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              <text>Forgash, C. A. (2005, June). Healing complex trauma through EMDR, ego state therapy and somasensory work: Healing the heart of complex trauma. Presentation at the 6th EMDR Europe Association Conference, Brussels, Belgium</text>
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                <text>The integration of ego state and somatosensory work and EMDR will be shown to help patients with complex PTSD repair fragmentation. disconnections and develop the safety to utilize EMDR successfully. &lt;br /&gt;&lt;br /&gt;Although complex trauma victims are seeking help for PTSD. depression and anxiety, additional trauma responses may lead them to encounter difficulty in dealing with triggers, stress and relationships. &lt;br /&gt;&lt;br /&gt;The sequential exercises presented will provide stability for dissociated "parts" unable to cope with symptoms. &lt;br /&gt;&lt;br /&gt;Learning objectives include the importance of including information in the history taking about inability to love. fragmentation, and alienation; defining and selecting the appropriate ego state/somatosensory/affect management strategies to help challenging clients.</text>
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                <text>This presentation offers a systematic approach for the treatment of patients with complex traumatization. The first step involves assessing the severity of the illness, using Babette Rothchild's trauma classification. A variety of techniques will then be introduced, all of which have recently been successfully combined with bipolar EMDR stimulation, and which serve to increase stability and resources ["a safe place", Forgash's body sensation resource, working with the inner child, Popkin's "position of power", Hofmann's absorption routine, the CIPOS-technique developed by Knipe and Forgash, etc.]. The lecture closes with a survey of methods useful for fractioning trauma in EMDR.</text>
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              <text>Bar-Sade, E. (2003, May). &lt;a href="http://www.emdr.org.il/dls/narra.doc"&gt;Early trauma: Revisited and revised through EMDR, the narrative story and the implementation of attachment theory concepts.&lt;/a&gt; Presentation at the 4th EMDR Europe Association Conference, Rome, Italy</text>
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                <text>If we regard adult psychotherapy as the basis for a kind of attachment relationship in which the client seeks proximity by having a physical and emotional closeness with the therapist through which the client tries to create a”safe haven” soothing him or her when upset while providing a sense of security, child therapists often regard child-psychotherapy as a means to develop an attachment relationship between child and caregiver, whenever possible. It is a common assumption, that in child-psychotherapy, especially while dealing with trauma, the therapist must stress the importance of empowering the parental figure as an attachment figure and as a “secure base”.</text>
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                <text>Clients with chronic and complex Posttraumatic Stress Disorder (PTSD) caused by severe traumata in childhood, are often still treated inadequately, especially when they developed additional dissociative symptoms or a Dissociative Disorder. There is a current consensus about the need tomodify the EMDR standard protocol in the treatment of complex traumatized and dissociative clients. From the theoretical background of structural dissociation theory and Janet’s system of action systems, the therapist has not only to recognize clients’ deficits but also to address action tendencies in the client’s inner system that could ameliorate coping strategies in solving problems in daily life. With the help of bilateral stimulation, blending of parts of the personality containing different information can be promoted often resulting in remarkable changes in the behavior and resource activation. The main principles that need to be regarded treating complex and dissociative clients with bilateral stimulation will be explained and basic rules for treatment plans including the use of EMDR will be developed. English subtitled video examples demonstrate the proposed modification of the EMDR standard protocol and will be discussed in detail. I will present shortly recent research findings on autonomic nervous system alterations during EMDR. These results help to define special working mechanisms of our modified EMDR protocol in clients with dissociative disorders.</text>
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              <text>Forgash, C., &amp;amp; Litt, B. (2008, September). &lt;a href="http://barrylittmft.com/yahoo_site_admin/assets/docs/Advanced_Techniques_Handouts.96123036.ppt"&gt;Advanced techniques in the EMDR-based treatment of complex trauma.&lt;/a&gt; Presentation at the 13th EMDR International Association Conference, Phoenix, AZ</text>
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              <elementText elementTextId="339104">
                <text>Presentation at the 13th EMDR International Association Conference, Phoenix, AZ</text>
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            <name>Language</name>
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              <elementText elementTextId="339109">
                <text>English</text>
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            <description>An account of the resource</description>
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              <elementText elementTextId="339114">
                <text>EMDR is an important therapy in the treatment of complex PTSD, including dissociative disorders and certain personality disorders. This presentation will provide solutions to problems within the 8 phases of EMDR. Objectives include managing triggers and dealing with reactions such as avoidance, freeze, and hyperarousal. Techniques include ego state work and somatic interweaves. Therapists will learn readiness criteria for trauma processing (phase 4-7) and how to avoid premature interventions. In phase 4, therapists will learn about the zone of optimal arousal and a sequence of techniques to maintain client stability and to identify when and why a patient has stopped processing.</text>
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              <name>Title</name>
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        <element elementId="110">
          <name>Document #</name>
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            <elementText elementTextId="347855">
              <text>05046</text>
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            <elementText elementTextId="347856">
              <text>Arne Hofmann</text>
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          <name>Year</name>
          <description>emdr_year</description>
          <elementTextContainer>
            <elementText elementTextId="347859">
              <text>2005</text>
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          <elementTextContainer>
            <elementText elementTextId="347862">
              <text>http://www.trauma2005.de/</text>
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          <name>Subjects</name>
          <description>emdr_subject</description>
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          </elementTextContainer>
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          <name>Accuracy Verified?</name>
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          <elementTextContainer>
            <elementText elementTextId="347866">
              <text>Yes</text>
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          </elementTextContainer>
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        <element elementId="114">
          <name>Archived</name>
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            <elementText elementTextId="347869">
              <text>Hofmann, A. (200&lt;a&gt;5, September). [EMDR in the treatment of complex trauma disorder]. Presentation at the German Society for Psychotraumatology DeGPT, &lt;/a&gt;Dresden. German</text>
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            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="347857">
                <text>EMDR in der behandlung komplexer traumafolgestörungen &lt;br /&gt;&lt;br /&gt;EMDR in the treatment of complex trauma disorder</text>
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            </elementTextContainer>
          </element>
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              <elementText elementTextId="347858">
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            <elementTextContainer>
              <elementText elementTextId="347863">
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          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
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            <description>An account of the resource</description>
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              <elementText elementTextId="347868">
                <text>Mit den zunehmenden Forschungsergebnissen im Bereich psychotraumatischer Störungen sind auch neuere erfolgreiche Zugänge wie die EMDR-Methode entwickelt und anerkannt worden. Die von Dr. Francine Shapiro entwickelte und in ihrer Effektivität gut belegte EMDR-Methode kann hierbei in vielen Behandlungen psychisch traumatisierter Patienten einen wichtigen Beitrag leisten. Der diagnostische und behandlungstechnisch integrative Ansatz der EMDR-Methode wird im in seinen Forschungsergebnissen und klinischen Anwendungen im einzelnen diskutiert werden. Fragen zu eigenen Patienten sind willkommen. &lt;br /&gt;&lt;br /&gt;With increasing research in the field of psycho-traumatic disorders including recent additions such as the successful EMDR method has been developed and approved. By Dr. Francine Shapiro developed EMDR and in their well-documented effectiveness of this method can provide many treatments mentally traumatized patients an important contribution. The diagnostic and treatment technique integrative approach of the EMDR method will be discussed in the in its research and clinical applications in detail. Questions about their own patients are welcome.</text>
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              <description>A name given to the resource</description>
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              <text>05220</text>
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              <text>Anabel Gonzalez&lt;br /&gt;Natalia Seijo&lt;br /&gt;Dolores Mosquera</text>
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          <name>Year</name>
          <description>emdr_year</description>
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              <text>2009</text>
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          <elementTextContainer>
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          <description>emdr_subject</description>
          <elementTextContainer>
            <elementText elementTextId="349635">
              <text>Complex Trauma, Dissociative Disorders
</text>
            </elementText>
          </elementTextContainer>
        </element>
        <element elementId="113">
          <name>Accuracy Verified?</name>
          <description>emdr_accuracy</description>
          <elementTextContainer>
            <elementText elementTextId="349636">
              <text>Yes</text>
            </elementText>
          </elementTextContainer>
        </element>
        <element elementId="114">
          <name>Archived</name>
          <description>emdr_archived</description>
          <elementTextContainer>
            <elementText elementTextId="349637">
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          <elementTextContainer>
            <elementText elementTextId="349639">
              <text>Gonzalez, A., Seijo, N., &amp;amp; Mosquera, D. (2009, August). EMDR in complex trauma and dissociative disorders. Presentation at the 14th EMDR International Association Conference, Atlanta, GA</text>
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                <text>2009, August</text>
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                <text>EMDR can be safely used during the stabilization phase in a group of severely traumatized patients, not only to install positive elements, but to process dysfunctional elements (not necessarily traumatic memories, but patient-therapist relationship problems, defenses, symptoms, dissociative phobias, etc.). To postpone standard protocol until the patient has been prepared to do it in the standard way implies that the patient must resolve many of their problems without the help of EMDR processing. We will try to “think in EMDR” about severe dissociation, rather than directly apply foreign theories to EMDR work. Protocol modifications include progression, fractionation, synthesis and direction.</text>
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      <description>This is the EMDR Specific metadata schema that resulted from the data that originated from the first FSL that was hosted at NKU.</description>
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        <element elementId="110">
          <name>Document #</name>
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        <element elementId="117">
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          <description>dc_creator</description>
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          <description>emdr_year</description>
          <elementTextContainer>
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          <elementTextContainer>
            <elementText elementTextId="352198">
              <text>&lt;a href="http://www.traumatherapie.de/users/bambach/bambach.pdf"&gt;http://www.traumatherapie.de/users/bambach/bambach.pdf&lt;/a&gt;</text>
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        <element elementId="104">
          <name>Subjects</name>
          <description>emdr_subject</description>
          <elementTextContainer>
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          </elementTextContainer>
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        <element elementId="113">
          <name>Accuracy Verified?</name>
          <description>emdr_accuracy</description>
          <elementTextContainer>
            <elementText elementTextId="352202">
              <text>Yes</text>
            </elementText>
          </elementTextContainer>
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        <element elementId="114">
          <name>Archived</name>
          <description>emdr_archived</description>
          <elementTextContainer>
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        <element elementId="116">
          <name>Original Work Citation</name>
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              <text>Bambach, S. (1994). &lt;a href="http://www.traumatherapie.de/users/bambach/bambach.pdf"&gt;EMDR und aktive zukunftsorientierung in der therapie von komplex traumatisierten menschen [EMDR and active future orientation in the treatment of complex trauma human].&lt;/a&gt; Author</text>
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          <element elementId="50">
            <name>Title</name>
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              <elementText elementTextId="352194">
                <text>EMDR und aktive zukunftsorientierung in der therapie von komplex traumatisierten menschen &lt;br /&gt;&lt;br /&gt;EMDR and active future orientation in the treatment of complex trauma human</text>
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                <text>Die Ausbildung in EMDR (Eye Movement Desensitization and Reprocessing) führte mich über längere Zeit zu einer intensiven Auseinandersetzung über die Vereinbarkeit von EMDR mit meiner bisherigen traumatherapeutischen Arbeit. Diese war und ist stark geprägt durch die lösungs- und ressourcenorientierte Therapie, wie ich sie von Steve de Shazer, Insoo Kim Berg, Yvonne Dolan und später in anderer Form von Gunther Schmidt erlernt habe. Zentrale Elemente der Arbeit mit traumatisierten Menschen nach lösungsorientierten Konzepten sind u. a. die aktive Unterstützung der Klienten1 bei der Entwicklung einer positiven Zukunftsvision, bei der Identifikation der individuellen Kriterien für Therapieerfolg und der kleinstmöglichen, aktiv zu unternehmenden Schritte in diese Richtung. Diese konsequent ressourcen- und lösungsorientierte Arbeitsweise schien im Widerspruch zur Traumafokussierung als zentralem Moment von EMDR zu stehen.&lt;br /&gt;&lt;br /&gt;The training in EMDR (Eye Movement Desensitization and Reprocessing) took me a long time to an intense debate about the compatibility of my recent trauma with EMDR therapy work. This was and is strongly influenced by the solution-and resource-oriented therapy, as I have of Steve de Shazer, Insoo Kim Berg, Yvonne Dolan and I have learned later in another way, by Gunther Schmidt. Key elements of the work with traumatized people after solution-oriented concepts, including the active support of Klienten1 in developing a positive vision for the future, in the identification of the individual criteria for treatment success and the smallest, active steps to be taken in this direction. This resource consistently and solution-oriented approach seemed to contradict the trauma as the central focus of EMDR are at the moment.</text>
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                <text>Neuropsychological findings indicate that affect regulation is learned through secure attachment during the first year of an infant's life (Siegel, 1999; Schore, 1994, 1996). Poor affect regulation is one of the main indicators of clients diagnosed with Personality Disorders and those having experienced early life trauma, e.g. CSA or other abuse. Hence, one of the aims of a successful treatment outcome is healthy affect control. Yet, few therapeutic approaches for Personality Disorder or Complex Trauma currently focus ont the quality and re-building of such clients' early attachment relationships. Herbert (2002, 2003) describes a therapeutic framework, utilizing both EMDR and CBT (Cognitive Behavioural Therapy) technqiues for working with complex client problems, that incorporates an assessment of the quality of early attachment relationships and, based on this, various therapeutic methods, such as imaginal re-nurtuing, which aid clients to re-script and repair ruptures in clients' experiences of their early attachment relationships. Clinical practice indicates that through the use of these techniques, clients with previously poor affect control and functionally disrupted lives, can learn to build a more secure and functionally positive sense of Self with healthy mechanisms of affect regulation. a) The learning objectives for this presentation are to introduce participatns to 1. the concept of attachment and its role ind determining affect control, 2. a therapeutic framework for working with clients with complex problems, and 3, clinicial technqiues that hep repair deficits in early attachment relationships to allow cients build healthy mechanisms of affect control.</text>
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                <text>Some clients with complex trauma whose experience goes back many years may never learn to form an intact, whole sense of themselves or engaged in health relationships with others. For these people, trust is a major issue and usually time-limited protocols of treatment either fail or are only partially helpful. Drawing on examples from clinical practice with complex trauma clients, this presentation will describe the use of a number of specifc technqiues and introduce a therapeutic framework, combining the use of EMDR and schema-focused cognitive behavioural psychotherapy.</text>
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                <text>The integration of EMDR with Ego State Therapy will be presented as a comprehensive approach to treatment of the wide spectrum of personality disorders. These diagnostic categories include individuals manifesting character pathology, borderline personalities, antisocial and sociopathic tendencies as well as addictive behaviors. These clients have often been seen as poor candidates for EMDR or even nonresponders. They are often mandated for treatment or come at the behest of others. Their histories often include early repeated experiences of abuse, deprivation, abandonment, and parental coldness. The hallmarks of personality disorders are rigid, intractable defenses, difficulty relating and empathizing with others, as well as acting out behavior. Historically, the treatment of personality disorders has been described as the symptoms of personality disorders be viewed as aspects of dissociation and will examine the applications of ego state concepts and techniques to all phases of the EMDR protocol in order to facilitate the treatment of these clients. Central to this approach is the conceptualization of self and object rcpresentations, self-objects or schemas as ego-states. Discussion will include how to use a developmental approach to assessment and will review the identification, mapping, and accessing of ego-states as well as how to promote ego-state-specific EMDR targets, facilitating the enhancement of EMDR processing.</text>
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                <text>Theoretical background: The teaching of a “safe place installation protocol” forms part of the standard EMDR training and for my EMDR practitioners and consultants alike it belongs to their repertoire of EMDR treatment techniques. Such a protocol requires clients to access and identify with an experienced place of safety in their lives. Complex (i.e., Type II) trauma clients, as well as other clients which have not been able to build a secure, positive sense of inner self, as a result of their unsafe experiences during most of all of their life, however, may find it very difficult to access and identify a safe place, which they can draw on during the use of EMDR safe place installation protocol. The standard safe pace installation protocol therefore frequently does not work for these clients. Yet, it is suggested in this presentation that access to the inner ‘safe place’ resource can be of particular therapeutic benefit for this client group. In recognition of the need for such a resource, Dr. Herbert has developed an alternative version of an EMDR-based safe place installation protocol, which draws on all sensory modalities (involving, cognitive, emotional and somatic systems) that will work with clients who have no known prior access to a place of safety in their lives. &lt;br /&gt;&lt;br /&gt;Aim of presentation: The conference audience will have the unique opportunity to experience Dr. Herbert’s safe place installation protocol’ during an in-vivo EMDR demonstration session. Suggested variations of the protocol tailored to individual client differences and clinical applications for the use of such a resource with this client group will also be explored. The latter will include use of the protocol as an inner anchoring point that clients can access and connect to in situations of crisis in their daily life and as an aid to facilitate the rebalancing of nervous system functioning.</text>
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              <text>Nijenhuis, E., &amp;amp; Solomon, R. M. (2004, June). Utilization of EMDR with complex traumatization. In complex traumatisation and EMDR (K. B. Johannesson, Chair). Symposium conducted at the 5th EMDR Europe Association Conference, Stockholm, Sweden</text>
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                <text>The goal of this paper is to examine one therapy process in order to explore what resources EMDR treatment can provide to complex traumatized clients with previous long-term therapies. How important is the role of mind/body connection? How could it be best observed and taken into consideration when deciding on therapeutic choices during difference phases in psychotherapy? This case raises also the following questions: When it is best to use EMDR? How do the therapist and client know when the client is ready for EMDR? How can clients learn to feel, become aware of their own bodies, observe their body sensations and label these observations? What is the importance of these skills before using EMDR? How do EMDR protocols work in this context? &lt;br /&gt;&lt;br /&gt;Case: This client had been severely traumatized in childhood and also in adult life. She came to EMDR treatment with own question: “Have I ever been able to feel anything?” She had been in different psychotherapies, but her body was not ready for EMDR and she could not regulate emotions. She had good ego strength. This presentation shows how the therapy process progressed and it includes a therorectical discussion. &lt;br /&gt;&lt;br /&gt;It is possible to integrate different kinds of therapies. Previous “traditional talking therapies” can give to the client the necessary ego strength, boundaries and make it easier to build a therapeutic relationship. Since trauma-related syndromes split the mind and body, it is necessary to address what occurs in the body, just as it is equally necessary to use words to make sense of and describe an experience. </text>
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                <text>Nowadays several international studies demonstrate that the problem of drug-addiction is very often found in combination with complex traumatization in early childhood and youth. (Felitti. 2903; Kufner et al. 2000; Langeland et al. 2006; Schmidt, 2000 etc.) As we all know PTSD and the other trauma symptoms cause a lot of psychophysical dysregulation. So the psychiatrist Khantrian postulated already 1985 the "self-medication hypothesis of addictive disorders". Janina Fisher, Trauma Center Boston, 2000, called this assumed combination of trauma-consequences and drug-addiction, "compensatory strategies aimed at self-regulation" In many years of working with drug-addicted people it became very obvious that a high percentage of this people are using drugs, for example to calm down after being aggressive, may be caused by an argue: or to reduce strong inner tensions; to sleep without nightmares, to alleviate the feeling of helplessness and fear etc. Drugs and alcohol do reduce all the mentioned symptoms for a while. To learn to cope in another, more adaptive way, the addicted people need to learn alternatives strategies for a good functioning self-regulation. After stabilization, the trauma therapy can start, so the patient can reduce some of the sources of psychophysiological dysregulation. Even when the addicted people still get methadone psychotherapy is possible. Practical experience over a long time. started 1990, did show a lot of successful treatments and that methadone does not interfere a traumatherapy. The 4-Fields-Technic is a special method of EMDR that was developed by Jarero et al. 1997 in Mexico after a hurricane disaster. Dorothee Lansch modified the group method into a therapy-setting for single persons. For complex traumatized and drug-addicted people this technic is very helpful. The focus is more easy to keep in mind, - in front of the eyes. In the 4-Fields-Technic the patient focuses on a self-painted picture, that represents the worst part of a trauma experience. The patient keeps his focus on this picture, combined with bilateral stimulation, till he feels the picture should be changed. And so the process is going on till finished. The participant will be able to learn: - about the correlation between complex trauma and drug-addiction - that drug-addicted people who get methadone are able to do trauma therapy -the 4-Fieids-Technic as a method to create resources. Psychotherapy and specially psychotraumatherapy with drug-addicted people who are as well in a methadone-treatment is for many therapists still controversial. This presentation will give you an idea how good it can work, based on various case series.</text>
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                <text>Binnen de instelling waar ik werk, het SinaiCentrum (gespecialiseerd in de behandeling van de psychische gevolgen van structureel geweld bij slachtoffers van de tweede wereldoorlog (concentratiekampoverlevende, jappenkampoverlevenden, verzetsmensen, burgeroorlogsgetroffenen), de tweede generatie, vluchtelingen, asielzoekers en veteranen uit recente oorlogsgebieden treffen wij vooral type 2 trauma/complex trauma aan. De afgelopen drie jaar heb ik een ruime ervaring opgegaan met de toepassing van EMDR bij deze doelgroepen. &lt;br /&gt;&lt;br /&gt;De toepassing van EMDR bij type 2 trauma is een nog relatief nieuw gebeid. In deze lezing wil ik stilstaan bij de ervaringen met betrekking tot - de indicatiestelling en diagnostiek, - stabilisatiefase, therapeutische relatie en de organisatorische inbedding hiervan, - keuzes met betrekking tot de te bewerken situaties en hoe beelden van mekaar te onderscheiden, - abrecations, - aantal sessies, - de taaiheid en soms moeizame vooruitgang, - verwevenheid met andere problematiek, - de fouten die gemaakt kunnen worden. &lt;br /&gt;&lt;br /&gt;Ik zal een ander illustreren met enig video-materiaal Daarna gelegenheid tot diskussie. &lt;br /&gt;&lt;br /&gt;Within the institution where I work, the Sinai Center specializing in the treatment of psychological consequences of structural violence in victims of WWII (concentration camp survivor, Japanese camp survivors, resisters, civil war victims), second generation refugees, asylum seekers and veterans of recent war zones we especially take Type 2 trauma / complex trauma. In the last three years I have extensive experience in applying EMDR absorbed by these groups. &lt;br /&gt;&lt;br /&gt;The application of EMDR in type 2 trauma is a relatively new gebeid. In this lecture, I want to experience on - The indication and diagnostics, - Stabilization phase, therapeutic relationship and the organizational embedding of this, - Choices about the situations and how to edit images of each to distinguish - Abrecations, - Number of sessions, - The toughness and sometimes painful progress - Integration with other problems, - The mistakes that can be made. &lt;br /&gt;&lt;br /&gt;I will illustrate with some video material with the opportunity for discussion afterwards.</text>
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              <text>&lt;span&gt;Onno &lt;/span&gt;van der Hart&lt;br /&gt;&lt;span&gt;Ellert R. S. &lt;/span&gt;Nijenhuis&lt;br /&gt;&lt;span&gt;Roger &lt;/span&gt;Solomon</text>
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                <text>Working with EMDR with people who suffer from complex trauma leads often to difficulties not only about case conceptualization, but also desensitization and reprocessing, with a risk of destabilization or even decompensation. Often many targets, especially those in early childhood can be located in the timeline before verbal abilities and thus stay implicit. Should we then renounce to work with EMDR? Is it possible to use EMDR safely, by adapting to each client, and their somehow chaotic life events without getting lost? The six gear mechanics relies on the metaphor about a car journey through therapy with people who have complex trauma, and provides a structural hierarchy of treatment which allows adaptation, by knowing what is done and why. It tries to integrate what is yet known in EMDR therapy with complex trauma, and provides a dynamic and adaptive tool to navigate through therapy.</text>
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                <text>Stabiliser et traiter les enfants traumatisés et souvent dissociés peut être compliqué. En apparence, ils peuvent sembler fonctionner relativement bien. Leurs stratégies d'évitement paraissent efficaces et ils refusent de parler du trauma ou disent qu'ils l'ont oublié. Cela ne les perturbe plus. Mais le désir du thérapeute de laisser les chiens dormir tranquillement est une stratégie dangereuse. Sous cette apparence de bon fonctionnement extérieur l'enfant est terrifié, constamment en alerte et seul, incapable de trouver le réconfort. Cet enfant ne peut s'attacher et ce manque d'attachement sécure peut dévaster son développement futur. Cependant, ce n'est que par une anamnèse détaillée réalisée par les soignants et les instituteurs que ces problèmes souvent cachés peuvent être révélés. Arianne expliquera les principes de base de la dissociation et de la dissociation structurelle chez les enfants dans le but d'aider à les traiter. &lt;br /&gt;&lt;br /&gt;Dans ce workshop, elle fera une démonstration du "6 tests", un nouveau modèle unique de stabilisation pour enfants. La stabilisation inclut la motivation, la psycho-éducation, la création d'un lieu sûr, l'activation du système d'attachement, des outils d'auto-régulation, des changements cognitifs, etc . Le "6 tests" aide le thérapeute à décider si l'enfant a besoin de stabilisation supplémentaire et comment l'établir avant de commencer l'EMDR. &lt;br /&gt;&lt;br /&gt;Stabilize and treat traumatized children and often dissociated can be complicated. Outwardly, they may appear to function relatively well. Their avoidance strategies seem effective and they refuse to talk about the trauma or say they have forgotten. That does not disturb more. But the therapist's desire to let the dogs sleep in peace is a dangerous strategy. Under the appearance of functioning outside the child is terrified, alone and constantly alert, unable to find comfort. This child can not concentrate and lack of secure attachment can devastate its future development. However, it is only through a detailed history completed by caregivers and teachers that these often hidden problems can be revealed. Arianne will explain the basic principles of unbundling and structural separation of children in order to help address them. &lt;br /&gt;&lt;br /&gt;In this workshop she will demonstrate the "6 tests," a new model for stabilization of single children. Stabilization includes motivation, psycho-education, creating a safe place, the activation of attachment system, tools for self-regulation, the exchange In this workshop she will demonstrate the "6 tests," a new model for stabilization of single children. Stabilization includes motivation, psycho-education, creating a safe place, the activation of attachment system, tools for self-regulation, cognitive changes, etc.. "6 test" helps the therapist to decide if the child requires additional stabilization and how to prepare before starting EMDR.</text>
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                <text>Managing dissociative interference when treating individuals with early repetitive traumatization requires recognition, then direct intervention. The “phobias of structural dissociation” are especially helpful in recognizing the less readily apparent dissociative interferences. These refer to the individual’s fear and avoidance of their own internal experiencing, (e.g., thoughts, parts, memories) rather than the traditional fear of external objects or processes. They can be responsible for failures to establish the therapy or Safe Place, refusal of EMDR, looping, “stuck” NCs, etc. This presentation describes the phobias (with clinical illustrations), recognition markers, and a stepped hierarchy of EMDR interventions to manage dissociative interferences.</text>
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              <text>Stofsel, M., &amp;amp; Mooren, T. (2010, October). [Phase 2 - Global trauma technique]. In M. Stfsel and T. Moreen, Complex Trauma, Deel 3(pp. 131-135). Bohn Stafleu van Loghum. doi:10.1007/978-90-313-8553-9_11. Dutch</text>
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                <text>Het komt nogal eens voor dat een behandelaar besluit een methode in te zetten die gericht is op afgebakende traumatische ervaringen, terwijl de cliënt eigenlijk zijn hele verhaal wil vertellen en behoefte heeft over al zijn ervaringen te getuigen. Deze behoefte van een cliënt kan conflicteren met de focus die gevraagd wordt bij een gedetailleerde procedure zoals exposure of EMDR. Daarom is het in sommige gevallen goed om een gedetailleerde traumabehandeling vooraf te laten gaan door een globalere methode. Soms blijkt dat zo’n globale methode al voldoende effectief is. Als dat niet het geval is, kan daarna alsnog een gedetailleerde behandeling zoals EMDR of exposure worden toegepast. &lt;br /&gt;&lt;br /&gt;It sometimes happens that a practitioner decides to deploy a methodology aimed at defined traumatic experiences, while the customer really wants to tell his whole story and needs to testify about his experiences. These needs may conflict with a client focus that is asked by a detailed procedure as EMDR or exposure. Therefore, in some cases a good detailed trauma treatment preceding it by a more global approach. Occasionally, a global method is effective enough. If this is not the case, then still a detailed treatment such as EMDR or exposure are used.</text>
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                <text>Attachment theory and interpersonal neurobiology demonstrate the importance of the therapeutic relationship as a primary change mechanism. With survivors of childhood relational trauma, betrayal of trust and attachment issues create obstacles to developing a secure therapeutic alliance. Even when the therapeutic relationship feels more secure, these clients often experience separation between sessions as attachment loss. This can feel burdensome to the therapist, who may receive multiple crisis phone calls throughout the week. In this presentation, the relational affect regulation protocol will be explained and case examples will illustrate how it is put into practice. Drawing upon concepts from Stress Inoculation Training (SIT), Accelerated Experiential Dynamic Psychotherapy (AEDP) and Eye Movement Desensitization and Reprocessing (EMDR), the protocol helps facilitate dyadic affect regulation and object constancy during the stabilization phase of treatment with complex trauma survivors. The elements of an SIT script will be described and creative adaptations will be proposed. AEDP microprocessing of the client’s experience of the therapist reading the script to the client will be explained and illustrated. The EMDR procedure for installation of the therapist as a resource will be taught and strategies for utilizing this as a selfsoothing method between sessions will be delineated. &lt;br /&gt;&lt;br /&gt;Participants will be able to: discuss two problems clients ♦♦ with Complex PTSD have with attachment and fear of attachment loss in therapy, and will be able to identify three strategies to address this issue. ♦♦ explain AEDP microprocessing of interactions between client and therapist, and how this technique can help survivors of childhood relational trauma to develop trust in the therapist. ♦♦ list the four essential elements of an SIT script and utilize the steps involved in the relational affect regulation protocol with their clients.</text>
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                <text>EMDR is widely recognized as a therapy of choice in psychotraumatology. However treating clients who suffer from complex traumatization, and especially dissociative disorder, using EMDR straightaway in its standard form is very difficult. “By far, the greatest number of reported difficulties and stories of clinical problems and potential harm through the improper use of EMDR had involved clients with dissociative disorders.” Shapiro (2001, p. 308). Does this mean that people who have complex trauma and dissociative disorder could not benefit from EMDR? Which adaptations of the standard protocols in the different phases of the EMDR process are crucial in order to use EMDR to enhance the clients’ capacities and diminish their suffering? Which indicators should be considered? How can clinicians provide a safe and efficient help, without getting lost in this difficult treatment patterns, by knowing what to do and why? This workshop is designed for practitioners familiar with EMDR. It will provide a general overview of essential modifications of the standard EMDR protocol for complex traumatized clients. The theoretical part will focus on an understanding of the underlying EMDR working mechanism as far as discussed today, on knowledge of dissociation as a result of complex traumatization, in the context of the AIP model (adaptive information processing), the attachment theory, the theory of structural dissociation and recent research findings. The emphasis will be on practical applications of these insights into a comprehensive treatment of this group of clients. Based on the experience of the presenters, implementing use of bilateral stimulation in all phases of therapy will be shown. Important considerations according possible iatrogenic harm will be discussed. Case examples from practice will be provided, including videos.</text>
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                <text>We all display particular patterns of thinking, feeling and acting, depending on the situation. The transition is usually seamless in well-adjusted people, but where there has been disrupted attachment or sustained early life trauma the result is often the formation of particular ego states, also known as alters, parts, or schema modes. These states perform roles usually geared towards survival, but in adulthood they can be dysfunctional. Depending upon a client’s early life experiences some ego states can be malevolent, wanting bad things for the client such as willing them to suffer in some way. These clients present us with the greatest challenges through what we know as complex trauma and dissociative disorders. It is necessary for clients to remain stable during EMDR sessions and contained between sessions, particularly with complex trauma and dissociative disorders. There is a need, therefore, to learn techniques to work in the Preparation Phase with more difficult clients so they too can benefit from the full EMDR protocol. It is also helpful to know how to deal with blocked processing in the Desensitization Phase due to the interference of an ego-state. This workshop initially provides an overview of dissociation and how it impacts on EMDR processing. There will be an explanation of Ego State Therapy (EST) and how it fits with EMDR to provide the stabilization clients need, as well as dealing with blocked processing. Clinical case material is used throughout to illustrate learning points. Through demonstration and practice participants will learn how to build resources for clients, access ego states in a controlled way and effect therapeutic change. In the latter part of the day, participants will see videos of live cases where EST is used effectively in the Preparation Phase of EMDR to: 1) identify the part-selves and 2) moderate the malevolence displayed by two difficult ego states. Learning objectives Understand how complex trauma and dissociative disorders impact EMDR processing Understand the concept of working with part-selves as a way of preparing clients for the standard EMDR protocol. Learn how to access ego states in a controlled way and effect therapeutic change and stability. Learn techniques to deal with difficult ego states.</text>
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              <text>Patti, M. S (2010, April). &lt;a href="http://www.estd.org/wordpress/wp-content%5Cuploads%5Cconferences%5Cbelfast-2010%5CElena%20slides%20(symposium%20B8).pdf"&gt;Diagnosing and treating complex PTSD: An integrated approach model - Borderline personality disorder and comorbid DID: Intervening with EMDR, relational and sensorymotor psychotherapies.&lt;/a&gt; Symposium at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland</text>
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                <text>The paper presents a clinical case of an initial diagnosis of BPD referred to ARP by local psychiatric services where she was treated for a suicide attempt. The client presented serious affective dysregulation, impulse dyscontrol, dissociative symptoms and refused any medication. Clinical team opted for an integrated assessment which also stabilised the client. The assessment enabled to diagnose the client with structural dissociation isolating both ANP and EP aspects. Clinical intervention adopted an integrated approach using EMDR to treat specific dissociative traits, sensorymotor therapy to intervene on somatic symptoms, and relational therapy to develop therapeutic alliance. A preliminary stabilisation enabled the client to accept support from psychiatric services. This clinical case shed light on how the integration of assessment tools may detect better trauma disorders and challenged the importance of collaborative work between private practice and psychiatric services when intervening with seriously traumatized patients.</text>
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          <name>Accuracy Verified?</name>
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              <text>Litt, B. (2012, October). Advanced techniques in the EMDR-based treatment of complex trauma. Presentation at the International Society for the Study of Trauma and Dissociation 29th Annual International Conference, Long Beach, CA</text>
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                <text>Abstract:EMDR is an efficacious therapy for the treatment of PTSD. Increasingly, EMDR is being recognized as an important and viable therapy in the treatment of complex PTSD, including Dissociative Disorder Not Otherwise Specified, Dissociative Identity Disorder, and personality disorders that have their origins in attachment trauma. This population presents unique clinical challenges in terms of stability, affect tolerance, and accessibility to trauma resolution. While much has been written and presented about affect regulation, attachment issues, and dissociation, therapists are not often aware that these phenomena emerge and must be managed throughout all phases of EMDR therapy. This presentation will focus on advanced techniques that provide solutions to problems within phases 2,3, and 4. Clinicians will learn techniques to incorporate in the stabilization/ preparation phase and to revisit as necessary in later stages of EMDR treatment. Objectives include helping the patient effectively deal with reactions such as avoidance, freeze, hyperarousal and numbing. Techniques include ego state work and somatic interweaves.In Phase 4, (desensitization) therapists will be learn about the Zone of Optimal Arousal and learn a sequence of advanced techniques to maintain client stability and safety, and to identify when and why a patient has stopped processing.&lt;br /&gt;&lt;br /&gt;Learning Objectives: Participants will be able to perform a series of strategies for overcoming looping and blocking in EMDR phases three and four. Participants will be able to utilize the Domains of Self Model to rapidly assess triggers and anticipate processing style and resolution profile. Participants will be able to utilize the Zone of Optimal Processing model to assess problems with processing and select appropriate strategies to safely resume desensitization.</text>
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              <text>&lt;p&gt;Martijn Stofsel&lt;br /&gt;Trudy Mooren&lt;/p&gt;</text>
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              <text>Stofsel, M., &amp;amp; Mooren, T. (2012, March). [Treatment of complex trauma: EMDR and more how do you form such a treatment, what pitfalls may exist, which place has EMDR and how do you monitor the red line in these often long-term treatments?]. Presentation at the 6th Vereniging EMDR Nederland Conference, Arnhem, The Netherlands. Dutch</text>
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                <text>Behandeling van complex trauma: EMDR en meer hoe geef je zo’n behandeling vorm, welke valkuilen kunnen er zijn, welke plek heeft EMDR en hoe bewaak je de rode lijn bij deze vaak langdurige behandelingen? &lt;br /&gt;&lt;br /&gt;Treatment of complex trauma: EMDR and more how do you form such a treatment, what pitfalls may exist, which place has EMDR and how do you monitor the red line in these often long-term treatments?</text>
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                <text>Behandeling van ‘Complex trauma’ is lastig, omdat er vaak op veel verschillende levensgebieden problemen zijn. Daarbij is er sprake van een opeenstapeling van traumatische ervaringen. Dit kan leiden tot een soort schrik of terughoudendheid bij behandelaren, om complex trauma adequaat aan te pakken. In deze workshop willen wij duidelijk maken dat complex trauma goed te behandelen is, mits men de ruimte heeft om een langere behandeling aan te gaan, een therapeutische relatie (met tegenoverdrachtelijke valkuilen) aan kan gaan met cliënten met een geschokt wantrouwen in hun medemens en men niet te snel terugschrikt en mits men goed overzicht houdt over het verloop van de behandeling. Wij presenteren een model dat richting geeft aan de behandeling van complex trauma. We gaan uit van het drie-fasen model (Herman, 1992) met stabilisatie, verwerking en integratie en vullen dit aan met handvatten voor praktisch gebruik. Dit model gebruiken we om op systematische wijze de verandermogelijkheden te kunnen bepalen bij complexe traumaproblematiek. We zullen uit elke fase een of meerdere technieken demonstreren en op een rijtje zetten hoe EMDR toegepast wordt bij de behandeling van j complexe traumaproblematiek.&lt;br /&gt;&lt;br /&gt;Treatment of 'Complex trauma is difficult, because there are often many different areas of life problems. In addition, there is an accumulation of traumatic experiences. This can lead to a kind of fear or reluctance of clinicians to adequately handle complex trauma. In this workshop we want to make clear that complex trauma can be treated well, provided they have the space for a longer treatment to enter a therapeutic relationship (with counter-transference traps) to can deal with clients with a shaken confidence in their fellow man and one not afraid to quickly and if one does good overview over the course of treatment. We present a model that gives direction to the treatment of complex trauma. We assume the three-phase model (Herman, 1992) with stabilization, processing and integration and supplement this with handles for practical use. The model we use to systematically change the options to determine in complex trauma problems. We will phase out any one or more techniques and demonstrate how this straight EMDR is used in the treatment of complex trauma problems j.</text>
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                <text>Durante y después de un desastre, el trauma psicológico es una consecuencia de las multifacéticas situaciones que viven individuos y comunidades. El modelo que se presenta a continuación, nos da una visión general del amplio espectro de los devastadores efectos psicoemocionales y psicosociales que pueden provocar los desastres a corto, mediano y largo plazo. Es una síntesis elaborada por el autor, misma que se basa en su amplia experiencia de campo, en el modelo de Manejo de Estrés en Incidentes Críticos de la International Critical Incident Stress Foundation (ICISF) y en las guías de la Organización Panamericana de la Salud (OPS) y de la Organización Mundial de la Salud (OMS).&lt;br /&gt;&lt;br /&gt;During and after a disaster, psychological trauma is a consequence of living situations multifaceted individuals and communities. The model presented below, gives an overview of the broad spectrum of psycho-emotional and psychosocial devastating effects that can cause disasters in the short, medium and long term. It is a summary prepared by the author, it is based on his extensive field experience in the management model of Critical Incident Stress the International Critical Incident Stress Foundation (ICISF) and the guidelines of the Pan American Health Organization (PAHO) and World Health Organization (WHO).</text>
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                <text>Healthcare service providers, as well as, mental health practitioners, frequently associate the suffering of complex trauma with pathology, mental illness, personality disorders and severe psychiatric dysfunction. Clients are perceived as difficult to treat, interventions are guided by the nature of the psychiatric diagnosis and therapy focuses on crisis management and on helping clients to achieve reductions of symptoms that account for the psychiatric diagnosis. Although symptom reduction can be of great value and importance to sufferers, sole focus on this misses the great potential to engage a person in a transformative process that can lead to considerable inner strengthening, alignment and positive growth, as a result and in spite of their early traumatic experiences. This keynote introduces a shift in perspective away from the traditional focus on psychiatric dysfunction toward a model of positive growth for clients suffering from Complex Trauma and Dissociative Identity Disorder (DID). It is proposed that development of empathic empowerment of the individual toward greater personal authenticity, honesty, accountability and compassion can open the path toward posttrauma growth. However, in order to achieve such development specific parameters must be fulfilled. These parameters, which include therapist factors, the nature of the therapeutic relationship, an underlying therapeutic framework for working with complex trauma and the guiding principles and ingredients that nurture growth rather than dysfunction, will be outlined and illustrated through the use of client vignettes.</text>
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                <text>This workshop describes the various uses of chronological autobiographical memory cues (temporal sequencing) to restore the sense of ‘continuity of being’ disrupted by trauma: 1.	To facilitate readiness for EMDR processing when a client is avoidant to accessing memory, or is likely to become hyper-aroused, by creating felt distance in time from the time of the trauma to the present. 2.	To securely close an incomplete EMDR session. 3.	To improve the clients’ present groundedness both in the session, and to improve their general level of groundedness, making them less vulnerable to intrusions and avoidance.  4.	To build sufficient ego-strength and empowerment for secure processing and integration of traumatic memory.</text>
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                <text>This study evaluated a multicomponent phase-based trauma treatment approach for 34 children who were victims of severe interpersonal trauma (e.g., rape, sexual abuse, physical and emotional violence, neglect, abandonment). the children attended a week-long residential psychological recovery camp, which provided resource building experiences, the eye movement desensitization and reprocessing integrative group treatment protocol (emdr-igtp), and one-on-one emdr intervention for the resolution of traumatic memories. the individual emdr sessions were provided for 26 children who still had some distress about their targeted memory following the emdr-igtp. results showed significant improvement for all the participants on the child's reaction to traumatic events scale (crtes) and the short ptsd rating interview (sprint), with treatment results maintained at follow-up. more research is needed to assess the emdr-igtp and the one-on-one emdr intervention effects as part of a multimodal approach with children who have suffered severe interpersonal trauma.</text>
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                <text>N. è stata portata in Italia a 14 anni con l’illusione di lavorare come baby sitter, finisce invece vittima dello sfruttamento sessuale organizzato e per circa un anno subisce violenze sessuali, fisiche e psicologiche. Con forza e coraggio notevoli, riesce a fuggire, nuda, da un’auto dove stava subendo l’ennesima violenza. Ha gravi lesioni sul corpo, viene soccorsa e portata in ospedale, dove decide di denunciare i suoi vittimizzatori. Il caso finisce alla Procura del Tribunale per i Minorenni e N. viene collocata, sotto falso nome, in una comunità. Il mio primo contatto con la ragazza avviene quando ha 16 anni ed è in comunità da cinque mesi. Presenta ancora i sintomi invadenti del PTSD: flashback, incubi, panico, pensieri ossessivi, isolamento, distacco emotivo che a volte la fa apparire molto calma, sovreccitazione. Non sa controllare gli impulsi e regolare le emozioni: passa dalla rabbia, che sfoga picchiando pugni contro il muro fino a ferirsi o spaccando tutto ciò che le capita sotto mano, alla eccitazione, alla depressione con sentimenti di inutilità a vivere, di colpa e di vergogna (sintomi di PTSD Complesso). Propongo e spiego da subito l’EMDR ritenendo che sia l’unico approccio terapeutico utile; stabiliamo piano terapeutico e N. esprime il suo consenso al trattamento. Particolare attenzione, data la problematicità, alla fase di preparazione e stabilizzazione. Nell’anamnesi emerge primo trauma a 10 anni, prima ricorda di essersi sentita amata e protetta. Rafforzo queste esperienze positive che diventano risorse in suo possesso. Fondamentale si rivela la psicoeducazione sui disturbi: N. accoglie con sollievo l’idea che non è “pazza” o “indemoniata” ma solo traumatizzata. Immaginiamo comportamenti alternativi per esprimere le emozioni e strategie di coping. Posto al Sicuro: servono due sedute per stabilizzare e installare il posto al sicuro. Il protocollo EMDR sarà applicato fedelmente nelle sue fasi; i target del passato affrontati in ordine cronologico. N. è sempre partita da 1 nella scala VoC e da 10 nella SUD; ha concluso tutte le sedute con SUD: 0 e VoC: 6 /7. Ha avuto abreazioni e una volta ha chiesto di fermarsi: la NC era”sto per morire”. Sono stati raggiunti, dopo 10 mesi di terapia, gli obiettivi del piano terapeutico: la sintomatologia post-traumatica si è risolta dopo otto sedute. &lt;br /&gt;&lt;br /&gt;No was taken to Italy 14 years with the illusion of working as a babysitter, instead ends up a victim of sexual exploitation and organized for about a year suffer sexual violence, physical and psychological. With remarkable courage and strength, manages to escape, naked, from where a car was undergoing yet another violence. He has serious injuries on the body, is rescued and taken to hospital, where he decides to denounce his victimization. The event ends at the General Prosecutor of the Juvenile Court and N. is placed under a false name, in a community. My first contact with the girl when she is 16 years and is shared by five months. Still has the intrusive symptoms of PTSD: flashbacks, nightmares, panic, obsessive thoughts, isolation, emotional detachment that sometimes makes it appear very calm, excitement. Can not control impulses and regulate emotions: anger passes, which unleashed banging his fists against the wall until injury or cracking everything that happens at hand, the excitement, depression with feelings of futility in life, guilt and shame (symptoms of complex PTSD). Propose and explain EMDR now believing it is the only therapeutic approach useful, we establish a treatment plan and N. expresses its consent to treatment. Particular attention, given the problematic, the preparation and stabilization. Nell'anamnesi apparent trauma to the first 10 years, first recalls that she felt loved and protected. Reinforces these positive experiences that become resources in their possession. Reveals the basic psychoeducation about the disorder: No welcomes with relief the idea that is not "mad" or "possessed" but traumatized. Imagine alternative behaviors to express emotions and coping strategies. Safe place: it takes two sessions to stabilize and secure way to install. The EMDR protocol is applied faithfully in its early stages, the targets of the past dealt with in chronological order. No always started from a ladder in VOC and 10 in South, has completed all the sessions with SUD: 0 and VOC: 6 / 7. Abreactions and had once asked to stop: the NC was "I am going to die." Were achieved after 10 months of therapy, the goals of treatment plan: post-traumatic symptoms resolved after eight sessions.</text>
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              <text>&lt;a href="http://sophia.stkate.edu/cgi/viewcontent.cgi?article=1173&amp;amp;context=msw_papers"&gt;http://sophia.stkate.edu/cgi/viewcontent.cgi?article=1173&amp;amp;context=msw_papers&lt;/a&gt;</text>
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                <text>The focus of this research was to gain a better understanding of the challenges of working with clients who have experienced severe or chronic trauma. The conceptual framework used for this research project is based on neurologically informed attachment theory as it is presented by Daniel J. Siegel in his book Pocket Guide to Interpersonal Neurobiology: An Integrative Handbook of the Mind (2012). The sample consisted of five professional mental health therapists who currently work with clients in the treatment of trauma. All participants also completed the Level I Trauma Training for Sensorimotor Psychotherapy. This sample of therapists reported that the majority of their cases were related to trauma, post-traumatic stress disorder, depression, anxiety and dissociative disorder. After analysis of the transcripts, three main themes emerged in the questioning: 1) Sensorimotor psychotherapy was explored due to perceived limitations with existing approaches for the treatment of some highly traumatized clients 2) Attention to the therapeutic relationship is extremely important when working with highly traumatized clients and 3) Insights regarding the therapists role in the treatment of traumatized clients. Strengths of this study included the relatively experienced sample and the qualitative nature of the study which allowed the participants' voices and experiences to be heard. Limitations of this sample include the small sample size of five therapists and the homogeneity of the participants.</text>
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                <text>Complex cases often present the therapist with a confused picture and the dilemma of how to “find a way in” swiftly but safely under time-limited conditions imposed by agency or waiting lists. This workshop explores ways in which therapists can unwittingly obstruct process and highlights strategies to counter this and facilitate early and effective access to treatment targets and BLS processing.</text>
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                <text>Cette étude a évalué une approche thérapeutique du trauma, orientée par phases et à composants multiples, auprès de 34 enfants victimes de traumas interpersonnels graves (e.g., viols, abus sexuels, violences physiques et émotionnelles, négligences, abandon). Les enfants ont participé à un camp résidentiel de rétablissement psychologique d'une semaine, apportant des expériences de développement de ressources, le protocole EMDR de traitement intégratif de groupe EMDR (PTIG-EMDR), et une intervention EMDR individualisée pour la résolution de souvenirs traumatiques. Les séances EMDR individuelles ont été réalisées avec 26 enfants qui éprouvaient toujours une certaine détresse en lien avec leur souvenir ciblé après le PTIG-EMDR. Les résultats ont montré une amélioration significative pour tous les participants sur l'Echelle de la réaction de l'enfant à des événements traumatiques (Child's Reaction to Traumatic Events Scale [CRTES]) et l'Entretien court d'évaluation de l'ESPT (Short PTSD Rating Interview [SPRINT]), avec des résultats thérapeutiques maintenus lors du suivi. D'autres recherches sont nécessaires pour évaluer les effets du PTIG-EMDR et des interventions EMDR individuelles en tant que composants d'une approche multimodale auprès d'enfants qui ont souffert de traumas interpersonnels graves. &lt;br /&gt;&lt;br /&gt;This study evaluated a multicomponent phase-based trauma treatment approach for 34 children who were victims of severe interpersonal trauma (e.g., rape, sexual abuse, physical and emotional violence, neglect, abandonment). the children attended a week-long residential psychological recovery camp, which provided resource building experiences, the eye movement desensitization and reprocessing integrative group treatment protocol (emdr-igtp), and one-on-one emdr intervention for the resolution of traumatic memories. the individual emdr sessions were provided for 26 children who still had some distress about their targeted memory following the emdr-igtp. results showed significant improvement for all the participants on the child's reaction to traumatic events scale (crtes) and the short ptsd rating interview (sprint), with treatment results maintained at follow-up. more research is needed to assess the emdr-igtp and the one-on-one emdr intervention effects as part of a multimodal approach with children who have suffered severe interpersonal trauma.</text>
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              <text>Hans-Henning Melbeck&lt;br /&gt;Michael Hase&lt;br /&gt;Arne Hofmann</text>
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              <text>Melbeck, H.-H., Hase, M., &amp;amp; Hofmann, A. (2003, February).  [EMDR in the treatment of severe mental trauma]. Psychotherapeuten Forum, 10(2), 5-24. German</text>
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                <text>Die Entwicklung einer der neuesten erfolgreichen therapeutischen Entwicklungen in der Behandlung psychotraumatologischer Syndrome gelang Dr. Francine Shapiro vom Mental Research Institut in Palo Alto, Kalifornien. Eher zufällig, wie sie heute erzählt, entdeckte sie 1987 bei einem Spaziergang in einem Park, dass belastende Gedanken – sie selbst hat ein Krebsleiden überlebt – für sie plötzlich leichter wurden, nachdem sie ihre Augen spontan in Sakkaden bewegt hatte. Sie begann, diese zufällige Beobachtung systematisch zu erforschen und vorsichtig zu erproben. Erste Veröffentlichungen über die damals noch rudimentäre EMD-Methode fanden Beachtung (Shapiro, 1989; Wolpe, 1991). In den folgenden Jahren entwickelte sie daraus das EMDR als Psychotherapiemethode, die in acht Therapiephasen die traumatische Erinnerung zu verarbeiten versucht (Shapiro, 1995; Shapiro, 2001). Im deutschen Sprachraum wurde Mitte der neunziger Jahre erstmals über EMDR berichtet (Hofmann, 1996), seitdem findet diese Methode dort zunehmend Beachtung (Hofmann, 1999; Lamprecht, 2000).&lt;br /&gt;&lt;br /&gt;The development of the latest successful therapeutic developments psychotraumatological in the treatment Syndromes succeeded Dr. Francine Shapiro of the Mental Research Institute in Palo Alto , California. more chance, as she tells today , discovered it in 1987 during a walk in a park that upsetting thoughts - They even survived a battle with cancer - Suddenly easier for them were after they spontaneously in their eyes Saccades had moved . She began this casual observation systematically to explore and carefully testing . first publications over the then rudimentary EMD method received attention ( Shapiro , 1989; Wolpe , 1991). In the following years it developed from the EMDR as a method of psychotherapy , the eight phases of therapy in the to process traumatic memory tries ( Shapiro , 1995; Shapiro, 2001). In the German -speaking area was The mid-nineties for the first time about EMDR reported ( Hofmann, 1996) , since this method is there increasing attention ( Hofmann, 1999, Lamprecht, 2000). "</text>
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                <text>This workshop will explain how early chaos and/or neglect affects a child’s brain, autonomic nervous system, and body system and how this can lead to the development of complex trauma. The presentation of complex trauma in children including dissociation, the inability to trust, and behavioral disturbances will be described. The three-stage trauma treatment model will be described with particular attention to the role of EMDR within each stage of this treatment. Because of the dynamics of complex trauma – the separation off of emotions, cognitions/ memories, and body sensations – an adapted form of the EMDR protocol is often required. Several clinical cases will be described with details on how EMDR is incorporated. The complexities of working with Aboriginal children and their parents will be explored. EMDR has been found to be particularly helpful with addressing the complex trauma experienced by Aboriginal people through their experiences of colonization, the residential school system, and present intra- and extra-familial abuse. Numerous case examples will be given. Ideas for developing a culturally respectful and relevant program for Aboriginal children who have experienced trauma will be presented. Learning Objectives: 1. Participants will be able to explain the effects of severe chaos and neglect on a child’s development. 2. Participants will be able to use EMDR within their therapies with traumatized children 3. Participants will be able to identify the unique circumstances and experiences endured by Aboriginal children and families. 4. Participants will be able to design a culturally respectful therapeutic program incorporating EMDR that addresses the specific needs of Aboriginal children who experience complex trauma</text>
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                <text>Working with complex traumatized clients, the therapist is confronted with difficult questions, choices and dilemmas: is the client ready for the step towards trauma confrontation  or does the client need to develop more skills or resources? •How do you assess bearing strength, and how do know it is enough? •And what if the client cannot develop trauma processing skills because she is so devastated by trauma symptoms?   •How can you create more client safety and control, without prematurely activating trauma networks?  •And what can you do, when affect tolerance is insufficient to start EMDR? &lt;br&gt;In this workshop a systematic, structured approach to EMDR skills training is presented. The client’s processing skills are evaluated with an informal checklist instrument, ‘the Three Tests’, that helps client and therapist to make informed decisions at any moment in treatment. &lt;br&gt;It shows exactly what the client needs to learn at any moment, and provides the therapist with a tailor-made treatment plan. &lt;br&gt;In this workshop many, many practical ideas are offered to work on bearing strength (affect tolerance,  attachment and self-compassion). Some techniques and interventions will be practiced in small groups. &lt;br&gt;The presentation is illustrated with many examples, case stories, demonstrations and metaphors. </text>
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