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              <text>Femke Bannink&lt;br /&gt;Anne Dewailly &lt;br /&gt;Kalkidan Admasu &lt;br /&gt;Kizito Wamala &lt;br /&gt;Aquila Vera &lt;br /&gt;Dismas Bwesigye &lt;br /&gt;Gisela Roth</text>
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              <text>Bannink, F., Dewailly, A., Admasu, K., Wamala, K., Vera, A., Bwesigye, D., &amp;amp; Roth, G. (2023). [Cultural adaptations of the standard EMDR protocol in five African countries]. Journal of EMDR Practice and Research, 17(2), e1121-e138. doi: 10.1891/EMDR-2022-0062. French</text>
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                <text>Adaptations culturelles du protocole EMDR standard dans cinq pays d'Afrique&lt;br /&gt;&lt;br /&gt;&lt;span&gt;Cultural adaptations of the standard EMDR protocol in five African countries&lt;/span&gt;</text>
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                <text>Depuis 2007, des professionnels de santé mentale en Afrique sub-saharienne ont été formés à la thérapie de désensibilisation et de retraitement par les mouvements oculaires (EMDR). Cette étude qualitative a recouru à un dispositif afrocentré avec analyse thématique pour explorer les adaptations apportées au protocole standard EMDR, visant à le rendre culturellement pertinent pour des patients africains. Les participants étaient 25 thérapeutes EMDR (dont trois hommes, tranche d’âge 32-60 ans, x = 44) de cinq pays africains, qui pratiquaient l’EMDR depuis 1 à 11 ans (x = 7). Tous ont répondu à un questionnaire d’enquête, huit ont participé à une discussion de groupe, et deux ont fourni une analyse de notes de supervision. Les participants estimaient que l’EMDR était une thérapie utile et bénéfique et la préféraient aux autres thérapies en raison de sa nature non narrative et de ses résultats rapides. Nous avons identifié quatre domaines dans lesquels les thérapeutes africains ont régulièrement adapté le protocole standard : la formulation du texte du protocole, l’expression culturelle des pensées et des émotions, le choix des stimulations et la simplification des échelles quantitatives. Sur la base des résultats de cette étude, nous formulons de nombreuses recommandations pour des adaptations culturelles du protocole EMDR. Celles-ci comprennent des changements de langage pour prendre en compte la communication « orientée vers le nous » des patients ; des interprétations culturelles des pensées et des événements positifs et négatifs ; l’ajout d’activités culturelles telles que la danse, la musique et les pratiques religieuses comme exercices de ressourcement ; l’utilisation de gestes des mains ou de l’échelle picturale avec des visages au lieu d’échelles numériques ; et l’utilisation de tapotements pour les stimulations bilatérales au lieu de mouvements oculaires, parfois considérés comme de la « sorcellerie ». Nous abordons la pertinence de ces résultats pour la pratique et la formation EMDR. Nous recommandons aux chercheurs africains d’étudier plus avant l’acceptabilité, l’utilisation et l’efficacité de l’EMDR dans leur pays.&lt;br /&gt;&lt;br /&gt;&lt;span&gt;Since 2007, mental health workers in sub-Saharan Africa have been trained in eye movement desensitization and reprocessing (EMDR) therapy. This qualitative study used an Afrocentric design with thematic analysis to investigate adaptations to the EMDR standard protocol that make it culturally relevant for African clients. Participants were 25 EMDR therapists (three male, age range 32–60 years, x̄ = 44) from five African countries, who practiced EMDR for 1–11 years (x̄ = 7). All answered a survey questionnaire, eight participated in a focus group discussion, and two provided a supervision notes analysis. Participants found EMDR a useful and beneficial therapy and preferred it over other therapies because of its nonnarrative nature and quick results. We identified four areas in which African therapists consistently made adaptations to the standard protocol: wording of the protocol text, cultural expression of thoughts and emotions, stimulation choice, and simplification of quantitative scales. Based on the study results, we make numerous recommendations for cultural adaptions to the EMDR protocol. These include language changes to take into account the clients’ “we oriented” communication; cultural interpretations of positive and negative thoughts and events; adding cultural activities such as dance, music, and religious practices as resourcing exercises; using hand gestures or the pictorial faces scale instead of ordinal scales; and using tapping for bilateral stimulation instead of eye movements, which were sometimes seen as “witchcraft.” The relevance of the findings for EMDR practice and training are discussed. We recommend that African researchers further study the acceptability, use, and effectiveness of EMDR in their countries.&lt;/span&gt;</text>
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                <text>Journal of EMDR Practice and Research, 17(2), e1121-e138. doi: 10.1891/EMDR-2022-0062</text>
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              <text>Mitra Naseh &lt;br /&gt;Robert Stempel &lt;br /&gt;Mark J. Macgowan&lt;br /&gt;Eric F. Wagner&lt;br /&gt;Zahra Abtahi&lt;br /&gt;Miriam Potocky &lt;br /&gt;Paul H. Stuart</text>
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              <text>&lt;a href="https://doi.org/10.1080/15313204.2019.1570891%20"&gt;https://doi.org/10.1080/15313204.2019.1570891&lt;/a&gt;</text>
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              <text>Naseh, M., Stempel, R., Macgowan, M. J., Wagner, E. F., Abtani, Z., Potocky, M., &amp;amp; Stuart, P. H. (2019, February). &lt;a href="https://doi.org/10.1080/15313204.2019.1570891"&gt;Cultural adaptations in psychosocial interventions for post-traumatic stress disorder among refugees: A systematic review.&lt;/a&gt; Journal of Ethnic &amp;amp; Cultural Diversity in Social Work, 28(1), 76-97. doi:10.1080/15313204.2019.1570891</text>
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                <text>The aim of this study was to systematically review randomized controlled trials on non-pharmaceutical interventions for post-traumatic stress disorder (PTSD) among adult refugees with a focus on identifying common cultural adaptations and reviewing possible effects of such adaptations on outcomes. The conducted systematic search yielded 11 studies. The strongest support was for eye movement desensitization and reprocessing (EMDR). Commonly used cultural adaptations in the reviewed studies included modifications in personnel and setting context, changes in content, and translation or adaptation of evaluation tools.</text>
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                <text>In this presentation the concept of "intercultural competence" is developed. A structured way is introduced to develop a therapeutic relationship with clients from another culture in order to build up trust and to bridge cultural differences in styles of processing and expression of emotion. The eight phases of EMDR will be reviewed and screened for necessary adaptations, leading to a series of practical guidelines, useful metaphors, rituals, and helpful concepts. The presentation will be illustrated with case examples, both successful and less successful.</text>
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              <text>Femke Bannink Mbazzi&lt;br /&gt;&lt;span&gt;Anne Dewailly&lt;/span&gt;&lt;br /&gt;&lt;span&gt;Kalkidan Admasu&lt;/span&gt;&lt;br /&gt;&lt;span&gt;Yvonne Duagani&lt;/span&gt;&lt;br /&gt;&lt;span&gt;Kizito Wamala&lt;/span&gt;&lt;br /&gt;&lt;span&gt;Aquila Vera&lt;/span&gt;&lt;br /&gt;&lt;span&gt;Dismas Bwesigye&lt;/span&gt;&lt;br /&gt;&lt;span&gt;Gisela Roth&lt;/span&gt;</text>
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              <text>Bannink, F. M., Dewailly, A., Admasu, K., Duagani, Y., Wamala, K., Hazvinei, A., Bwesigye, D., &amp;amp; Roth, G. (2021, June). Cultural adaptations of the standard EMDR protocol in 5 African countries: Working with special populations and uncommon settings with EMDR. Presentation at the 21st EMDR Europe Association Conference, Virtual</text>
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                <text>&lt;strong&gt;Background&lt;/strong&gt;&lt;br /&gt;Adaptations of EMDR protocols have been made for disaster affected populations [1-8]. Since 2007 mental health workers in over 10 African countries have been trained in EMDR by HAP associations [9-11]. We describe how African therapists adapt the standard 8 phased EMDR protocol. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Method&lt;/strong&gt;&lt;br /&gt;25 EMDR therapists (3 male, 22 female, age range 32-60 years, x̄=44) who practiced EMDR for 1-11 years (x̄=7), answered a questionnaire, and 8 participated in a focus group discussion. Supervision notes of 2 EMDR supervisors and trainers were analysed. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Results&lt;/strong&gt;&lt;br /&gt;Therapists found EMDR a useful and beneficial therapy. The therapists made significant adaptations in resourcing, description of cognitions, and VoC &amp;amp; SUDs scales. All therapists preferred to use ‘happy’, ‘calm’, or ‘special’ place over ‘safe’. The word ‘container’ was often replaced by a ‘basket’ or ‘pit’. Therapists added dance, music and religious practices as resourcing exercises. Finding a cognition starting with ‘I’ instead of ‘we’ was difficult. The term negative cognition was sometimes translated as ‘bad thoughts’ or a ‘cursed thought’, whilst positive cognitions were called ‘good’ or ‘blessed’. VoC and SUDs scales are explained using hand movements, or the pictorial faces version. Therapists said clients preferred tapping and were wary of eye movements, thinking of it as ‘witchcraft’. The majority preferred EMDR over other types of therapy due to its non narrative nature and quick results. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Conclusions&lt;/strong&gt;&lt;br /&gt;African EMDR therapists have successfully adapted and used the EMDR protocol. We recommend African researchers to further study the acceptability, use, and effectiveness of EMDR in their countries.</text>
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                <text>Since 2007, mental health workers in sub-Saharan Africa have been trained in eye movement desensitization and reprocessing (EMDR) therapy. This qualitative study used an Afrocentric design with thematic analysis to investigate adaptations to the EMDR standard protocol that make it culturally relevant for African clients. Participants were 25 EMDR therapists (three male, age range 32–60 years, x̄ = 44) from five African countries, who practiced EMDR for 1–11 years (x̄ = 7). All answered a survey questionnaire, eight participated in a focus group discussion, and two provided a supervision notes analysis. Participants found EMDR a useful and beneficial therapy and preferred it over other therapies because of its nonnarrative nature and quick results. We identified four areas in which African therapists consistently made adaptations to the standard protocol: wording of the protocol text, cultural expression of thoughts and emotions, stimulation choice, and simplification of quantitative scales. Based on the study results, we make numerous recommendations for cultural adaptions to the EMDR protocol. These include language changes to take into account the clients’ “we oriented” communication; cultural interpretations of positive and negative thoughts and events; adding cultural activities such as dance, music, and religious practices as resourcing exercises; using hand gestures or the pictorial faces scale instead of ordinal scales; and using tapping for bilateral stimulation instead of eye movements, which were sometimes seen as “witchcraft.” The relevance of the findings for EMDR practice and training are discussed. We recommend that African researchers further study the acceptability, use, and effectiveness of EMDR in their countries.</text>
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