic Events
Protocol for Phobias
Protocol for Excessive Grief
Protocol for Illness and Somatic Disorders
Self-Directed Use of Eye Movement Sets for Stress Reduction
Caveats and Suggestions
Technical Considerations
Self-Control/Closure Procedures
Safe-Place Imagery
Taped Visualizations
The Light-Stream Technique
Vertical Eye Movements
Debriefing and Safety Assessment
Summary and Conclusions
The Cognitive Interweave: A Proactive Strategy for Working with Challenging Clients
Foundation of the Interweave
Responsibility, Safety, and Choices
Fitting the Intervention to the Client
Interweave Choices
New Information
"I'm Confused"
"What If It Were Your Child?"
Metaphor/Analogy
"Let's Pretend"
Socratic Method
Assimilation
Verbalizations and Actions
Education
Supervised Practice
Summary and Conclusions
Selected Populations
Issues of Noncompliance
Children
Concrete Definitions of Feelings
Holding the Child's Attention
Cognitions
Generalizing Treatment Effects
Creative Therapy
Couples
Early Sexual Abuse in a Marital Partner
Joint versus Individual Sessions
Infidelity
Sexual Abuse Victims
Appropriate Goals
Client Readiness
Structure
Integration
Information Plateaus
Emotional Stages
False Memory
Cautions Regarding Memory Work
Hypnosis
The Fallibility of Memory
Combat Veterans
Dealing with Feelings of Lack of Control
Secondary Gain Issues
Affiliation and the Fear of Forgetting
Dealing with Denial and Transition States
Dealing with Anger
Using the Cognitive Interweave
Anniversary Dates
Special Populations
Dissociative Disorders
Overall Evaluations
Summary and Conclusions
Theory, Research, and Clinical Implications
Theoretical Explanations
Procedural Elements
Interrupted Exposure
Perceived Mastery
Attention to Physical Sensation
Cognitive Reframing
Alignment of Memory Components
Free Association
Mindfulness
Eye Movements and Alternative Dual Attention Stimuli
Orienting Response
Distraction
Hypnosis
Cellular and Brain-Level Changes
Dream Sleep
Relaxation Response
Hemispheric Synchronization
Cortical Function
Integrative Effect
Controlled Research
General Scarcity of PTSD Treatment Studies
Suggested Criteria for Clinical Outcome Research
Method Validity
Selection of Psychometrics
Participant Selection
Comparative Research
Component Analyses
Civilian Studies
Studies of Combat Veterans
Methodological Problems in EMDR Outcome Studies
Treatment Fidelity and Protocol Adherence
Evaluation Tools
Treatment Time
The Comparison of EMDR and Other PTSD Treatments
Suggested Criteria for Comparative Clinical Outcome Studies
Diverse Clinical Applications
Weighting of Active Components
Component Analyses
Suggested Parameters for Component Analyses in Clinical Outcome Component Studies
A Review of Extant Clinical Component Analyses
The Utility of Single-Subject Design
Discerning Testable Hypotheses
Testing a Variety of Existing Hypotheses
Hypothesis Regarding the Autobiographical Nature of the Targeted Disturbance
Hypothesis Regarding the Etiological Nature of Memories
Hypothesis Regarding Orienting Response Mechanism
Hypothesis Regarding Bilateral Stimulation Mechanism
Hypothesis Regarding the Distractive Level of Stimuli
Hypothesis Regarding Free Association
Summary of Recommendations for Component Research
Broader Clinical and Professional Concerns
Inadequate Standards of Research and Review
Clinical Responsibility
Global Responsibility
Summary and Conclusions
References
Clinical Aids
EMDR Screening and Data Checklist
EMDR Treatment Planning Checklist
Recommended Format for Weekly Log Report
Selecting Negative and Positive Cognitions
List of Generic Negative and Positive Cognitions
EMDR Procedural Outline
Form for Identifying the EMDR Target
Form and Sequence for Floatback Technique to Identify Past Event
Guidelines and Procedures for EMDR Resource Development and Installation
Indications of a Need to Extend Client Preparation and Stabilization Phase
Characteristics and Types of Resources Appropriate for Resource Development and Installation
Prolonged Resource Development May Need to Precede EMDR-RDI Procedures
Precautions in Considering Resource Development and Installation
The Basic EMDR Resource Development and Installation Protocol
Use of Resource Development and Installation
Client Safety
EMDR Dissociative Disorders Task Force Recommended Guidelines: A General Guide to EMDR's Use in the Dissociative Disorders
Additional Training
Suggested Reading
EMDR Professional Issues Committee Recommended Guidelines
Client Welfare
Training
Professional Standards and Training Committee of the EMDR International Association
EMDR Resources
The EMDR International Association
EMDR Humanitarian Assistance Programs
Training Availability
The EMDR Institute
Diverse Clinical Application and Evaluation
Additional Protocols and Manualized Resources
The Adaptive Information Processing Model
Index

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