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                <text>EMDR therapists often face uncertainty when deciding when clients are ready to transition to the trauma-focused phase of EMDR therapy. This uncertainty can be particularly pronounced for newly trained EMDR therapists and when working with clients presenting with complex trauma. Research on how EMDR therapists make these client readiness decisions is scant, and there appears to be a gap in understanding EMDR therapists’ perspectives on assessing client readiness for trauma processing, particularly with adults experiencing complex trauma. &lt;br /&gt;&lt;br /&gt;Therefore, this study examines Australian EMDR therapists’ perceptions of client readiness for trauma processing in adults with complex trauma. It explores how therapists assess readiness, the strategies they find effective, and the challenges and barriers they face. It also examines their views on whether a practical guide or framework could support clinical decision-making and help inform the development of such a guide. &lt;br /&gt;&lt;br /&gt;This presentation will report survey results from the first phase of the pragmatic mixed-methods study and provide insights into Australian EMDR therapists’ decision-making regarding transitioning clients with complex trauma to the trauma-processing phase. These findings contribute to the evidence base for EMDR and support clinical decision-making in trauma-focused treatment.</text>
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                <text>In clinical practice, obsessive–compulsive symptoms frequently present as the primary reason for consultation, often masking a history of adverse relational experiences and unprocessed complex trauma. This clinical case illustrates how Obsessive–Compulsive Disorder (OCD), initially conceptualized as a primary disorder, emerged over the course of therapy as a secondary manifestation of underlying relational and developmental trauma. &lt;br /&gt;&lt;br /&gt;From the perspective of the Adaptive Information Processing (AIP) model, obsessive–compulsive symptoms are conceptualized as maladaptive attempts at regulation and control in response to dysfunctionally stored memory networks linked to early attachment disruptions, adolescent relational conflicts, and unmentalized emotional states. The clinical assessment evolved from a symptom-focused exploration toward a comprehensive life-history conceptualization, allowing for the identification of core memory networks associated with emotional invalidation, lack of protection, and disturbances in identity development and self-worth. &lt;br /&gt;&lt;br /&gt;The EMDR-based treatment did not primarily target symptom reduction, but instead focused on the reprocessing of etiologically relevant traumatic experiences. As these memory networks were processed and adaptively integrated, a significant reduction in obsessive–compulsive symptomatology emerged as a secondary outcome. Concurrently, the patient demonstrated improved emotional regulation, enhanced self-concept, and a reconstructed sense of personal identity. &lt;br /&gt;&lt;br /&gt;This case highlights the clinical importance of adopting a broad, developmentally informed AIP conceptualization when working with OCD presentations. It underscores the value of EMDR therapy in addressing the traumatic origins of obsessive–compulsive symptoms, moving beyond symptom-focused interventions toward deeper and more enduring therapeutic change.</text>
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                <text>This presentation provides a visual explanation of the adaptive information processing (AIP) model, depicting adaptive and maladaptive memory networks to illustrate key implications for treating complex developmental trauma with EMDR therapy. A strategic method for case conceptualization is delineated along with relevant practical tools for assessing a client’s readiness for trauma memory reprocessing, guarding against risks associated with EMDR therapy and incorporating attention to the client’s attachment history and identity, race, and culture. Worksheets are provided for decoding the connections between symptoms, triggers, and trauma memory networks, with specific focus on identifying negative cognitions reflective of maladaptive strategies for managing negative affect and unmet attachment needs related to complex developmental trauma. A method for creating comprehensive target sequence plans based on these connections is presented. Concepts are explained via lecture with video demonstrations and detailed slides, which include extensive use of graphics to clarify key points. (Focus is on adult clients.)</text>
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                <text>As clinicians face increasing cases of complex trauma, integrating EMDR with polyvagal theory and parts work offers tools for effective treatment. This training explores modifications to EMDR’s standard protocol to better support clients with complex trauma and dissociation. In this presentation, we will use Fraser’s dissociative table technique (“meeting place”), a tool designed to enhance EMDR effectiveness when working with complex trauma, and we will also focus on integrating parts work and polyvagal theory throughout all eight phases of EMDR to provide stabilization, trauma processing, and overall client healing. In addition, attendees will gain an understanding of polyvagal theory by identifying the three primary autonomic states and will practice interventions to regulate nervous system responses. This training will also provide clinicians with practical, research-based interventions to enhance EMDR outcomes for clients with complex trauma. Participants will leave with applicable skills designed to help clients regulate, engage in deeper trauma work, and heal more effectively.</text>
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                <text>&lt;span&gt;La intervención en trauma es crucial para prevenir y mejorar síntomas físicos y psíquicos. El trauma es un factor de riesgo significativo para conductas suicidas. La terapia EMDR (Desensibilización y Reprocesamiento por los Movimientos Oculares) es efectiva para reprocesar traumas, aliviar síntomas de estrés postraumático reduciendo el riesgo. Esta terapia aborda cogniciones negativas relacionadas con la depresión y la ansiedad, sustituyéndolas por creencias más adaptativas y realistas a lo largo de ocho fases, mejorando la autoestima y el bienestar a largo plazo del consultante. El objetivo del presente trabajo es exponer el caso de una consultante con trauma complejo, identificando la mejoría reportada por la misma en cuanto a síntomas de celos e inseguridad. Método: análisis de caso único de una mujer con historial de abuso sexual reiterado en su infancia, pérdida de memoria y disociación. A lo largo de un tratamiento con terapia EMDR de cinco meses, la consultante ha reportado beneficios a nivel vincular, ocupacional y de su autoestima. &lt;br /&gt;&lt;br /&gt;Intervening in trauma is crucial for preventing and improving physical and psychological symptoms. Trauma is a significant risk factor for suicidal behaviors. EMDR (Eye Movement Desensitization and Reprocessing) therapy is effective in reprocessing trauma, alleviating post-traumatic stress symptoms, and reducing risk. This therapy addresses negative cognitions related to depression and anxiety, replacing them with more adaptive and realistic beliefs over eight phases, thereby improving the client’s self-esteem and long-term well-being. The objective of this work is to present the case of a client with complex trauma, identifying the improvement she reported in terms of jealousy and insecurity symptoms. Method: single case analysis of a woman with a history of repeated childhood sexual abuse, memory loss, and dissociation. Over the course of five months of EMDR therapy, the client reported benefits in her relationships, occupational life, and self-esteem.&lt;/span&gt;</text>
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                <text>EMDR therapy is a remarkable evidence-based approach to psychotherapy. However, it is not easy to do with many clients with complex trauma. Clients with complex trauma often struggle to develop the essential resources, have difficulty tolerating distress, and may initially lack much of the adaptive information that is needed for EMDR therapy to be effective. This book explores each of the phases of EMDR therapy and explains why many clients with complex trauma struggle. It offers sensible accommodations. Clients with complex trauma often survive by using coping strategies that directly conflict with the core tasks of EMDR therapy. We need to make the tasks of EMDR therapy safer and more tolerable to the client’s nervous system. That takes time and attention. Clients with complex trauma may be harmed if they are shoved through a mindfulness or EMDR machine. This book invites therapists to explore the unique and complex nervous system of each client and adjust interventions to match each client.</text>
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                <text>C’est à la psychiatre américaine Lenore Terr que l’on doit en 1991, la première typologie des traumatismes (Terr, 1991). Elle distingue deux catégories, les traumatismes de type I et de type II : Elle entend par traumatisme de type I un traumatisme induit par un événement unique, limité dans le temps, présentant un début net et une fin claire. Une agression, un accident, un incendie, sont quelques illustrations de ce genre d’incidents critiques ; Elle parle de traumatisme de type II lorsque l’événement à l’origine des troubles s’est répété, lorsqu’il a été présent constamment ou qu’il a menacé de se reproduire à tout instant durant une longue période. La violence intrafamiliale, les abus sexuels et les faits de guerre répondent à cette définition.La psychologue américaine Eldra Solomon et sa collègue criminologue Kathleen Heide (Solomon et Heide, 1999) spécifient une troisième catégorie, le traumatisme de type III, pour décrire les conséquences d’événements multiples, envahissants et violents débutant à un âge précoce et présents durant une longue période. L’inceste et diverses maltraitances infligées aux enfants par leur entourage en sont des exemples typiques. En 1992, Judith Herman, professeur à la Harvard Medical School, choisit de classer les traumatismes en deux catégories, les traumatismes simples et complexes (Hermann, 1992) : Sa définition des traumatismes simples les assimile aux traumatismes de type I définis par Terr. Les péripéties qui les engendrent constituent un événement ponctuel dans la vie du sujet …&lt;br /&gt;&lt;br /&gt;In 1991, we owe the first typology of trauma to the American psychiatrist Lenore Terr (Terr, 1991). She distinguishes two categories, type I and type II trauma: She means by type I trauma a trauma induced by a single event, limited in time, with a clear beginning and a clear end. An attack, an accident, a fire, are some illustrations of this type of critical incident; It speaks of type II trauma when the event causing the disorders was repeated, when it was present constantly or when it threatened to recur at any moment over a long period. Domestic violence, sexual abuse and acts of war meet this definition. The American psychologist Eldra Solomon and her criminologist colleague Kathleen Heide (Solomon and Heide, 1999) specify a third category, type III trauma, to describe the consequences of multiple, invasive and violent events beginning at an early age and present for a long period. Incest and various mistreatments inflicted on children by those around them are typical examples. In 1992, Judith Herman, professor at Harvard Medical School, chose to classify trauma into two categories, simple and complex trauma (Hermann, 1992): Her definition of simple trauma assimilated them to type I trauma defined by Terr. The adventures that give rise to them constitute a one-off event in the subject’s life…</text>
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                <text>&lt;span&gt;I&lt;/span&gt;&lt;span&gt;n &lt;/span&gt;&lt;span class="UpperCase"&gt;Tarquinio&lt;/span&gt;&lt;span&gt;, C., &lt;/span&gt;&lt;span class="UpperCase"&gt;Brennsthul&lt;/span&gt;&lt;span&gt;, M., &lt;/span&gt;&lt;span class="UpperCase"&gt;Dellucci&lt;/span&gt;&lt;span&gt;, H., &lt;/span&gt;&lt;span class="UpperCase"&gt;Iracane-Coste&lt;/span&gt;&lt;span&gt;, M., &lt;/span&gt;&lt;span class="UpperCase"&gt;Rydberg&lt;/span&gt;&lt;span&gt;, J., &lt;/span&gt;&lt;span class="UpperCase"&gt;Silvestre&lt;/span&gt;&lt;span&gt;, M., &amp;amp; &lt;/span&gt;&lt;span class="UpperCase"&gt;Zimmermann, E.&lt;span&gt; &lt;/span&gt;&lt;/span&gt;&lt;span&gt;(Eds),&lt;em&gt; &lt;/em&gt;&lt;/span&gt;&lt;span&gt;Pratique de la psychothérapie EMDR&lt;/span&gt;&lt;span&gt; (pp. 235-244). Paris: Dunod. &lt;/span&gt;</text>
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              <text>Eric Binet. (2018).  [Psychopathology of trauma and münchhausen syndrome by proxy: From the notion of cleavage to that of dissociation, from the psychoanalytic approach to EMDR and ICV psychotherapies].(Doctoral dissertation, University of Lorraine). French</text>
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                <text>Psychopathologie du trauma et syndrome de Münchhausen par procuration : de la notion de clivage à celle de dissociation, de l’approche psychanalytique aux psychothérapies EMDR et ICV &lt;br /&gt;&lt;br /&gt;Psychopathology of trauma and münchhausen syndrome by proxy: From the notion of cleavage to that of dissociation, from the psychoanalytic approach to EMDR and ICV psychotherapies</text>
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                <text>Cette thèse sur travaux retrace une activité clinique et rassemble des écrits (corpus de 15 articles, monographies et un livre) sur une vingtaine d’années portant sur une forme de maltraitance intrafamiliale qui instrumentalise la sphère médicale : le Syndrome de Munchausen Par Procuration. Depuis notre première rencontre avec un cas SMPP en 1996, nous avons appris à penser les traumatismes de la petite enfance avec différents modèles psychopathologiques et des approches cliniques distinctes (psychodynamique, EMDR, Intégration du Cycle de la Vie). Dans une perspective trans- et interdisciplinaire, nous nous sommes engagés au fil du temps dans une compréhension des phénomènes traumatiques se fondant sur des hypothèses psychodynamiques, cognitives ou neurophysiologiques à la recherche d’espaces de dialectisations féconds. De là l’intérêt d’étudier ce cheminement à travers ces champs épistémologiques a priori opposés, reflet d’une évolution de la clinique actuelle, en décrivant comment des patients auteurs ou victimes du SMPP ont pu bénéficier de cette dynamique. Composée en trois parties, la première partie de cette thèse est dédiée à une présentation générale de la psychopathologie du trauma et des détresses précoces en prenant en compte les développements conceptuels traités dans nos écrits. La deuxième partie centrée sur le SMPP porte sur sa sémiologie et son étiologie, les terminologies médicales et psychopathologiques comme sur les conduites multidimensionnelles nécessaires à sa prise en charge. La troisième partie est consacrée aux différentes approches psychothérapiques que nous avons utilisées dans le traitement de patients, adultes ou enfants, concernés par le SMPP. Cette dernière partie est l’occasion de comprendre comment les notions de clivage et de dissociation peuvent être revisitées, intégrées dans une perspective neuropsychologique développementale. Caractérisé par une réflexion épistémologique basée sur un pluralisme théorique et thérapeutique, ce partage d’expérience souhaite permettre une approche psychopathologique laissant place à la complémentarité, à l’intersubjectivité et à la phénoménologie. &lt;br /&gt;&lt;br /&gt;This dissertation retraces a clinical activity and brings together writings (corpus of 15 articles, monographs and a book) over twenty years on a form of intrafamilial abuse that instrumentalizes the medical sphere: Munchausen Syndrome by Proxy. Since our first encounter with a PPMS case in 1996, we have learned to think about early childhood trauma with different psychopathological models and distinct clinical approaches (psychodynamic, EMDR, Life Cycle Integration). In a trans- and interdisciplinary perspective, we have been committed over time to an understanding of traumatic phenomena based on psychodynamic, cognitive or neurophysiological hypotheses in search of fertile dialectical spaces. Hence the interest in studying this path through these a priori opposed epistemological fields, reflecting an evolution of the current clinic, by describing how patients who are perpetrators or victims of SMPP have been able to benefit from this dynamic. Composed in three parts, the first part of this thesis is dedicated to a general presentation of the psychopathology of trauma and early distress by taking into account the conceptual developments dealt with in our writings. The second part, which focuses on SMPP, focuses on its semiology and etiology, medical and psychopathological terminologies, as well as the multidimensional behaviours necessary for its management. The third part is devoted to the different psychotherapeutic approaches that we have used in the treatment of patients, adults or children, affected by PPMS. This last part is an opportunity to understand how the notions of cleavage and dissociation can be revisited, integrated from a developmental neuropsychological perspective. Characterized by an epistemological reflection based on theoretical and therapeutic pluralism, this sharing of experience aims to allow a psychopathological approach that leaves room for complementarity, intersubjectivity and phenomenology.</text>
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                <text>Many EMDR therapists struggle when it comes to applying the Standard Protocol with some Complex Trauma cases. Some of the difficulties are related to deciding how to proceed with trauma work when cases do not seem stable enough. EMDR therapy is a flexible approach that allows for creativity in the therapeutic work. The work with traumatic memories may be implemented safely from the early stages of therapy, if we can identify possible indicators of readiness and blocks in each client. This workshop will illustrate specific micro-processing techniques that both increase client stabilization and allow working with traumatic memories safely. Three challenging clinical cases will be presented with videos to integrate the comprehension and applicability of the interventions described.</text>
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                <text>&lt;strong&gt;Background and aims&lt;/strong&gt;&lt;br /&gt;Violent children must self-organize to meet the internal and external demands of co-existing with daily reminders of their trauma. Violence directed toward others constitutes one of the biggest challenges for child EMDR therapists. These children carry truncated defenses, rigid forms of self-protection, internalization of wounding attachment figures, insecure and disorganized internal working models, dysregulated autonomic states, and shame. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Methods&lt;/strong&gt; &lt;br /&gt;This presentation will provide a theoretical and clinical framework to understand and work with aggression and hostility in children within eight phases of EMDR treatment. Portals and entry routes into hostile and aggressive parts that honor the child and their developmental capacities will be provided. This workshop will address how to utilize metaphors, play, Sandtray, somatic, and expressive arts therapies within a multimodal approach to EMDR treatment. It will address how to work with the child and their family system while providing the companionship, containment, co-regulation, and co-organization of their experiences, which provide the foundation for integration and healing. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Conclusions&lt;/strong&gt; &lt;br /&gt;EMDR treatment using a multimodal approach is an effective approach for children presenting with aggressiveness and violent behaviors</text>
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              <text>Rolli, N. J. (in press). &lt;a href="https://doi.org/10.1111/bjp.12861"&gt;Integrating EMDR standard treatment protocol into child psychotherapy at a primary school with a 5-year-old boy who suffered complex trauma: A single case study.&lt;/a&gt; British Jourrnal of Psychtherapy, 39(4), 714-731. doi:10.1111/bjp.12861</text>
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                <text>Schools are making an important contribution to providing access to professional counselling for young people and their families. The population of children who access school counselling includes young people who have experienced severe and complex trauma in their early life, which presents itself as post-traumatic stress disorder (PTSD). Eye movement desensitization and reprocessing (EMDR) therapy is a recommended method of intervention for PTSD, with effective results in a short time. However, school counsellors are rarely specifically trained to work with complex trauma or PTSD. This article presents a case study exploring the integration of the EMDR eight-phase protocol into child psychotherapy in an English primary school setting with a 5-year-old boy who suffered complex trauma. Following treatment, the Strengths and Difficulties Questionnaire (SDQ) score and Generalized Anxiety Disorder Assessment (GAD-7) score—filled in by the child's parent and schoolteacher because of the child's age—decreased to non-clinical levels. The six-month follow-up assessment confirmed the improvement in the emotional well-being of the client. The promising results suggest the value of having adequately qualified child psychotherapists linked to primary schools to support emotionally vulnerable pupils.</text>
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                <text>British Jourrnal of Psychtherapy, 39(4), 714-731. doi:10.1111/bjp.12861</text>
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                <text>&lt;span&gt;EMDR therapy easily lends itself to the integration of animal-assisted interactions to become Animal-Assisted EMDR (AA-EMDR). EquiLateral™ was introduced by the presenter in 2011 as the first EMDR protocol to incorporate animal-assisted interactions, specifically equine-assisted, whilst maintaining EMDR treatment fidelity. Drawing from an overall Animal-Assisted (AA-EMDR) approach, animal-assisted interactions are woven into the eight phases of EMDR therapy, conceptualized through the AIP model, all while in consideration of animal/client welfare. In addition, with the COVID pandemic and increased prevalence of therapy online, often comes clients’ companion animal(s) “joining session.” Are we missing these opportunities? This workshop addresses the clinical benefits and ethics of integrating animal-assisted interactions within EMDR therapy. Attendees also learn experiential ways to increase adaptive information, raise integrative capacity, and address non-personification / non-presentification, especially in the treatment of structural dissociation. A highly interactive and engaging workshop, participants learn via case studies, videos, interactive activities, and discussions.&lt;/span&gt;</text>
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              <text>Avci, M. (2022, October). [Can EMDR cure a complex trauma?]. Presentation at the International Conference on Evolving Trans in Interdisplinary Research &amp;amp; Practices, Manhattan, New York City, NY. Turkish</text>
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                <text>Göz hareketleriyle duyarsızlaştırma ve yeniden işleme terapisi (EMDR) terapisi complike bir travmayi iyileştirebilir mi?&lt;br /&gt;&lt;br /&gt;Can EMDR cure a complex trauma?</text>
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                <text>&lt;strong&gt;Amaç&lt;/strong&gt;&lt;br /&gt;Göz hareketleriyle duyarsızlaştırma ve yeniden işleme terapisi (EMDR), uyarlanabilir bilgi işleme modeline dayalı olarak yapılandırılmış bir dizi protokol ve prosedürden oluşmaktadır. Yapılan çalışmalarda EMDR terapisinin, travmanın tedavisine ilişkin etkili bir yöntem olduğu vurgulanmaktadır. Bu bağlamda çalışmanın iki amacı vardır: Birincisi, Travma Sonrası Stres Bozukluğu (aile içi şiddet, cinsel istismar, kendilik algısında değişmeler, dissosiyatif amnezi ve depersonalizasyon, kalıcı disfori, kendini yaralama ve süreğen intihar düşünceleri) belirtileri taşıyan ve 35 yaşında olan danışanın travmasını iyileştirmesine yönelik EMDR terapisinin etkisini incelemektir. İkincisi ise, terapi öncesinde uygulanan MMPI klinik alt boyutları ve psikolojik belirtilerinin şiddetini azaltmada EMDR terapisinin etkisinin olup olmadığı araştırmaktır. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Yöntem&lt;/strong&gt;&lt;br /&gt;Çalışmada olgu sunumu yöntemi kullanılmıştır. 35 yaşında geçmişinde birden çok travmatik yaşantıya maruz kalmış, psikiyatrik olarak tanı olarak Anksiyete Bozukluğu tanı varlığı olan kadın danışan ile 12 seans EMDR seansı yapılmıştır. Diğer yandan danışana DSM-5 için Travma Sonrası Stres Bozukluğu Kontrol Listesi (PCL-5), MMPI ve SCL-90 ölçekleri uygulanmıştır. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Bulgular&lt;/strong&gt;&lt;br /&gt;Terapi öncesinde ve sonrasın yapılan ölçümler kıyaslandığında, terapi sonrasında danışandaki DSM-5 için Travma Sonrası Stres Bozukluğu Kontrol Listesi (PCL-5), MMPI ve SCL-90 ölçekleri puanlarının şiddetinde önemli bir düşüş olduğu ve bu düşüşe bağlı olarak kayda değer miktarda iyileşme saptanmıştır. Örneğin, terapi öncesi TSSB puanı 54 iken terapi sonrası bu puan 24’e düşmüştür. SCL-90 genel semptom indexi 2.43 iken terapi sonrası bu puan 1,10 puana kadar düşmüştür. MMPI klinik alt boyutlarında terapi öncesinde puanlar Pt (75), Pd(75), Hs(67), D(68), Pa(77) ve Hy(82) iken terapi sonrasında bu puanlar Pt (65), Pd(60), Hs(62), D(56), Pa(58) ve Hy(60) şeklinde düşüş göstermiştir. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Sonuç&lt;/strong&gt;&lt;br /&gt;EMDR terapisi, komplike travmaları iyileştirmede ve MMPI klinik alt boyutlarında ve Psikolojik Belirtilerin azaltılmasında etkili olduğu söylenebilir. Bu açıdan ruh sağlığı uzmanları EMDR terapisini seanslarda kullanabilir. Anahtar Kelimeler: Komplike Travma, EMDR, MMPI,SCL-90 &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Objective&lt;/strong&gt;&lt;br /&gt;Eye movement desensitization and reprocessing therapy (EMDR) consists of a structured set of protocols and procedures based on an adaptive information processing model. Studies have emphasized that EMDR therapy is an effective method for the treatment of trauma. In this context, the study has two aims: First, it is aimed to heal the trauma of the 35-year-old client who has symptoms of Post Traumatic Stress Disorder (domestic violence, sexual abuse, changes in self-perception, dissociative amnesia and depersonalization, permanent dysphoria , self-mutilation and persistent suicidal thoughts). To examine the effect of EMDR therapy. The second is to investigate whether EMDR therapy has an effect on reducing the severity of MMPI clinical sub-dimensions and psychological symptoms applied before therapy. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Method&lt;/strong&gt;&lt;br /&gt;Case report method was used in the study. A 12-session EMDR session was conducted with a 35-year-old female client who had been exposed to multiple traumatic experiences in her past and had an anxiety disorder as a psychiatric diagnosis. On the other hand, the Post Traumatic Stress Disorder Checklist (PCL-5), MMPI and SCL-90 scales for DSM-5 were administered to the client.</text>
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              <text>Vojtová, H., &amp;amp; Delluci, H. (2021). [&lt;a href="https://www.ceeol.com/search/article-detail?id=1052269"&gt;The solution focused EMDR&lt;/a&gt;]. Psychoterapie: Praxe - Inspirace - Konfrontace, 15(3), 289-299</text>
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                <text>Na riešenie zamerané EMDR &lt;br /&gt;&lt;br /&gt;The solution focused EMDR</text>
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                <text>Cieľom tohto článku je ukázať psychoterapeutický prístup, ktorý integruje na riešenie zameranú psychoterapiu (SFT) a EMDR (Desenzitizáciu a spracovanie pomocou očných pohybov) v liečbe komplexne traumatizovaných ľudí. EMDR je efektívnym prístupom v liečbe traumatických spomienok a ich následkov. Pôvodne sa skôr zameriava na problém a je najúčinnejší pri jednoduchej traume. V práci s vážne traumatizovanými ľuďmi vytvárame flexibilný a zároveň štruktúrovaný terapeutický plán, v ktorom kombinujeme postoje a budovanie vzťahu podľa na riešenie zameraného prístupu s prispôsobenými EMDR protokolmi. V našom článku urobíme prehľad SF modifikácií v štandardnom 8-fázovom EMDR postupe, a uvedieme EMDR Gear box (slov. EMDR protokol rýchlostných stupňov), ktorý vytvorila Hél ne Dellucci. &lt;br /&gt;&lt;br /&gt;The aim of this arcticle is to demonstrate a therapeutic approach integrating Solution focused therapy (SFT) and Eye movement desensitization and reprocessing (EMDR) in the treatment of complex traumatized people. EMDR is an effective treatment approach for traumatic memories and its consequences. Originally, it seem to be rather problem-focused and its effectiveness is highest with simple trauma. In our work with severely traumatized people, we apply SF attitudes and ways of relationship building together with adjusted EMDR protocols to create a flexible, yet structured treatment plan. In this article, we go through all the eight phases of standard EMDR protocol highlighting our solution-focused modifications and introduce The EMDR Gear box, created by Hélene Dellucci.</text>
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                <text>Psychoterapie: Praxe - Inspirace - Konfrontace, 15(3), 289-299</text>
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              <text>Ana M. Gomez&lt;br /&gt;Sue-Anne Hunter</text>
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                <text>Aggression and violence in children are multifaceted and intricate issues with a compound of underlying causes. Violent children must self-organize to meet the internal and external demands of having to co-exist with daily reminders of their trauma. They carry truncated defenses, internalization of wounding attachment figures, trauma bonds and shame which lay at the core of their challenges. Dysregulation, emotional constriction and dissociation become part of their inner everyday reality. Aggression directed toward others as well as self-attacks, self-betrayal and shame are often present in severely traumatized children, constituting one of the biggest challenges for EMDR therapists. The presence of perpetrator-imitating parts that hold a strong attachment to wounding figures is at the core of the major conflicts inside the dissociative system and with-it incidents of self-harm or violent acts towards others. This keynote presentation will support clinicians in understanding the origins of aggression in children within the context of complex trauma and dissociation as well as providing a framework to conceptualize and work with self- and other-directed aggression and hostility in children within the eight phases of EMDR therapy. Portals and entry routes into shaming, hostile and aggressive parts that are developmentally appropriate for children will be provided. How to utilize a multimodal approach within the EMDR framework and incorporate the use of metaphors, play therapy, Sandtray and expressive arts strategies will be covered. How to join the child while providing the companionship, containment, co-regulation and co-organization of their experiences which provide the foundation for integration and healing to take place will be addressed. Parts work and tips on the labor that is often needed with hostile, critical and perpetrator-loyal and perpetrator imitating parts will be covered as well as the systemic work that needs to accompany the treatment of such children. Top down and bottom-up approaches and strategies will be covered as well as ways to titrate the entrance into the embodied mind of the agressive and violent child.</text>
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                <text>One of the most common things we hear, as EMDR Training facilitators, especially at the beginning of training, is “I don’t have any simple clients, all my clients are complex”! Additionally, we currently have the well reported growing mental health needs of the general population due to events such as the pandemic, increasing traumatic weather events, as well as a much clearer understanding of the impacts and definition of complex trauma and adverse life events. As a result, a lot of us are seeing more and more complex clients. Some of those clients will require more in-depth resourcing and stabilisation in Phase 2. These clients may benefit from strategies to enhance support, safety and connection, utilizing a polyvagal approach (Dana, 2020) prior to phase 4 desensitisation. Participants will learn 2 polyvagal strategies integrated with EMDR DAS to assist their clients to regulate their nervous system in preparation for phase 4 desensitisation. Additionally, the have been a number of strategies introduced into EMDR Therapy to assist clients to reduce the level of SUDS with forms of restricted reprocessing, to prepare complex or dissociative clients for the full EMDR Protocol. In a recent pilot study CIPOS was shown to be effective (Stingl et. Al. 2022). In this workshop, participants will also be shown how to utilize CIPOS as a phase 2 strategy, with an emphasis on all these strategies being in the service of readying our more complex or dissociative clients for the Standard protocol.</text>
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                <text>Do you ever find it difficult to organize the treatment plan with complex cases? Do the tools that usually work with other clients fall short? Do you have a hard time setting realistic goals with some clients? Do you ever feel confused about where to start and how to maintain a working structure? Do you sometimes doubt what to do, how and when? Do you feel that there are blockages that are difficult to manage? This presentation will answer these questions and other practical issues related to common challenges in working with trauma and, in particular, with trauma processing with EMDR therapy. Cases with different problems and points of blockage and the tools to organize the work and handle the various challenges that usually arise will be described.</text>
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                <text>The war in Ukraine has deeply impacted the population. Roger Solomon has taught EMDR therapy workshops, both live (Summer 2022) and online, and provided EMDR therapy sessions for issues of grief, PTSD, and complex trauma. This workshop will present videos of EMDR sessions showing how EMDR can be used to treat trauma and grief intimes of war. The current war not only results in PTDF, but triggers past unresolved trauma and child trauma/loss. Videos will be shown where EMDR therapy is used to treat: Complex trauma - the current invasion triggered trauma from 2015 [when the war began] that have their root in childhood trauma. Psychoform symptoms - a client that experienced “My hand does not belong to me” Grief – a mother reprocesses the traumatic moment of getting the phone call that her son (a soldier) was killed in a bombing. Learning objectives:</text>
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                <text>Terapia EMDR: Integrazione degli interventi in età evolutiva Trauma complesso, attaccamento e dissociazione&lt;br /&gt;&lt;br /&gt;EMDR therapy: Integration of interventions in developmental complex trauma, attachment and dissociation</text>
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                <text>Questo volume offre una vasta gamma di strategie, concrete e dettagliate, per l’utilizzo della terapia EMDR da parte dei professionisti della salute mentale che lavorano con bambini con grave disregolazione emozionale secondaria a maltrattamento e abusi. L’obiettivo è quello di fornire al terapeuta strumenti avanzati che possano essere utilizzati all’interno di terapie EMDR con bambini vittime di traumi complessi, disturbi dell’attaccamento, sintomi dissociativi e seria compromissione del coinvolgimento sociale. Proponendo un approccio “passo per passo”, l’autrice presenta ed esplora a fondo le otto fasi della terapia EMDR, suggerendo un’ampia varietà di tecniche chiare, pratiche e creative per una popolazione di bambini notoriamente difficile da curare. Caratteristica innovativa dell’approccio di Ana M. Gómez è l’integrazione, all’interno di un trattamento EMDR completo, di strategie estrapolate da altri approcci terapeutici, quali Play Therapy, Sandtray Therapy, Psicoterapia Sensomotoria, Theraplay e Internal Family Systems (IFS).&lt;br /&gt;&lt;br /&gt;This volume offers a wide range of concrete and detailed strategies for the use of EMDR therapy by mental health professionals who work with children with severe emotional dysregulation secondary to maltreatment and abuse. The goal is to provide the therapist with advanced tools that can be used within EMDR therapies with children who are victims of complex trauma, attachment disorders, dissociative symptoms and serious impairment of social involvement. Proposing a "step by step" approach, the author presents and thoroughly explores the eight phases of EMDR therapy, suggesting a wide variety of clear, practical and creative techniques for a population of children notoriously difficult to care for. An innovative feature of Ana M. Gómez's approach is the integration, within a complete EMDR treatment, of strategies extrapolated from other therapeutic approaches, such as Play Therapy, Sandtray Therapy, Sensomotor Psychotherapy, Theraplay and Internal Family Systems (IFS) .</text>
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                <text>Se desarrollará la conceptualización del paradigma de Conciencia Múltiple desde el Modelo Teórico del SPIA, así como la comprensión del proceso clínico en el trabajo con partes disociativas, las cuales pueden contener diversos síntomas disociativos y el tratamiento que se puede llevar a cabo desde la terapia EMDR.&lt;br /&gt;&lt;br /&gt;The conceptualization of the Multiple Consciousness paradigm will be developed from the SPIA Theoretical Model, as well as the understanding of the clinical process in working with dissociative parts, which may contain various dissociative symptoms and the treatment that can be carried out from EMDR therapy.</text>
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                <text>It is imperative that children with complex trauma receive effective treatment early in their lives before their symptoms reach an apex necessitating hospitalizations, residential placements, or ruptured home placements. A child’s use of dissociative strategies has a profound influence on attachment, affect regulation, behavior control, cognition. This workshop will describe core symptoms of dissociation, and how these can overlap with other disorders and a review of the use of a comprehensive dissociative checklist for caregivers and children. The use of a specialized doll, ©Allmee, will demonstrate how to help children describe their inner life of self-states and how to lay the groundwork for treatment. An example of how to manage hostile self-states effectively with playful EMDR interventions will be described during the phases of EMDR treatment with children with dissociation.</text>
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                <text>This workshop introduces ego state therapy concepts and interventions from the Developmental Needs Meeting Strategy (DNMS) for stabilizing dysregulated, dissociative, attachment-wounded clients in EMDR Phase 2. It shows how to mobilize loving, attuned, vetted, internal Resources. It describes how to talk directly to triggered wounded child parts to get them in a dialogue with Resources who help them feel safe as they meet emotional needs. After wounded parts tell their story, we orient them to present time and reassure them that their perception of “reliving” an old trauma is just a harmless recording playing back. These interventions can stabilize wounded child parts—bringing them out of trance and into the safety of the present. As more and more wounded parts get stabilized, dysregulated clients develop the emotion management skills needed for EMDR success. Issues of diversity and equity in the context of DNMS, are also addressed.</text>
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                <text>Clients who suffer narcissistic trauma from their families of origin, romantic relationships, or in the workplace often have deep-seated blocking beliefs. Without adaptations to the standard protocol, progress is typically slow or unsuccessful due to a lack of generalization. This lack of progress can be caused by memory networks around a negative cognition that have thousands, or even tens of thousands of targets. To efficiently and effectively target these Mega Clusters there are many possible adaptations in every phase of the protocol that helps make EMDR Therapy more effective in these complex cases.</text>
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                <text>This workshop will focus on treatment of complex trauma with the emphasis on treatment of the traumatic attachment to the abuser. Treatment for victims of abuse not only has to deal with the trauma of what happened, but the traumatic attachment to the abusers. Clients often have conflicting emotions and perceptions about their abusers, with some parts having an idealized view while other parts fearing and/or hating them. Other parts can have a positive attachment to their perpetrator and not acknowledge the abuse. Other parts will imitate the perpetrator and reenact the abuse with the parts that underwent the original abuse. EMDR therapy, with appropriate modifications for complex trauma is helpful in treating both the trauma of the event and the attachment trauma. Teaching points will be illustrated by client videos of EMDR treatment sessions.</text>
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                <text>La regulación emocional es un elemento transdiagnóstico habitualmente presente en los trastornos derivados del trauma, en mayor o menor medida. Como otros síntomas postraumáticos, puede mejorar a raíz del tratamiento de los recuerdos asociados a su origen. Sin embargo, cuando la desregulación es grave, puede suponer un desafío para poder acceder al material traumático, para procesarlo adecuadamente y para el estado posterior del paciente. Además, la regulación emocional no es un fenómeno simple, sino un conjunto de estrategias y de elementos interrelacionados, que hemos de entender a profundidad. En este taller se hablará del trabajo con EMDR atendiendo al análisis de procesos en psicoterapia, incluyendo como aspecto central la regulación emocional y sus disfunciones. Más que un listado de técnicas, se hablará del análisis momento a momento de lo que ocurre en sesión, y de intervenciones dinámicas en función de los factores que se identifiquen.&lt;br /&gt;&lt;br /&gt;Emotional regulation is a transdiagnostic element usually present in disorders derived from trauma, to a greater or lesser extent. Like other post-traumatic symptoms, it can improve as a result of the treatment of the memories associated with its origin. However, when the dysregulation is severe, it can be challenging to access the traumatic material, to process it properly, and to the subsequent condition of the patient. Furthermore, emotional regulation is not a simple phenomenon, but a set of interrelated strategies and elements, which we must understand in depth. In this workshop, work with EMDR will be discussed, attending to the analysis of processes in psychotherapy, including emotional regulation and its dysfunctions as a central aspect. More than a list of techniques, we will talk about the moment-by-moment analysis of what happens in the session, and of dynamic interventions based on the factors that are identified.</text>
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                <text>Independientemente de los modelos teóricos explicativos, en la experiencia de nuestros pacientes la disociación cumple una función protectora. Ésta, sin embargo, se vuelve desadaptativa cuando la exposición al peligro terminó. El reprocesamiento de los recuerdos traumáticos -que constituye el objetivo principal del tratamiento EMDR- encuentra en algunas manifestaciones disociativas, obstáculos aparentemente insalvables. ¿Cómo accedemos a aquello que no se recuerda porque es demasiado doloroso? ¿Cómo accedemos a información que parece estar protegida de su develamiento por poderosos guardianes internos? ¿Cómo avanzamos en nuestro trabajo cuando nuestros pequeños pacientes – aún dependientes del mundo adulto- no pueden sentirse seguros en el contexto de sus relaciones primarias? En esta presentación trataremos de responder a estas preguntas mostrando estrategias que nos permitan el procesamiento de la información traumática en niños y niñas con disociación, de una manera contenida y segura. Se presentarán ejemplos clínicos en los que el juego y la creación de historias son usados para favorecer y potenciar los alcances de EMDR.&lt;br /&gt;&lt;br /&gt;Regardless of the explanatory theoretical models, in the experience of our patients, dissociation fulfills a protective function. This, however, becomes maladaptive when exposure to danger is over. The reprocessing of traumatic memories -which constitutes the main objective of EMDR treatment- encounters apparently insurmountable obstacles in some dissociative manifestations. How do we access what is not remembered because it is too painful? How do we access information that appears to be protected from disclosure by powerful internal guardians? How do we advance in our work when our little patients - still dependent on the adult world - cannot feel safe in the context of their primary relationships? In this presentation we will try to answer these questions by showing strategies that allow us to process traumatic information in children with dissociation, in a contained and safe way. Clinical examples will be presented where play and story building are used to further and enhance the EMDR outreach.</text>
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                <text>Many therapists are trained in the treatment of single traumatic events. However, clients with complex PTSD (C-PTSD) come to therapy with an extensive history of trauma that often begins in childhood and continues into adulthood with layers of personal, relational, societal, or cultural losses. The most common question asked by EMDR therapists treating C-PTSD is, “Where do I start?” In this training, you will develop confidence in your ability to organize and prioritize your client’s treatment goals successfully. You will learn how to effectively work with clients who have experienced multiple traumatic events and prolonged trauma exposure including the chronic stress of the COVID-19 pandemic. You will learn valuable leading-edge strategies that integrate polyvagal theory, relational psychotherapy, Parts Work Therapy, and Somatic Psychology, with EMDR therapy. We will discuss how to successfully stabilize the dysregulated affect and dissociative symptoms that accompany C-PTSD in preparation for traumatic event desensitization and reprocessing.</text>
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                <text>Early in the development of EMDR therapy, some clinicians observed that reprocessing more often moved clients presenting with dissociative disorders into dysregulated states rather than toward an expected, adaptive resolution. In recent years, EMDR therapists and trainers have become more broadly aware of the incidence and significance of complex trauma and dissociation. With this shift, many have delved deeper into the dissociative disorders literatures, strived to utilize screening and assessment tools more effectively, and grown increasingly interested to integrate their learnings to reinforce foundational learning and improve treatment outcomes. Current research will inform this discussion, exploring the different frameworks for understanding dissociation, the importance of diagnostic evaluation in Phase I: History Taking, and conceptualization and treatment of dissociative presentations within an EMDR therapy frame. The future of EMDR therapy and dissociation depends on clinicians and trainers integrating a comprehensive standard of care with nuanced conceptual, theoretical, and practical treatment considerations.</text>
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                <text>Some people find themselves repeatedly involved in harmful and abusive relationships. Many of them struggle to walk away from the relationship, set boundaries, or protect themselves adequately. There are two concepts that are important to differentiate clearly: responsibility and vulnerability. Although the perpetrator is the only one responsible for the mistreatment, the victim may have vulnerabilities that come from his/her/their personal history. In this presentation, we will look at the different problem areas in which it is usually necessary to intervene. Cases will be presented from an EMDR perspective, both in terms of case conceptualization and treatment.</text>
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              <text>&lt;span class="bold"&gt;Dellucci, H. &lt;/span&gt;(2021, June). Resolving preverbal trauma within complex trauma through EMDR. Presentation at the 20th EMDR Europe Association Conference, Virtual</text>
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                <text>&lt;span&gt;Most patients with complex trauma have experienced adverse experiences at a very early stage, often in the relationship with caregivers. These preverbal trauma have contributed to injuries that are specific to attachment, as well as the foundations of Self and so contributes seriously to many problems.&lt;/span&gt;&lt;br /&gt;&lt;span&gt;Can preverbal trauma be treated with EMDR? What specific symptoms indicate preverbal trauma? How can this material be addressed, as it is almost always obscured by amnesia?&lt;br /&gt;&lt;/span&gt;&lt;br /&gt;&lt;span&gt;How can this work on preverbal material be incorporated into the treatment plan? What exactly does EMDR work on preverbal trauma look like? Why addressing preverbal trauma specifically? Are there pitfalls and blockages to be aware of and which strategies are efficient to overcome them?  &lt;/span&gt;&lt;span&gt;Based on the pioneering work of Katie O’Shea to access and reprocess preverbal trauma, &lt;/span&gt;&lt;span&gt;we will discuss these questions and explain a clear approach using the 8 phases of the EMDR protocol specifically for preverbal trauma. We will discuss blockages, pitfalls and the strategies to overcome them within an overall treatment structure, which takes into account the treatment plan and its adaptation to the requirements of the phenomenology occurring in complex traumatized patients.&lt;/span&gt;</text>
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              <text>&lt;a href="https://doi.org/10.1080/17454832.2021.1906288"&gt;https://doi.org/10.1080/17454832.2021.1906288&lt;/a&gt;</text>
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              <text>Sigal, N., &amp;amp; Sigal, R. (2021, May).  Dual perspectives on art therapy and EMDR for the treatment of complex childhood trauma. International Journal of Art Therapy, 26(1-2), &lt;span&gt;37-46&lt;/span&gt;. doi:10.1080/17454832.2021.1906288</text>
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                <text>&lt;strong&gt;Background:&lt;/strong&gt;&lt;br /&gt;This article explores art therapy and EMDR for the treatment of complex PTSD caused by childhood sexual abuse, from the point of view of both client and therapist. It was co-written with a former client who wishes to remain anonymous. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Context:&lt;/strong&gt;&lt;br /&gt;The therapeutic work took place in an NHS community setting. The idea of writing together – emerged organically as therapy came to an end, with both client and therapist feeling they have learnt from the process and that sharing these ideas could be beneficial for other practitioners. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Approach:&lt;/strong&gt;&lt;br /&gt;While psychodynamically informed, much of the intervention followed the main principles of a trauma-focused approach with an emphasis on embodied processes – both in art therapy and EMDR. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Outcomes:&lt;/strong&gt;&lt;br /&gt;The client made a great deal of progress during therapy and both writers explore the changes and insights that were gained as part of the article, with a particular emphasis on using interoceptive skills to enhance emotional processing. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Conclusions:&lt;/strong&gt;&lt;br /&gt;When working with clients who have complex PTSD it is important to be aware of trauma-informed approaches and the role of grounding, stabilisation, embodied experiences and trauma processing. At times, this might be essential in order to help clients manage high levels of emotional arousal in the room, learn to contain their distress and improve their symptoms.</text>
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              <elementText elementTextId="441092">
                <text>International Journal of Art Therapy, 26(1-2), &lt;span&gt;37-46&lt;/span&gt;. doi:10.1080/17454832.2021.1906288</text>
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              <text>&lt;span&gt;O Shea Brown, G&lt;/span&gt;. (2020/2021, Fall/Winter). &lt;a href="https://www.researchgate.net/profile/Gillian_Oshea_Brown/publication/348588728_Internal_Family_Systems_Informed_Eye_Movement_Desensitization_and_Reprocessing_An_Integrative_Technique_for_Treatment_of_Complex_Posttraumatic_Stress_Disorder/links/6006400ca6fdccdcb864391a/Internal-Family-Systems-Informed-Eye-Movement-Desensitization-and-Reprocessing-An-Integrative-Technique-for-Treatment-of-Complex-Posttraumatic-Stress-Disorder.pdf"&gt;Internal family systems informed eye movement desensitization and reprocessing an integrative technique for treatment of complex posttraumatic stress disorder.&lt;/a&gt; International Body Psychotherapy Journal, 19(2)</text>
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                <text>Complex Posttraumatic Stress Disorder (C-PTSD) is a diagnostic entity included in the International Classifications of Diseases, 11th revision (ICD-11). It denotes a severe form of posttraumatic stress disorder (PTSD) and is the result of prolonged and repeated trauma. C-PTSD is associated with a broad spectrum of psychopathological symptoms and transcends the typical diagnostic criteria for PTSD. C-PTSD is conceptualized as including the core elements of PTSD, such as re-experiencing, avoidance, and hypervigilance, with the additional symptoms of poor affect regulation, negative self-concept, and difficulties in establishing and maintaining healthy interpersonal relationships. Eye Movement Desensitization and Reprocessing (EMDR) and the Internal Family Systems (IFS) model share a common treatment approach, and their integration has been found to enhance the efficacy of both modalities in the treatment of complex trauma. This article explores IFS-informed EMDR (IFS-EMDR) for the treatment of C-PTSD. IFS-EMDR creates an integration of the contemporary practice of EMDR with the interweave of the IFS model for positive resourcing. This article will firstly provide an exploration of insecure attachment and relational trauma as diathetic factors to the development of C-PTSD. Subsequently, this article will review how trauma and the emergence of structural dissociation impact the development of the self through the lens of IFS. Finally, through the use of a composite case study, this paper will discuss the benefits of integrating IFS strategies and language into EMDR therapy, with particular attention to challenges and limitations.</text>
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                <text>Post-Traumatic Stress Disorder (PTSD) and Complex PTSD (C-PTSD) significantly affect occupational, educational, relational, and personal systems of a significant portion of the general population. Disagreement exists within the clinical and research communities regarding solutions to the significantly higher failure and dropout rates for C-PTSD versus PTSD with similar treatment. In the recent three decades, research on Adaptive Information Processing (AIP) theory and Eye-Movement Desensitization and Reprogramming (EMDR) treatment for PTSD provided significantly higher success rates than other treatments. A concern with AIP research is a lack of distinction in efficacy rates with C-PTSD compared to PTSD. The general problem is the high failure and drop-out rates for treatment in the management of C-PTSD, while the specific problem is the lack of understanding about EMDR efficacy in individuals diagnosed with PTSD and C-PTSD. A causal comparative design with meta-analysis was used to compare selected research articles relating to the treatment of individuals diagnosed with PTSD or C-PTSD using EMDR therapy. Two groups defined by the causal traumas identified as diagnosis type PTSD or C-PTSD while the variable of EMDR treatment efficacy was measured by effect size. Effect size differences were compared using ANOVA and though no significant difference between effect sizes was derived from the study data, results prompted implications into changes in the AIP theory to identify a unique conceptualization of C-PTSD. The study contributed to AIP theory by identifying a clear lack of data and literature addressing specific aspects of C-PTSD in treatment and theory, promoting an extension to the theory. In addition, a call for changes in treatment of C-PTSD and the overall conceptualization of C-PTSD along with implications for future qualitative and quantitative research may promote a more complete understanding of the AIP Theory and its application to C-PTSD.</text>
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                <text>Eye Movement Desensitization and Reprocessing (EMDR) developed by American psychologist Francine Shapiro in 1989 based on Adaptive information processing model and there are 8 phases in a full standard protocol to treat people with psychological trauma. For this case presentation, I would like to demonstrate about how EMDR treatment build up more resilience for a complex trauma client. I have met and worked with a client who got 8 scores of ACE and victimized by domestic violent and also house owner violence repeatedly while she have worked as a house servant by force, she married and lives with mental illness husband and in currently living with suspicious of breast cancer sign. I worked and applied a full standard protocol of EMDR with her. After 6 sessions because of the limit of time, resources, and long distance between therapist and client, the result showed that this client gain the resiliency to deal with her trauma even though the symptoms of depression and anxiety did not reduce after the treatment. At the last session, she decided to meet doctor to make a clear diagnose of her breath cancer and ask help for her husband.</text>
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                <text>EMDR has been proven to be effective in handling both simple and complex traumas. However complex traumas is not quite a well defined area yet, it’s span over multiple clinical diagnoses, with a high variety in the level of difficulty and complexity. To point it simply, it can be a messy and chaotic experience especially for the inexperienced clinicians. This workshop aims to give a simpler perspective and structure to help EMDR clinicians dealing with complex trauma, it can be helpful especially to beginner in EMDR, but it may also give new insights and tools for the more experienced EMDR clinicians. In this workshop participant will learn about dealing with the various psychological defences that is resulted from the complex trauma process, how to help the client make peace with their Core and Primal Anxieties, how to use a new stabilization technique (PIE BUN) and integration with the standard EMDR protocol and AIP Model.</text>
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                <text>This case series study investigated the effectiveness of an integrative eye movement desensitization and reprocessing (EMDR) and family therapy model, specifically the Integrative Attachment Trauma Protocol for Children (IATP-C), for improving traumatic stress, attachment relationships, and behaviors in children with a history of attachment trauma; specifically, adopted children with a history of maltreatment and foster or orphanage care. Of the 23 child participants, one family dropped out at 6 months, and 22 completed treatment in 6–24 months. Mean treatment length was 12.7 months. Statistical analysis demonstrated significant improvement in scores on children's traumatic stress symptoms, behaviors, and attachment relationships by the end of treatment. Statistical analysis of secondary measures showed significant improvement in mothers' scores related to symptomology and attitudes toward their child. Gains were maintained for the 15 families who complied with completion and returning of follow-up measures. Limitations of the study include the lack of a control group and small sample size. Future directions include controlled efficacy studies with larger sample sizes as well as exploration of application of the model to a similar population of children in other cultures and to children who are not residing in permanent placements.</text>
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