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              <text>Mutlu, E. (2022). [&lt;a href="http://dx.doi.org/10.29228%20/ASRJOURNAL.62372"&gt;Investigation of the efficacy of EMDR therapy in a young adult patient experiencing depersonalization and derealization: A case report&lt;/a&gt;]. International Academic Social Resources Journal, 7(37), 595-601. doi:10.29228 /ASRJOURNAL.62372. Turkish</text>
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                <text>Depersonalizasyon ve derealizasyon yaşayan genç yetişkin olguda Emdr terapisi'nin etkinliğinin incelenmesi: Olgu sunumu&lt;br /&gt;&lt;br /&gt;Investigation of the efficacy of EMDR therapy in a young adult patient experiencing depersonalization and derealization: A case report</text>
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                <text>İzlediği filmden sonra gerçeklikten kopuş hali yaşadığını bildiren danışana EMDR terapisi uygulanmıştır. Danışanın yaşadığı gerçeklikten kopuş hali depersonalizasyon ve derealizasyon olarak adlandırılmaktadır. Depersonalizasyon, bireyin kendisine yabancılaşması olarak tanımlanmaktadır. Derealizasyon ise rüyadaymış gibi bir deneyimi içeren ruhsal dağılma durumudur. EMDR; bilişsel ve psikodinamik terapide kullanılan unsurları bir araya getiren bir terapi yöntemidir. EMDR terapisi depersonalizasyon ve derealizasyon için kullanılabilen bir terapi modelidir. Bu araştırmada EMDR terapisinin derealizasyon ve depersonalizasyon üzerindeki etkinliği gözlemlenmesi amaçlanmıştır. Bu amaç doğrultusunda hazırlanan çalışma 12 seanslık EMDR terapi seanslarını içermektedir. Vaka EMDR’nin standart protokolüne göre ele alınmıştır. Danışan depersonalizasyon ve derealizasyon yaşamaya başladığından 3 ay sonra terapi başlangıcı olmuştur. Danışanın geçmişine bakıldığında aile kaynaklı olumsuz yaşam deneyimleri mevcuttur. Semptomların örseleyici bir deneyim ile başlaması, danışanın EMDR terapisine uygun olabileceğini düşündürmüştür. EMDR terapisine hazırlık seansı yapılmıştır. Danışanın içinde bulunduğu durumu anlatan psiko-eğitim verilmiştir. Standart protokol gereğince, olayı en son yaşadığı anıdaki kendi ile ilgili olumsuz inancı belirlenip geriye akış tekniği uygulanmıştır. Terapi hedefi ve danışanın iç-dış kaynakları belirlenmiştir. EMDR standart protokolü gereğince danışanın önce, çekirdek anı olarak adlandırılan ilk anısı EMDR yöntemi ile çalışılmıştır. İlk anı EMDR yöntemi ile çalışılıp öznel rahatsızlık derecesi ortadan kalktıktan sonra danışanın yaşadığı en kötü anı EMDR yöntemi ile çalışılmıştır. EMDR terapisi öncesi ve sonrası karşılaştırılmıştır. Semptomlar tamamıyla ortadan kalkmamış fakat belirgin azalmalar olmuştur.&lt;br /&gt;&lt;br /&gt;EMDR therapy was applied to the client who reported that he was experiencing a state of detachment from reality after the movie he was watching. The state of detachment from the reality described as depersonalization and derealization. Depersonalization is defined as a state of alienation of the individual from himself. On the other hand, Derealization is a state of mental disintegration that includes an experience such as in a dream. EMDR is a therapy method that combines elements used in cognitive and psychodynamic therapy. EMDR therapy is a therapy model that can be used for depersonalization and derealization. In this study, it was aimed to observe the effectiveness of EMDR therapy on derealization and depersonalization. The study prepared for this purpose includes 12 sessions of EMDR therapy sessions. The case was handled according to the standard protocol of the EMDR. The beginning of therapy was 3 months after the client began to experience depersonalization and derealization. There are negative family life experiences was found while examinining at the client's past. To began symptoms with an traumatic experience addressed that the client might be eligible for EMDR therapy. A preparatory session for EMDR therapy was conducted in the first place. Psychoeducation is provided to client for describing his situation. In accordance with the standard protocol, the negative belief about oneself based on the last experienced was determined and the backflow technique was applied. The therapy purpose and the client's internal - external resources have been determined. According to the EMDR standard protocol, the client's first memory called the core memory was studied using the EMDR method. The first moment was studied with the EMDR method, and after the subjective degree of discomfort was eliminated, the worst moment experienced by the client was studied with the EMDR method. Before and after EMDR therapy were compared, the symptoms have not completely disappeared, but there have been significant reductions.</text>
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                <text>It is known that EMDR therapy needs to be done carefully while working with dissociation and dissociative disorders. Over the years, many have documented the effective use of EMDR with these conditions. This workshop would attempt to build the bridge between the skills learned in the basic training in EMDR, and the basic skills needed for working with dissociation and dissociative disorders. To facilitate this, the following topics would be presented: • How dissociation and dissociative disorders could present in clinical practice • How to assess for dissociation and dissociative disorders • Best practices in the field of treatment of dissociative disorders • Therapeutic models used in conjunction with AIP/EMDR for working with dissociative disorders • When and how to start using EMDR • Case Examples – what worked and what didn’t • • Resources for acquiring more skills The participants will be introduced to views from theories of attachment and structural dissociation of the personality, and therapeutic approaches of internal family systems, ego states and progressive approach. The focus will be on using EMDR for the treatment.</text>
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                <text>Psychologist Dolores Mosquera was trained in EMDR in 2005, became a consultant in 2007, and an EMDR Europe trainer in 2017. She has extensive teaching experience leading seminars, workshops, and lectures internationally. She has participated as a guest speaker in numerous conferences and workshops throughout Europe, Asia, Australia, and North, Central, and South America. Having published 15 books and numerous articles on personality disorders, complex trauma, and dissociation, Mosquera is a recognized expert in this field. She also teaches in several Universities and supervising clinical psychologists in postgraduate training programs in Spain. She received the David Servan-Schreiber award for outstanding contributions to the EMDR (Eye Movement Desensitization and Processing) field in 2017, and was made a Fellow of the International Society for the Study of Trauma and Dissociation in 2018, for her important contributions to the trauma and dissociation field.</text>
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                <text>Many therapists report problems in working with patients with dissociative disorders, especially in regard to developing the treatment plan, structuring the sessions, or managing the patient's internal conflict, as well as working with those parts that are most challenging. When parts are stuck in trauma, it is easy to encounter a wide range of difficulties in therapy. Some of the main problems are related to the internal conflict presented by these patients, who show difficulties in regulatory capacities, distrust and hostility. Working with EMDR requires approaching the difficulties of this clinical population, as well as developing skills to adapt the procedures and techniques. &lt;br /&gt;&lt;br /&gt;This workshop will describe useful concepts to help therapists understand patients with dissociative disorders and organize the work plan with EMDR. In addition, a variety of techniques and tools for the different steps of the work will be illustrated, allowing for safe interventions with various types of clinical problems and dissociative parts. A conceptualization model developed specifically for dissociative disorders will be presented, as well as a guide to carry out a treatment plan adapted to several common difficulties (Mosquera, 2019).</text>
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              <text>Ross, C. (2019, June). Development in the diagnostic process of dissociative disorders. Keynote presented at the 20th EMDR Europe Association Conference, Krakow, Poland</text>
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                <text>Keynote presented at the 20th EMDR Europe Association Conference, Krakow, Poland</text>
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                <text>&lt;strong&gt;Background and Aims:&lt;/strong&gt; &lt;br /&gt;In this talk, Dr. Ross will describe the clinical interview for diagnosing dissociative disorders, with a focus on dissociative identity disorder (DID). &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Methods:&lt;/strong&gt; &lt;br /&gt;He will describe how to ask about blank spells, auditory hallucinations, and other symptoms common in DID, as well non-specific symptoms to that are common in people with the disorder. Dr. Ross will describe how to use the Dissociative Disorders Interview Schedule (DDIS) and Dissociative Experiences Scale (DES) for screening and to help with diagnosis. He will explain the use of a clinical interview and the DES and DDIS for evaluating the full spectrum of dissociative disorders. Also, Dr. Ross will describe how to explain dissociative disorders to clients. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Results:&lt;/strong&gt; &lt;br /&gt;Attendees will be provided with copies of links to the DES and DDIS for use in their practices: both can be used without further permission. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Conclusions:&lt;/strong&gt; &lt;br /&gt;DID and the other dissociative disorders can be diagnosed with a clinical interview, supplemented by use of the DES and DDIS. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Objectives:&lt;/strong&gt; &lt;br /&gt;1. To describe how to conduct a clinical diagnostic interview for complex dissociative disorders. &lt;br /&gt;2. To describe the use of the DES and DDIS for screening and diagnostic purposes. &lt;br /&gt;3. To describe the core symptom features of dissociative identity disorder.</text>
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              <text>Sugiyama, T. (2018). [&lt;a href="https://doi.org/10.1265/jjh.73.62"&gt;Ego-state therapy: Psychotherapy for multiple personality disorders&lt;/a&gt;]. Japanese Journal of Hygiene, 73 (1), 62-66. doi:10.1265/jjh.73.62. Japanese</text>
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                <text>著者はエゴステート療法について述べています。この心理療法は、解離性同一性障害（いわゆる多重人格障害）の治療に用いられます。本文では、この療法の理論的背景と実践的なポイントが紹介されています。もともとは催眠療法の一種として開発されたものですが、トラウマ処理療法と組み合わせることで、安全かつ効果的な治療法として発展してきました。著者は具体的な症例を提示し、この治療法の臨床的意義について考察しています。 &lt;br /&gt;&lt;br /&gt;The author describes ego-state therapy. This psychotherapy is used for treating multiple personality disorders. The author mentions the theoretical background of this method, and practical points. Initially, ego-state therapy was developed as a type of hypnotherapy, but it evolved as a safe therapeutic method in combination with trauma processing therapies. The author presents a case study, and discusses the clinical significance of this treatment..</text>
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              <text>Fukui, Y. (2017, May). The correct usage of the DES-T: Demonstrating the use of big data in an analogue study of adolescents]. Japanese Journal of EMDR Research and Practice, 9(1), 31-42. Japanese</text>
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                <text>DES-Tの正しい使用法：青年期アナログ研究におけるビッグデータ活用の実証&lt;br /&gt;&lt;br /&gt;The correct usage of the DES-T: Demonstrating the use of big data in an analogue study of adolescents</text>
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                <text>本研究では、青年期のアナログ研究から得られたビッグデータを活用し、DES-T（Dissociative Experiences Scale–Taxon）の正しい使用方法について検討している。DES-Tは、重度の解離症状を評価するために開発された解離体験尺度（DES）（Bernstein &amp;amp; Putnam, 1986）から派生したものであり、EMDRトレーニングでは解離性障害のスクリーニングにおいてDESの使用が強く推奨されている。 しかしながら、DES-Tの誤用が広く見られるため、その正しい使用法を普及させることが重要である。本研究では、DESの28項目の平均値とDES-Tによって算出される確率との間に見られる差異について詳細に説明し、正しく計算されたDESとDES-Tの分布を比較した。 さらに、DESのカットオフ値とDES-Tの確率を組み合わせることで、最適なカットオフ値を推定した。また、DES-Tを正しく計算するために必要なツールの情報も提示している。&lt;br /&gt;&lt;br /&gt;This study discusses the correct usage of the DES_T by utilizing big data from analogue study of adolescents. The DES-T was derived from Dissociative Experiences Scales (Bernstein &amp;amp; Putnam, 1986), which was developed to assess severe dissociative symptoms. EMDR training strongly recommends screening for dissociative disorders, and the DES has been introduced as one of the assessment tools for this purpose. However, misuse of DES-T is rampant and it is important to disseminate the correct usage. Therefore, we gave a detailed explanation of the observed differences between the average of the 28 items of DES and the probability calculated from DES-T, and compared the distributions between those of DES and DES-T correctly calculated. In addition, an optimum cutoff value is inferred from a combination of the DES's cutoff value and the DES'T's probability. Furthermore, information is presented to acquire the appropriate tools for calculating the DES-T.</text>
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                <text>解離症状は、クライアントがストレスに対処する方法の一つとして現れるものである。解離性同一性障害（DID）は、最も重篤な解離性障害であり、解離性健忘を特徴とし、これが解離の障壁となる。そのため、初期段階では以下のような傾向が見られる： 1. クライアント自身が解離症状に気づいていない 2. 自分が行った行動を覚えていない 3. クライアントの周囲で奇妙な現象が起こる 4. クライアントの行動が、家族や周囲の人々が観察するものと一致しない その他の主な訴えとしては、過去のある期間の記憶喪失、日常生活における記憶障害、以前に習得していた技能の喪失、知らないうちに別の場所に移動していたことに気づく、そして自分が別人のように感じることなどが挙げられる。 治療者との面談時には、クライアントは一見すると非常に普通に見えることが多いが、治療者が人格状態（パーツ）とつながることで、背後には変化に富み複雑なシステムが存在していることが明らかになる。このような場合、解離の障壁があるため、治療者は非常に柔軟かつ受容的な姿勢で対応する必要がある。 また、治療にあたる者は、一時的な自我状態や病的退行を多重人格障害と過剰診断しないよう注意しなければならない。本稿では、私がDIDクライアントを治療した経験に基づき、アセスメントと治療目標について簡潔に説明する。&lt;br /&gt;&lt;br /&gt;Dissociative symptom is one way that clients display how they are coping with stress. Dissociative identity disorder (DID) is the most severe dissociative disorder. DID is characterized by dissociative amnesia, which cause the barrier for dissociation. Therefore, in the initial stages, we find that 1) clients are often unaware of their dissociative symptoms, 2) clients do not remember performing certain actions, 3) strange phenomena occur around the clients, and 4) client's behaviors are inconsistent with those observed by family members and others around them. Other primary complaints include memory loss of a certain period in the past, memory disorders in daily living, the loss of previously-held skills, realizing that one has moved to another place without knowledge, and feeling like a different person, to name a few. When meeting with the therapist, clients will often seem quite normal, but once the therapist connects with the personality states (parts), a variable and complicated system is found in the background. In such instances, because of the dissociative barrier, therapists must address these issues in a very flexible and accommodating manner. In addition, those treating the client must also avoid over-diagnosing the temporary ego state or malignant regression as multiple personality disorder. In this paper, I provide a simple explanation about assessment and treatment objectives from my experiences with treating clients with DID.</text>
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                <text>After many early cautions about the potential dangers of using EMDR with individuals suffering from dissociative disorders, limited proposals have been offered for adapting EMDR procedures to this specific population. Based on these early cautions, EMDR is still considered by many clinicians as offering interventions that are limited to the treatment of traumatic memories in high functioning dissociative clients and only after a long preparation phase that depends on other treatment modalities. From this conceptualization, the use of EMDR is strongly limited and many survivors of severe traumatization are seen as unable to benefit from EMDR, if at all, only much later in the treatment process. &lt;br /&gt;&lt;br /&gt;In this workshop, clinical case examples and video fragments will be used to illustrate interventions with EMDR for dissociative clients following the “Progressive Approach” (Gonzalez &amp;amp; Mosquera, 2012). Using this model, this workshop will demonstrate how EMDR clinicians can safely utilize a wide range of EMDR interventions from early in the preparatory phase of treatment for patents with dissociative disorders. Our aim is to provide a comprehensive model for applying EMDR therapy in the treatment of dissociative disorders, extending the AIP model to address the kinds of dysfunctionally stored information found in those with the most severe forms of traumatization and dissociative phobias. EMDR therapists will learn to integrate new interventions into their clinical work at different phases of treatment. In particular, they will learn to implement specific clinical interventions, based on ‘progressive protocols’ for dissociative disorders.</text>
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                <text>Through videos and clinical material, we will observe the evolution of children who received interventions, in which developmental experiences before the age of 6 or 7, were particularly taken into account, as well as the procedimental memories developed until that age. After having survived the most difficult, clients with complex and chronic trauma are often felt as challenging for therapists, although their willingness to help and lessen their suffering. Based on the Adaptive Information Processing methodology, the Theory of Structural Dissociation of the Personality and a solution focused attitude aimed to rise the cooperation system, this treatment structure allows therapists to adapt to the emerging phenomenology of their clients, without getting lost. Whatever comes up can be integrated in a clear structure where EMDR can be used to go step by step, safely but continuously, the pathway about what is important to the client.</text>
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                <text>Wie bereits in einem früheren Artikel in dieser Zeitschrift dargelegt, können Eye Movement Desensitization and Reprocessing (EMDR)-Behandler, die Patienten mit komplexen traumabezogenen Störungen behandeln, von der Kenntnis und der Anwendung der Theorie der strukturellen Persönlichkeitsdissoziation (TSPD) und der ihr zugehörigen Aktionspsychologie profitieren. TSPD postuliert, dass Persönlichkeitsdissoziation das Hauptmerkmal von Traumatisierung und einer großen Anzahl traumabezogener Störungen ist; von der einfachen posttraumatischen Belastungsstörung (PTBS) bis hin zur dissoziativen Identitätsstörung (DIS). Die Theorie kann Therapeuten dabei helfen, ein umfassendes Verständnis für die Probleme von Patienten mit komplexen traumabezogenen Störungen zu entwickeln, sowie einen Behandlungsplan zu erstellen und auszuführen. Das Experten-Konsensus-Modell bei komplexem Trauma besteht in einer phasenorientierten Behandlung, in der eine Stabilisierungs- und Vorbereitungsphase der Behandlung von traumatischen Erinnerungen vorangeht. Fokus dieses Artikels ist die initiale Stabilisierungs- und Vorbereitungsphase, die sehr wichtig ist, um EMDR sicher und effektiv zur Behandlung komplexer Traumata einsetzen zu können. Zentrale Themen sind (a) die Arbeit mit maladaptiven Überzeugungen, (b) die Überwindung dissoziativer Phobien und (c) ein erweiterter Einsatz von Ressourcen-Arbeit.&lt;br /&gt;&lt;br /&gt;As proposed in a previous article in this journal, eye movement desensitization and reprocessing (EMDR) clinicians treating clients with complex trauma-related disorders may benefit from knowing and applying the theory of structural dissociation of the personality (TSDP) and its accompanying psychology of action. TSDP postulates that dissociation of the personality is the main feature of traumatization and a wide range of trauma-related disorders from simple posttraumatic stress disorder (PTSD) to dissociative identity disorder (DID). The theory may help EMDR therapists to develop a comprehensive map for understanding the problems of clients with complex trauma-related disorders and to formulate and carry out a treatment plan. The expert consensus model in complex trauma is phase-oriented treatment in which a stabilization and preparation phase precedes the treatment of traumatic memories. This article focuses on the initial stabilization and preparatory phase, which is very important to safely and effectively use EMDR in treating complex trauma. Central themes are (a) working with maladaptive beliefs, (b) overcoming dissociative phobias, and (c) an extended application of resourcing.</text>
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                <text>Both psychoform and somatoform dissociation has been related to early, severe, and chronic traumatization. Somatoform dissociation includes, but it is not limited to conversive disorders. Hyper and hypo-arousal, under and over-controlling strategies in emotion regulation have been described in trauma-related disorders. Different neurobiologic correlates underlying these problems and the recent research in emotion regulation may offer relevant information for a comprehensive decission-making in EMDR therapy of these patients.</text>
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                <text>Mevrouw Van Dis¹ heeft een jeugd gehad met, vanaf haar zesde jaar, onder meer incest met haar vader en seksueel misbruik door diverse anderen. Dit is nu nog steeds belastend voor haar. Ze is jarenlang bij verschillende therapeuten onder behandeling geweest. Sinds acht jaar is ze bekend bij de plaatselijke GGZ-instelling in verband met traumagerelateerde klachten, waaronder forse dissociatieve verschijnselen. Ze heeft stemmen in haar hoofd, is vaak tijd kwijt (soms uren) en soms komt ze ‘bij’ op plekken die ver van haar woonplaats liggen, zonder dat ze weet hoe ze daar gekomen is. Zo heeft ze zichzelf ook een paar keer langs het spoor aangetroffen. In de loop der jaren heeft ze meerdere diagnoses gekregen, waaronder persoonlijkheidsstoornis NAO en psychotische stoornis NAO². Sinds begin 2015 is ze in behandeling bij het Top Referent Trauma Centrum (TRTC) Altrecht. Daar is een dissociatieve stoornis NAO vastgesteld. Bij de GGZ heeft zij diverse behandelmodules gevolgd, waaronder stabilisatiegerichte behandelingen, zoals delen uit de DGT-training en ‘Vroeger en Verder’. In mei 2015 moest mevrouw Van Dis een kaakchirurgische ingreep ondergaan onder narcose. Voordat ze volledig buiten kennis was, maakte ze even mee dat ze haar lichaam niet meer kon bewegen, maar wel de gesprekken tussen de artsen kon volgen (‘anesthesia awareness’): een afschuwelijke ervaring. Drie dagen na de operatie kreeg ze last van angsten en herbelevingen van deze operatie. Ze sliep niet meer, vermoeidheid en paniek namen snel toe en ze raakte zo ernstig ontregeld dat ze, om suïcide te voorkomen, vrijwillig werd opgenomen in de kliniek (high care) van de plaatselijke GGZ-instelling. De opname had weinig effect. Uiteindelijk lukte het met extreem zware slaapmedicatie om de slaap te reguleren, maar de beelden bleven komen. De afdelingspsychiater vroeg zich af of EMDR geïndiceerd was en vroeg een taxatiegesprek aan. &lt;br /&gt;&lt;br /&gt;Mrs Van Dis¹ had a youth with low its sixth year, including incest with her father and sexual abuse by several others. This is now increasingly stressful for her. She has been for many years in various Therapists been under treatment. Since eight years she is known by the local mental health institution associated with trauma-related symptoms, including significant dissociative symptoms. She votes in her head, often spend time (sometimes hours) and sometimes they "in" places that are far away from her hometown, without that she knows how she got there. Thus, she has also found himself a few times along the track. Over the years she has multiple diagnoses received, including personality and NAO psychotic disorder NAO². Since early 2015 she has been Treatment at Top Referent Trauma Center (TRTC) Altrecht. As a dissociative disorder NOS has been established. In mental health it has various treatment modules followed, including stabilization targeted treatments, as parts of the DGT's training and "Before and Beyond '. In May 2015 Mrs Van Dis had jaw surgery undergoing surgery under general anesthesia. Before she was completely unconscious, she made here that she could not move her body, but the talks could follow between physicians ( 'anesthesia awareness): a horrible experience. Three days after the surgery she suffered from anxiety and flashbacks of this operation. She slept no more, and fatigue Panic increased rapidly and she became so seriously disrupted that, in order to prevent suicide, voluntarily included in the clinic (high care) from the local Mental health institution. The recording had little effect. Finally managed with extreme heavy sleeping pills every regulate sleep, but the images kept coming. The department psychiatrist wondered whether EMDR indicated and was asked a valuation call.</text>
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              <text>van der Hart, O., Groenendijk, M., Gonzales, A., Mosquera, D., &amp;amp; Solomon, R. (2015). [&lt;a href="http://dx.doi.org/10.1891/1933-3196.9.2.E7"&gt;Dissociation of the personality and EMDR therapy in complex trauma-related disorders: Applications in the stabilization phase&lt;/a&gt;]. Journal of EMDR Practice and Research, 9(2), 79E-93E. doi:10.1891/1933-3196.9.2.E79. Polish</text>
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                <text>Jak sugeruje poprzedni artykuł w niniejszym piśmie, znajomość i stosowanie teorii strukturalnej dysocjacji osobowości (TSDP) oraz towarzyszącej jej psychologii czynności może przynieść korzyści lekarzom stosującym terapię EMDR (odwrażliwiania za pomocą ruchu gałek ocznych) w leczeniu pacjentów ze złożonymi zaburzeniami potraumatycznymi. Wg teorii TSDP, dysocjacja osobowości jest główną cechą traumatyzacji oraz szerokiej gamy zaburzeń związanych z traumą, od prostego zespołu pourazowego (PSTD) począwszy, a skończywszy na dysocjacyjnym zaburzeniu tożsamości (DID). Wspomniana teoria może stanowić pomoc dla terapeutów EMDR w opracowywaniu dokładnego schematu ułatwiającego zrozumienie problemów pacjentów oraz przy tworzeniu i wykonywaniu planu leczenia. Uzgodniony model ekspercki w przypadku traumy złożonej to leczenie odwołujące się do faz, gdzie faza stabilizacji i przygotowania poprzedza leczenie traumatycznych wspomnień. Niniejszy artykuł koncentruje się na początkowej fazie stabilizacji i przygotowania, która jest niezwykle istotna dla bezpiecznego i efektywnego stosowania EMDR w leczeniu traumy złożonej. Najważniejsze zagadnienia to (a) praca z nieadaptacyjnymi przekonaniami; (b) przezwyciężanie fobii dysocjacyjnych oraz (c) szerokie zastosowania uaktywniania zasobów (resourcing).&lt;br /&gt;&lt;br /&gt;As proposed in a previous article in this journal, eye movement desensitization and reprocessing (EMDR) clinicians treating clients with complex trauma-related disorders may benefit from knowing and applying the theory of structural dissociation of the personality (TSDP) and its accompanying psychology of action. TSDP postulates that dissociation of the personality is the main feature of traumatization and a wide range of trauma-related disorders from simple posttraumatic stress disorder (PTSD) to dissociative identity disorder (DID). The theory may help EMDR therapists to develop a comprehensive map for understanding the problems of clients with complex trauma-related disorders and to formulate and carry out a treatment plan. The expert consensus model in complex trauma is phase-oriented treatment in which a stabilization and preparation phase precedes the treatment of traumatic memories. This article focuses on the initial stabilization and preparatory phase, which is very important to safely and effectively use EMDR in treating complex trauma. Central themes are (a) working with maladaptive beliefs, (b) overcoming dissociative phobias, and (c) an extended application of resourcing.</text>
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                <text>Clients with dissociative disorders can present with overt, subtle or hidden dissociative pathology. Symptoms from internal conflict and hypoarousal frequently go unrecognized. In this workshop, clinicians will be exposed to a “progressive approach” where EMDR therapy procedures can be offered to those with severe dissociative disorders early in the treatment process as part of stabilization. An expanded model of dysfunctionally stored information will be offered that includes interoceptive as well as traditional exteroceptive information. Clinical case examples and video fragments will be used to illustrate subtle and hidden dissociative presentations as well as interventions with EMDR therapy for clients with complex dissociative disorders.</text>
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                <text>Treating complex PTSD and dissociation: An AIP model, illustrated with specific EMDR related “tools” &lt;br /&gt;&lt;br /&gt;Traiter le SSPT complexe et la dissociation: Un modèle théorique du TAI illustré avec des outils spécifiques reliés à l’EMDR</text>
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                <text>This presentation will focus on specific methods of applying the EMDR/Adaptive Information Processing model to &lt;br /&gt;&lt;br /&gt;1) understand the origins of Complex PTSD in difficult childhood experiences, and &lt;br /&gt;&lt;br /&gt;2) provide specific, clearly defined therapy “tools” which can be useful in providing effective AIP therapy to individuals suffering with Complex PTSD. These “tools” are procedures intended to: &lt;br /&gt;&lt;br /&gt;• Help a client maintain orientation to the safety of the therapist’s office, even while accessing and then processing traumatic material &lt;br /&gt;&lt;br /&gt;• Help a client reduce the intensity of dysfunctional psychological defenses, such as avoidance, denial, idealization, addiction and inappropriate shame &lt;br /&gt;&lt;br /&gt;• Help a client safely engage in a therapeutic dialogue between personality parts that are initially in conflict, or dissociated from each other, and in that way progress towards reconciliation and integration of those parts.&lt;br /&gt;&lt;br /&gt; These “tools” can extend the healing power of EMDR to clients who have difficulty with defensive avoidance, and/or have high vulnerability to dissociative abreaction, chronic shame, and/or unrealistic idealization of self or of others. Points of similarity and difference between this AIP model of treatment, and other models (such a 7 / 3 1 F r iday | V e ndr edi the Theory of Structural Dissociation of the Personality and Internal Family Systems theory) will be presented. Important concepts and particular interventions will be illustrated through video examples and transcripts from therapy sessions. &lt;br /&gt;&lt;br /&gt;Learning Objectives &lt;br /&gt;1. Through lecture, discussion, and video and transcript examples, an integrative Adaptive Information Processing (AIP) model of the treatment of Complex PTSD and dissociative disorders will be presented. &lt;br /&gt;2. Participants will learn how non-AIP models of dissociation, such as the Theory of Structural Dissociation of the Personality (van der Hart, et al, 2007) and the Internal Family Systems model (Schwartz, 1995) may be complementary to the EMDR/AIP model, and some guidelines on how to blend these different approaches to benefit the individual client will be presented. &lt;br /&gt;3. Participants will learn specific methods of AIP targeting of avoidance defenses, idealization defenses and shame-based depression.&lt;br /&gt; 4. Participants will learn variations on the EMDR Phase 3 Assessment and EMDR Phase 4 Desensitization -- variations that may be useful in assisting a dissociative client in maintaining emotional safety and “dual attention” (co-conscious awareness of both past and present) while successfully processing traumatic memories &lt;br /&gt;5. Participants will learn specific interventions that are useful in the treatment of Complex PTSD and dissociative symptoms: the “Loving Eyes” method, the Back-of-the-Head Scale for measuring a client’s degree of reality orientation/dissociation within a session, and the method of Constant Installation of Present Orientation and Safety.
&lt;p align="left"&gt;Cette présentation portera sur des méthodes spécifiques dans l’application du modèle de traitement adaptatif del’information et de l’EMDR afin de: &lt;br /&gt;&lt;br /&gt;1) comprendre les origines de l’ESPT complexe dans une enfance difficile, et&lt;/p&gt;
&lt;p align="left"&gt;2) de fournir des “outils” thérapeutiques spécifiques clairement définis qui peuvent être utiles et efficaces comme thérapie TAI auprès de personnes souffrant de stress post-traumatique complexe. Ces «outils» sont des procédures visant à :&lt;/p&gt;
&lt;p align="left"&gt;• &lt;span style="color:#242424;font-family:'DINPro-Regular';font-size:small;"&gt;&lt;span style="color:#242424;font-family:'DINPro-Regular';font-size:small;"&gt;&lt;span style="color:#242424;font-family:'DINPro-Regular';font-size:small;"&gt;aider un client à rester orienté sur la sécurité du bureau du thérapeute, même lorsqu’il touche et qu’il digère&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
&lt;p align="left"&gt;du matériel traumatique&lt;/p&gt;
&lt;p align="left"&gt;• a&lt;span style="color:#242424;font-family:'DINPro-Regular';font-size:small;"&gt;&lt;span style="color:#242424;font-family:'DINPro-Regular';font-size:small;"&gt;&lt;span style="color:#242424;font-family:'DINPro-Regular';font-size:small;"&gt;ider un client à réduire l’intensité des défenses psychologiques dysfonctionnelles, comme l’évitement, le&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
&lt;p align="left"&gt;déni, l’idéalisation, la toxicomanie et la honte inappropriée&lt;/p&gt;
&lt;p align="left"&gt;• &lt;span style="color:#242424;font-family:'DINPro-Regular';font-size:small;"&gt;&lt;span style="color:#242424;font-family:'DINPro-Regular';font-size:small;"&gt;&lt;span style="color:#242424;font-family:'DINPro-Regular';font-size:small;"&gt;aider un client, de façon sécuritaire, à s’engager dans un dialogue thérapeutique entre les parties de la &lt;/span&gt;&lt;/span&gt;&lt;/span&gt;personnalité qui sont initialement en conflit, ou dissociés les uns des autres, et ainsi progresser vers la réconciliation et l’intégration de ces parties&lt;/p&gt;
&lt;p align="left"&gt;Ces «outils» peuvent augmenter la force de guérison par l’EMDR auprès des clients qui ont des difficultés au niveau de l’évitement défensif, et / ou qui ont une grande vulnérabilité à vivre une abréaction dissociative, la honte chronique, et / ou l’idéalisation irréaliste de soi ou des autres. Les similitudes et les différences entre ce modèle de traitement adaptatif de l’information, et d’autres modèles (tels que la théorie de la dissociation structurelle de la personnalité et la théorie des systèmes familiaux internes) seront présentées. Des concepts importants et des interventions particulières seront illustrés par des extraits vidéo et des transcriptions des séances de thérapie.&lt;/p&gt;
&lt;p align="left"&gt;Objectifs d’apprentissage&lt;/p&gt;
&lt;p align="left"&gt;1. À l’aide d’exemples magistraux, discussions, vidéos et transcriptions, un modèle intégratif de traitement&lt;/p&gt;
&lt;p align="left"&gt;adaptatif de l’information (TAI) pour soigner le SSPT complexe et les troubles dissociatifs sera présenté.&lt;/p&gt;
&lt;p align="left"&gt;2. Les participants apprendront comment les modèles de dissociation non-TAI, comme la théorie de la dissociation structurelle de la personnalité (van der Hart, et al, 2007) et le modèle du système familial interne (Schwartz, 1995) peuvent être complémentaires au modèle EMDR / TAI, et certaines lignes directrices sur la façon d’amalgamer ces différentes approches pour le bénéfice du client seront présentées.&lt;/p&gt;
&lt;p align="left"&gt;3. Les participants apprendront des méthodes spécifiques du modèle TAI pour cibler des défenses d’évitement,&lt;/p&gt;
&lt;p align="left"&gt;des défenses d’idéalisation et de dépression par la honte.&lt;/p&gt;
&lt;p align="left"&gt;4. Les participants apprendront des variations sur la phase 3 (évaluation) et la phase 4 (désensibilisation) en EMDR, variations qui peuvent être utiles pour aider un client dissociatif à maintenir un sentiment de sécurité et la «double attention» (être conscient à la fois du passé et du présent) tout en traitant avec succès des souvenirs traumatiques&lt;/p&gt;
&lt;p align="left"&gt;5. Les participants apprendront des interventions spécifiques qui sont utiles dans le traitement du SSPT complexe et des symptômes dissociatifs : la méthode “Regard d’Amour”, l’échelle “Arrière-de-la-Tête” pour mesurer le degré de réalité / dissociation d’un client dans une session, et la méthode pour maintenir le client continuellement dans le présent et en sécurité&lt;/p&gt;</text>
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                <text>Dissociative disorders are common in clinical settings but usually not diagnosed. In a series of studies in seven different countries, 15% of general adult psychiatric inpatients had a previously undiagnosed dissociative disorder including 3% who had previously undiagnosed dissociative identity disorder (DID). This workshop will focus on how to recognize and diagnose chronic, complex dissociative disorders like DID and DDNOS. Participants will be taught how to use the Dissociative Experiences Scale (DES) and the Dissociative Disorders Interview Schedule (DDIS) to screen for and diagnose dissociative disorders, and will be provided with digital copies of both measures.</text>
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                <text>In this ongoing case study of a woman in her 20s, with dissociative identity disorder with borderline features and somatization, we present the course taken in diagnosis and therapy. &lt;br /&gt;As a small child, the father the client was attached to suddenly became absent for a while because of his illness, and she was left to the care of a mother who found it too difficult to cope, and a four years older sister who considered her to be an equivalent of a doll, with no autonomy. Several small-t traumas, and signs of dissociation were present in early history. Her adolescence was marked with difficulties in relationships. After completing post graduation, the pressures of worklife became the precipitating factor for her seeking therapy, and she presented with high emotional dysregulation, lapses in space-time orientation and confusion about life. &lt;br /&gt;DES and MID were used for screening for and diagnosis of dissociation. The dissociative table helped understand the internal dynamics better. Eye movement desensitization and reprocessing(EMDR) in combination with ego state therapy was used predominently for the treatment. Adjunctly, pharmacotherapy, hypnotherapy, emotional freedom techniques(EFT), the journey process, and energy healing were utilized. The phase oriented approach suggested by ISST-D helped set the course of therapy. Understanding of attachment theory was also a guiding force. The client made good gains in the stabilization phase, and has been able to tolerate trauma work well. The client has reached a place of higher internal cooperation, lesser triggering, and higher confidence in managing life, in her journey.</text>
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                <text>This is an ongoing case of a woman in her 20s, diagnosed with dissociative disorder and associated with borderline features and somatization.  EMDR as an intervention has played an important role for working with complex trauma. As a young child, the client was attached to the father.  The father suddenly became absent for a while because of his illness, and she was left to the care of a mother who found it too difficult to cope, and an elder sister who considered her to be an equivalent of a doll, with no autonomy. Several small-traumas and signs of dissociation were present in early history. The adolescence was marked with many experiences of difficulties in relationships. After completing post-graduation, the pressures of work life became the precipitating factor for her seeking therapy. The psychotherapy, by mistake, initially focused on trauma. Valuable consultation, the body of literature in the field of diagnosing and working with complex trauma with EMDR, and peer support, that the therapist received, helped correct the course of the therapy. Especially, tools like MID and dissociative table, the mantra 'slow is fast' in therapy for complex trauma, approaching therapy with the understanding of early attachment patterns, wisdom from phase oriented as well as progressive approaches in using EMDR with dissociation, and consultation group support, were of tremendous help. From experiencing frequent emotional dysregulation and lapses in space-time orientation, the client has reached a place of higher internal cooperation, lesser triggering, and higher confidence in managing life, in her journey.</text>
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                <text>Eye Movement Desensitization and Reprocessing has come to the forefront of therapeutic intervention as a methodology excellently geared to work with trauma survivors. It is able to effectively target nodes of psychological constriction where affect and cognition are bound, release them in a way where meaning making is facilitated and a narrative evolves. Shapiro will review, explore and integrate aspects of EMDR as they apply to population. I t should be noted that in no way does this workshop replace or even substitute for a formal EMDR training workshop.</text>
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                <text>As proposed in a previous article in this journal, eye movement desensitization and reprocessing (EMDR) clinicians treating clients with complex trauma-related disorders may benefit from knowing and applying the theory of structural dissociation of the personality (TSDP) and its accompanying psychology of action. TSDP postulates that dissociation of the personality is the main feature of traumatization and a wide range of trauma-related disorders from simple posttraumatic stress disorder (PTSD) to dissociative identity disorder (DID). The theory may help EMDR therapists to develop a comprehensive map for understanding the problems of clients with complex trauma-related disorders and to formulate and carry out a treatment plan. The expert consensus model in complex trauma is phase-oriented treatment in which a stabilization and preparation phase precedes the treatment of traumatic memories. This article focuses on the initial stabilization and preparatory phase, which is very important to safely and effectively use EMDR in treating complex trauma. Central themes are (a) working with maladaptive beliefs, (b) overcoming dissociative phobias, and (c) an extended application of resourcing.</text>
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                <text>After the first cautions for the use of EMDR in dissociative disorders, many proposals have been done to adapt EMDR procedures to this specific population. Nevertheless EMDR is still considered by many clinicians as an intervention that is limited to the treatment of traumatic memories in highly functioning dissociative clients, after a long preparation phase. From this conceptualization the use of EMDR is strongly limited, and many trauma survivors cannot benefit of it. &lt;br /&gt;&lt;br /&gt;In this workshop a comprehensive model for EMDR therapy in Dissociative Disorders (the Progressive Approach) will be proposed. From this extended framework, different interventions with EMDR in dissociative clients will be described, including procedures to prepare and stabilize these clients. The integration of these specific EMDR procedures into a group therapy for trauma survivors will be described. The interweaving between theoretical developments, clinical procedures and video examples will allow the audience to assimilate information and translate it to their clinical practice. &lt;br /&gt;&lt;br /&gt;Learning objectives: &lt;br /&gt;Propose a comprehensive model to approach dissociative clients from the EMDR perspective, connecting theoretical developments and clinical procedures; Identify difficult situations in EMDR therapy of severely traumatized people and describe EMDR procedures for dissociative clients, all along the different phases of treatment; Illustrate the “progressive approach” for the treatment of dissociative disorders with clinical examples and video fragments of individual and group sessions so EMDR therapists can understand when, where and how to apply these procedures in their clinical practice.</text>
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</text>
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              <text>Solvey, R. (2003, February). &lt;a href="http://www.psiquiatria.com/bibliopsiquis/handle/10401/2537"&gt;[General guidelines for the treatment of dissociative disorders].&lt;/a&gt; Presentation a the 4th Virtual Congress of Psychiatry. Spanish</text>
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                <text>En este trabajo se desarrollan los lineamientos y criterios generales para el tratamiento de los trastornos disociativos. Dichos tratamientos, entre los que se destaca el EMDR, presetan una serie de características particulares, que serán reseñados.&lt;br /&gt;&lt;br /&gt;In this paper we develop guidelines and criteria for the treatment of dissociative disorders. Such treatments, among which stands out the EMDR present a number of features which will be outlined.</text>
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                <text>This article is an excerpt from Healing the Heart of Trauma and Dissociation with EMDR and Ego State Therapy (edited by Carol Forgash and Margaret Copeley, 2007, pp. 1-59). The preparation phase of eye movement desensitization and reprocessing (EMDR) is very important in the therapy of multiply traumatized clients with complex posttraumatic stress disorder (PTSD) and dissociative symptoms. EMDR clinicians who treat clients with complex trauma will benefit from learning specific readiness and stabilization interventions that are inherent to Phase 1 of a well-accepted phased trauma-treatment model. Extending the preparation phase of EMDR by including these interventions provides sequential steps for the development of symptom-management skills and increased stability. Additional focus is placed on helping clients work with their ego state system to develop boundaries, cooperative goals, and healthier attachment styles. Following an individually tailored preparation phase, the processing of long-held traumatic memory material becomes possible.</text>
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                <text>Waarom kennis van dissociatie en de dissociatieve stoornissen noodzakelijk is in EMDR-therapie &lt;br /&gt;&lt;br /&gt;Why knowledge of dissociation and dissociative disorders is necessary in EMDR therapy</text>
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                <text>Keynote presented at the 6th Vereniging EMDR Nederland Conference, Arnhem, The Netherlands</text>
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                <text>Dutch</text>
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                <text>Vroeger of laat moeten EMDR-therapeuten mensen met een traumagerelateerde dissociatieve stoornis in behandeling krijgen. De prevalentie van DSM-IV dissociatieve stoornissen onder psychiatrische patiënten is ongeveer 10%, waarvan de helft betrekking heeft op de dissociatieve identiteitsstoornis (DIS), dat wil zeggen, de meest complexe dissociatieve stoornis. De prevalentie van de ICD-10 dissociatieve stoornissen van motoriek en zintuiglijke gewaarwording zijn hier niet in mee gerekend, noch andere stoornissen die door dissociatie gekenmerkt worden. De vraag doet zich voor hoe het mogelijk is dat zelfs ervaren therapeuten kunnen opmerken dat ze nimmer patiënten met een dissociatieve stoornis zijn tegen gekomen. Een van de oorzaken is dat psychiatrisch epidemiologisch en klinisch onderzoek nog al te vaak de screening van dissociatieve stoornissen achterwege laat en dat het gezegde “onbekend maakt onbemind” zeker ook op de psychiatrie van toepassing is. Aan de andere kant maken de specialisten op dit terrein niet-ingewijde collega’s niet gemakkelijk. Over de vraag wat onder dissociatie moet worden bestaan, bijvoorbeeld, bestaan enorme meningsverschillen. En waaraan dissociatieve problematiek kan worden afgelezen, wordt evenmin erg duidelijk gemaakt. De doelen van deze presentatie zijn: (1) helderheid verschaffen over dissociatie; (2) het onderscheid laten zien tussen dissociatie van de persoonlijkheid en de manifestaties hiervan; (3) uitleg van de essentie van de theorie van structurele dissociatie; (4) wetenschappelijke evidentie voor dissociatie van de persoonlijkheid weergeven; en (5) laten zien hoe in EMDR-behandelingen van mensen met complexe traumagerelateerde dissociatie van hun persoonlijkheid betrokken moet worden. &lt;br /&gt;&lt;br /&gt;Sooner or EMDR therapists should let people with trauma-related dissociative disorder treatment. The prevalence of DSM-IV dissociative disorders among psychiatric patients is approximately 10%, half of which relates to the dissociative identity disorder (DID), ie, the most complex dissociative disorder. The prevalence of ICD-10 dissociative disorders of motor function and sensation are not counted them, or other disorders that are characterized by their cleavage. The question arises how it is possible that even experienced therapists can observe that they never patients with dissociative disorder have encountered. One reason is that psychiatric epidemiological and clinical studies all too often the screening of dissociative disorders is neglected and that the saying "unknown, unloved 'certainly applies to psychiatry. On the other hand, the specialists in this field uninitiated colleagues is not easy. About what should be under dissociation exist, for example, there are enormous differences of opinion. And dissociative problems which can be read, is not very clear. The goals of this presentation are: (1) clarity about dissociation, (2) show the distinction between dissociation of the personality and manifestations, (3) explanation of the essence of the theory of structural dissociation, (4) scientific evidence for dissociation of personality show, and (5) show how EMDR treatments for people with complex trauma-related dissociation of personality should be involved.</text>
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              <text>Colin Ross&lt;br /&gt;Curtis Rouanzoin</text>
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              <text>http://isst-d.org</text>
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              <text>Ross, C., &amp;amp; Rouanzoin, C. (2012, October). Uses of EMDR in complex dissociative disorders. 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>Uses of EMDR in complex dissociative disorders</text>
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                <text>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>EMDR can be used in the treatment of complex dissociative disorders. Both presenters have been treating dissociative disorders for decades and one is an approved EMDR trainer. This workshop will not include instruction on specific techniques: these can be learned from approved EMDR trainings which require six full days of workshop teaching, assigned readings, and 10 hours of supervision. Instead, the presenters will explain how EMDR is based on a trauma-dissociation model and is therefore highly suited to the treatment of complex dissociative disorders including DID. A brief description of EMDR will be provided, including its 8 phases, of which only one involves eye movements or other forms of bilateral stimulation. EMDR is consistent with three-stage models of trauma therapy: the eye movements are used in stage two, the active working phase of therapy. In EMDR this is called Phase 4. The work in trauma stage one (EMDR phases 1-3), in patients with DID or DDNOS, involves grounding, stabilization, system mapping, building co-consciousness, orientation of parts to the body and the present, and other elements from the dissociative disorders literature. The bilateral stimulation phase of EMDR should not be used until this phase one work is complete, or at least well underway. The presenters will then go on to provide case examples of how EMDR can be used in the psychotherapy of DID, DDNOS and the complex comorbidity that usually accompanies both. &lt;br /&gt;&lt;br /&gt;Learning Objectives: Participants will be able to describe how EMDR can be used in complex dissociative disorders. Participants will be able to describe how EMDR is based on a trauma-dissociation model of mental disorders and addictions. Participants will be able to describe the basic feaures of EMDR.</text>
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              <text>08844</text>
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              <text>Anna Gerge</text>
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              <text>Yes</text>
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              <text>Gerge, A. (2012, June). Seven ways to extend the EMDR-protocol based in clinical hypnosis for clients with complex dissociative disorders [Siete maneras de extender el protocolo EMDR basadas en hipnosis clnica para pacientes con trastornos disociativos complejos]. Presentation at the 13th EMDR Europe Association Conference, Madrid, Spain</text>
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                <text>Seven ways to extend the EMDR-protocol based in clinical hypnosis for clients with complex dissociative disorders &lt;br /&gt;&lt;br /&gt;Siete maneras de extender el protocolo EMDR basadas en hipnosis clínica para pacientes con trastornos disociativos complejos</text>
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                <text>Presentation at the 13th EMDR Europe Association Conference, Madrid, Spain</text>
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                <text>Clients with complex dissociative disorders usually are in trauma-­‐ induced wake trance-­‐states. Due to this, they might thrive from treatment-­‐ strategies, where skills in clinical hypnosis, from the side of the therapists, are added to the treatment model. Clinical hypnosis also offers excellent tools for working with attachment traumas and reinstalls the neuroception of safety. This workshop highlights seven strategies for extending the EMDR standard protocol, mainly built on clinical hypnosis. They consist of: (1) Formal hypnotic induction of safe place/safe state BEFORE introducing EMDR under phase I treatment (2) Informal hypnotic induction for ongoing activation of the social engagement system when clients are in trance (3) Using hyper-­‐empirical trance inductions under exposure phase (ie helping the clients to stay present with dual awareness by continuously inducing trance, thus helping them to titrate the trauma-­‐material (4) Addressing ego-­‐states that react as if they still are bound in trauma-­‐time (5) Addressing resource-­‐rich ego-­‐states and parts of the self, f ex ISH (internal self-­‐ helper), thus helping the client to begin to metabolize the trauma material (6) Installation of hope and the “memory of the future” (7) Using post-­‐hypnotic suggestions for enhancing the neuroception of safety between sessions. Learning objectives: Demonstrate how to use EMDR and hypnosis for stabilization and work with parts within phase II work, addressing the special needs of continuous stabilization for this population. Develop an understanding of how to enhance the integrative capacity during trauma-­‐work with DD-­‐clients. Apply structured techniques and rationales for calming and soothing patients related to their integrative capacity during extended EMDR-­‐work.&lt;br /&gt;&lt;br /&gt;Los clientes con trastornos disociativos complejos normalmente se encuentran en estados de trance despierto inducido por el trauma. Debido a esto, pueden crecer rápidamente de estrategias de tratamiento, donde estrategias de hipnosis clínica se añaden al modelo de tratamiento por parte del terapeuta. La hipnosis clínica ofrece también excelentes herramientas para trabajar con traumas de apego y reinstalar la neurocepción de seguridad. Este taller subraya siete estrategias para extender el protocolo estándar de EMDR, principalmente basadas en la hipnosis clínica. Consisten en: (1) Inducción hipnótica formal del lugar seguro/ estado de seguridad ANTES de introducir la fase I de tratamiento de EMDR (2) Inducción hipnótica informal para la activación continuada de los sistemas de compromiso social cuando los clientes están en trance (3) Uso de inducciones al trance hiper-­‐empíricas en la fase de exposición (ej, ayudar a los clientes a estar presentes con conciencia dual mediante la inducción continua al trance, por tanto ayudándoles a valorar el material traumático. (4) Dirigirse a los estados del ego que reaccionan como si aún estuviesen atados al tiempo traumático (5) Dirigirse a estados del ego ricos en recursos y a partes del yo, por ejemplo, al ISH (en inglés yo-­‐interno ayudante), por tanto ayudando al cliente a empezar a metabolizar el material traumático (6) Instalación de esperanza y la “memoria de futuro” (7) Usando sugestión post-­‐hipnótica para fomentar la neurocepción de seguridad entre sesiones. Objetivos de aprendizaje: Demostrar cómo usar EMDR e hipnosis para estabilizar y trabajar con las partes en el trabajo de la fase II, dirigiéndonos a las necesidades especiales de estabilización continua para esta población. Desarrollar un entendimiento de cómo fomentar la capacidad integrativa cuando se trabaja el trauma con clientes-­‐DD. Aplicación de técnicas estructuradas y racionales para calmar y tranquilizar a los pacientes en relación con su capacidad integrativa durante trabajo extendido con EMDR.</text>
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              <text>Giuseppe Miti&lt;br /&gt;Antonio Onofri</text>
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              <text>&lt;a href="http://www.fioriti.it/riviste/pdf/2/06_miti.pdf"&gt;http://www.fioriti.it/riviste/pdf/2/06_miti.pdf&lt;/a&gt;</text>
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              <text>Miti, G., &amp;amp; Onofri, A. (2011, June). &lt;a href="http://www.fioriti.it/riviste/pdf/2/06_miti.pdf"&gt;[Psychotherapy of dissociative disorders: From cognitive-behavioral techniques to the EMDR approach].&lt;/a&gt; Cognitivismo Clinico, 8(1), 73-91. Italian</text>
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                <text>La psicoterapia dei disturbi dissociativi: Dalle tecniche cognitivo-comportamentali all'approccio EMDR &lt;br /&gt;&lt;br /&gt;Psychotherapy of dissociative disorders: From cognitive-behavioral techniques to the EMDR approach</text>
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                <text>Gli Autori illustrano i princìpi fondamentali nel trattamento dei Disturbi Dissociativi, nell’ottica della psicoterapia cognitivo-evoluzionista. Descrivono la cosiddetta “Terapia per fasi”, caratterizzata dalla iniziale ricerca della stabilizzazione del paziente e da una riduzione sintomatologica; quindi da una fase centrale di elaborazione dei traumi relazionali e complessi considerati frequentemente alla base degli stati dissociativi; infine dalla integrazione e ricerca di una “crescita post-traumatica”. Gli Autori prendono in esame le diverse strategie e tecniche più frequentemente utilizzate, da quelle legate al lavoro terapeutico sul corpo ai gruppi di mutuo aiuto, dalla psicofarmacologia all’ipnosi. Una parte significativa dell’articolo è dedicata all’uso dell’approccio EMDR nel trattamento degli stati dissociativi.&lt;br /&gt;&lt;br /&gt;The Authors show the fundamental principles in the treatment of the Dissociative Disorders, in the perspective of the Cognitive-Evolutionary Psychotherapy. They describe the so called “Staged Therapy”, characterized by a starting phase toward the stabilization of the patient and the symptomatology’s reduction; by a central phase of processing of the relational and complex traumas often grounding the dissociative states; and then by an integration and a “post-traumatic growing”. The Authors examine the different strategies and techniques, most frequently used, from the therapeutical body work till self-help groups, from psychopharmacology till hypnosis. A significant part of the article show the importance of the EMDR approach in the treatment of dissociative states.</text>
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              <text>Gerge, A. (2012, June). Seven ways to extend the EMDR-protocol based in clinical hypnosis for clients with complex dissociative disorders [Siete maneras de extender el protocolo EMDR basadas en hipnosis clnica para pacientes con trastornos disociativos complejos]. Presentation at the 13th EMDR Europe Association Conference, Madrid, Spain</text>
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                <text>Seven ways to extend the EMDR-protocol based in clinical hypnosis for clients with complex dissociative disorders &lt;br /&gt;&lt;br /&gt;Siete maneras de extender el protocolo EMDR basadas en hipnosis clínica para pacientes con trastornos disociativos complejos</text>
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                <text>Clients with complex dissociative disorders usually are in trauma-induced wake trance-states. Due to this, they might thrive from treatment-strategies, where skills in clinical hypnosis, from the side of the therapists, are added to the treatment model. Clinical hypnosis also offers excellent tools for working with attachment traumas and reinstalls the neuroception of safety. This workshop highlights seven strategies for extending the EMDR standard-protocol, mainly built on clinical hypnosis. They consist of: 1. Formal hypnotic induction of safe place/safe state BEFORE introducing EMDR under phase I treatment. 2. Informal hypnotic induction for ongoing activation of the social engagement system when clients are in trance. 3. Using hyper-empirical trance inductions under exposure phase (ie helping the clients to stay present with dual awareness by continuously inducing trance, thus helping them to titrate the trauma-material. 4. Addressing ego-states that react as if they still are bound in trauma-time. 5. Addressing resource-rich ego-states and parts of the self, f ex ISH (internal self-helper), thus helping the client to begin to metabolize the trauma material. 6. Installation of hope and the “memory of the future”. 7. Using post-hypnotic suggestions for enhancing the neuroception of safety between sessions. Learning objectives: Demonstrate how to use EMDR and hypnosis for stabilization and work with parts within phase II work, addressing the special needs of continuous stabilization for this population. Develop an understanding of how to enhance the integrative capacity during trauma-work with DD-clients. Apply structured techniques and rationales for calming and soothing patients related to their integrative capacity during extended EMDR-work.&lt;br /&gt;&lt;br /&gt;Los clientes con trastornos disociativos complejos normalmente se encuentran en estados de trance despierto inducido por el trauma. Debido a esto, pueden crecer rápidamente de estrategias de tratamiento, donde estrategias de hipnosis clínica se añaden al modelo de tratamiento por parte del terapeuta. La hipnosis clínica ofrece también excelentes herramientas para trabajar con traumas de apego y reinstalar la neurocepción de seguridad. Este taller subraya siete estrategias para ampliar el protocolo estándar de EMDR, principalmente basadas en la hipnosis clínica. Consisten en: 1. Inducción hipnótica formal del lugar seguro / estado de seguridad ANTES de introducir la fase I de tratamiento de EMDR. 2. Inducción hipnótica informal para la activación continuada de los sistemas de compromiso social cuando los clientes están en trance. 3. Uso de inducciones al trance hiper-empíricas en la fase de exposición (ej, ayudar a los clientes a estar presentes con conciencia dual mediante la inducción continua al trance, por tanto ayudándoles a valorar el material traumático. 4. Dirigirse a los estados del ego que reaccionan como si aún estuviesen atados al tiempo traumático. 5. Dirigirse a estados del ego ricos en recursos y a partes del yo, por ejemplo, al ISH (en inglés yo-interno ayudante), por tanto ayudando al cliente a empezar a metabolizar el material traumático. 6. Instalación de esperanza y la “memoria de futuro”. 7. Usando sugestión post-hipnótica para fomentar la neurocepción de seguridad entre sesiones. Objetivos de aprendizaje: Demostrar cómo usar EMDR e hipnosis para estabilizar y trabajar con las partes en el trabajo de la fase II, dirigiéndonos a las necesidades especiales de estabilización continua para esta población. Desarrollar un entendimiento de cómo fomentar la capacidad integrativa cuando se trabaja el trauma con clientes-DD. Aplicación de técnicas estructuradas y racionales para calmar y tranquilizar a los pacientes en relación con su capacidad integrativa durante trabajo extendido con EMDR.</text>
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                <text>Trauma, body and neurobiology EMDR and sensorimotor psychotherapy in treatment of dissociative disorders &lt;br /&gt;&lt;br /&gt;Trauma, neurobiología y el cuerpo: EMDR y la psicoterapia sensoriomotriz en el tratamiento de los trastornos disociativos</text>
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                <text>Although most patients respond well to EMDR treatment, those with dissociative disorders often become more fragmented: they experience flooding of memory, or they become disconnected and numb. Faced with the dissociative patient who cannot tolerate emotions, who cannot manage self-­‐destructive impulses, differentiate past and present, or create a Safe Place—is there any way that EMDR can be helpful? The answer is, “Yes.” With an understanding of post-­‐traumatic neurobiology and the Structural Dissociation model, the responses of dissociative disorder patients to EMDR become logical rather than surprising. If we understand their purpose and meaning, we can better address the responses that interfere with successful EMDR processing. Then if we use simple body-­‐centered interventions drawn from Sensorimotor Psychotherapy that modulate autonomic arousal and address the needs and fears of each part of the personality, EMDR treatments can help even our most de-­‐stabilized and dissociative clients. This workshop will introduce a neurobiological model for understanding how and when EMDR treatments can be effective even with dysregulated and dissociative clients and offer an introduction to Sensorimotor Psychotherapy, a body-­‐centered therapy developed specifically to treat post-­‐traumatic symptoms. Participants will be taught simple, body-­‐centered interventions that can be woven into both trauma processing and Resource Development protocols. Using lecture, videotape, session demonstration and actual practice, participants will have an opportunity to integrate these simple but effective techniques into their EMDR practice.&lt;br /&gt;&lt;br /&gt;Si bien la mayoría de los pacientes responden bien al tratamiento con EMDR, con frecuencia aquellos que sufren trastornos disociativos se vuelven más fragmentados: sienten una inundación de la memoria o se vuelven desconectados y “anestesiados”. Ante el paciente disociativo que no es capaz de tolerar las emociones, que no puede gestionar los impulsos auto-­‐destructivos, distinguir entre pasado y presente o crear un Lugar Seguro, ¿existe alguna manera en la cual puede resultar útil EMDR? La respuesta es, “Sí.” Con una comprensión de la neurobiología post traumática y del modelo de disociación estructural, las respuestas de los pacientes con trastorno disociativo a EMDR se vuelven lógicas en lugar de sorprendentes. Si entendemos su propósito y significado, estaremos mejor situados para abordar las respuestas que interfieren con el éxito del procesamiento con EMDR. De ahí, si aplicamos intervenciones sencillas centradas en el cuerpo derivadas de la psicoterapia sensoriomotriz que modulan la excitación autonómica y abordan las necesidades y miedos de cada parte de la personalidad, los tratamientos con EMDR pueden ayudar a nuestros clientes, incluso a los más desestabilizados y disociativos. Este taller introducirá un modelo neurobiológico para comprender el cómo y cuándo los tratamientos basados en EMDR pueden resultar efectivos aún en los clientes desregulados y disociativos y ofrece una introducción a la psicoterapia sensoriomotriz, una terapia que se centra en el cuerpo desarrollada específicamente para tratar los síntomas post-­‐traumáticos. Se les enseñará a los participantes intervenciones sencillas y centradas en el cuerpo que pueden entretejerse en los protocolos tanto de procesamiento del trauma como de desarrollo de recursos. Mediante la conferencia, vídeos, demostraciones de sesiones y prácticas reales, los participantes tendrán la oportunidad de integrar estas técnicas sencillas a la vez que efectivas en su ejercicio de EMDR.</text>
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              <elementText elementTextId="383716">
                <text>Sandra Baita will describe the case of a dissociative girl whose traumatization was a consequence of early exposure to chronic sexual abuse by her father. In this case, Dr. Baita will explain the challenge of working with systems surrounding the child other than the family, for example, the Justice System. She will focus on the paramount importance of the first stage of treatment and the achievement of external security when working with severely traumatized children. Dr. Baita will offer for discussion with the attendees, the development of a treatment plan for this dissociative girl using EMDR during the therapeutic stages of security and stability, working with traumatic memories, and integration.&lt;br /&gt;&lt;br /&gt;Sandra Baita expondrá el caso de una niña con un trastorno disociativo en el cual la traumatización ha sido consecuencia de la exposición temprana a abuso sexual por parte del padre. En este caso, la Dra. Baita explicará el desafío que implica trabajar con otros sistemas además del familiar, tales como el sistema de Justicia. Ilustrará además la relevancia que adquiere la primera etapa del tratamiento y el establecimiento de un contexto real de seguridad externa en el tratamiento de niños severamente traumatizados, y mostrará, para su discusión con los asistentes, el desarrollo del tratamiento exhaustivo de esta niña utilizando EMDR a lo largo de las etapas de seguridad y estabilidad, trabajo con las memorias traumáticas e integración.</text>
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        <name>Children</name>
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      <tag tagId="135">
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            <elementText elementTextId="383690">
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              <text>Elena Aduriz</text>
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          <name>Year</name>
          <description>emdr_year</description>
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              <text>2012</text>
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          </elementTextContainer>
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        <element elementId="104">
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            <elementText elementTextId="383699">
              <text>Attachment Disruptions, Children</text>
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          <name>Accuracy Verified?</name>
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            <elementText elementTextId="383700">
              <text>Yes</text>
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          </elementTextContainer>
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          <name>Archived</name>
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            <elementText elementTextId="383701">
              <text>No</text>
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          <elementTextContainer>
            <elementText elementTextId="383703">
              <text>Aduriz, E. (2012, June). [EMDR in children with dissociative disorders]. In preconference 2: Children, severe traumatization and EMDR. Presentation at the 13th EMDR Europe Association Conference, Madrid, Spain. Spanish</text>
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            <name>Title</name>
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              <elementText elementTextId="383692">
                <text>EMDR en niños con trastornos disociativos &lt;br /&gt;&lt;br /&gt;EMDR in children with dissociative disorders</text>
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              <elementText elementTextId="383693">
                <text>In preconference 2: Children, severe traumatization and EMDR. Presentation at the 13th EMDR Europe Association Conference, Madrid, Spain</text>
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              <elementText elementTextId="383695">
                <text>2012, June</text>
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          <element elementId="44">
            <name>Language</name>
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              <elementText elementTextId="383697">
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          <element elementId="42">
            <name>Format</name>
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                <text>Dr. Aduriz will show the importance of establishing a predictable and trusting relationship between the child and her adoptive parents so that the child can repair the severe early wounds inflicted on her by the relationship with her biological mother. She will also focus on how to help the adoptive parents attain more confidence in their parental role.&lt;br /&gt;&lt;br /&gt;María Elena Aduriz, expondrá a través del caso de una niña cuya traumatización es consecuencia directa de un apego desorganizado a una madre esquizofrénica, inestable y suicida, la importancia de articular intervenciones terapéuticas con EMDR con la niña y con los padres adoptivos. Señalará la importancia de establecer un vínculo predecible y confiable entre ellos para que la niña pueda reparar las heridas tempranas y severas producto del vínculo con su madre biológica, y para que los padres sean capaces de generar mayor confianza en su función parental.</text>
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            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
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      <name>Conference</name>
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      <elementContainer>
        <element elementId="110">
          <name>Document #</name>
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          <elementTextContainer>
            <elementText elementTextId="382639">
              <text>08654</text>
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        <element elementId="117">
          <name>Author(s)</name>
          <description>dc_creator</description>
          <elementTextContainer>
            <elementText elementTextId="382640">
              <text>Anna Gerge</text>
            </elementText>
          </elementTextContainer>
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        <element elementId="98">
          <name>Year</name>
          <description>emdr_year</description>
          <elementTextContainer>
            <elementText elementTextId="382643">
              <text>2012</text>
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          </elementTextContainer>
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        <element elementId="104">
          <name>Subjects</name>
          <description>emdr_subject</description>
          <elementTextContainer>
            <elementText elementTextId="382647">
              <text>Dissociative Disorders, Hynopisis</text>
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          </elementTextContainer>
        </element>
        <element elementId="113">
          <name>Accuracy Verified?</name>
          <description>emdr_accuracy</description>
          <elementTextContainer>
            <elementText elementTextId="382648">
              <text>Yes</text>
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          </elementTextContainer>
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        <element elementId="114">
          <name>Archived</name>
          <description>emdr_archived</description>
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            <elementText elementTextId="382649">
              <text>No</text>
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        <element elementId="116">
          <name>Original Work Citation</name>
          <description>spec_citation</description>
          <elementTextContainer>
            <elementText elementTextId="382650">
              <text>Gerge, A. (2012, March). Seven ways to extend the EMDR-protocol from the tradition of clinical hypnosis for clients with complex dissociative disorders. Presentation at the 3rd Bi-Annual International European Society for Trauma and Dissociation Conference, Berlin, Germany</text>
            </elementText>
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        </element>
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            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="382641">
                <text>Seven ways to extend the EMDR-protocol from the tradition of clinical hypnosis for clients with complex dissociative disorders</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="382642">
                <text>Presentation at the 3rd Bi-Annual International European Society for Trauma and Dissociation Conference, Berlin, Germany</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="382644">
                <text>2012, March</text>
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            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="382645">
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            </elementTextContainer>
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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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        <name>Dissociative Disorder</name>
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          <elementContainer>
            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
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      <name>Book Section</name>
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        <element elementId="110">
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            <elementText elementTextId="382321">
              <text>08628</text>
            </elementText>
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        <element elementId="117">
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          <description>dc_creator</description>
          <elementTextContainer>
            <elementText elementTextId="382322">
              <text>Hans-Jaap Oppenheim&lt;br /&gt;Erik ten Broeke&lt;br /&gt;Ad de Jongh</text>
            </elementText>
          </elementTextContainer>
        </element>
        <element elementId="98">
          <name>Year</name>
          <description>emdr_year</description>
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            <elementText elementTextId="382325">
              <text>2009</text>
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          <elementTextContainer>
            <elementText elementTextId="382330">
              <text>Yes</text>
            </elementText>
          </elementTextContainer>
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        <element elementId="114">
          <name>Archived</name>
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          <elementTextContainer>
            <elementText elementTextId="382331">
              <text>No</text>
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        <element elementId="116">
          <name>Original Work Citation</name>
          <description>spec_citation</description>
          <elementTextContainer>
            <elementText elementTextId="382332">
              <text>Oppenheim, H.-J., ten Broeke, E., &amp;amp; de Jongh, A. (2009). [EMDR in dissociative disorders]. In E. ten Broeke, A. de Jongh, &amp;amp; H.-J. Oppenheim (Eds.), &lt;a href="http://www.amazon.co.uk/Praktijkboek-EMDR-casusconceptualisatie-specifieke-pati%C3%ABntengroepen/dp/9026522096"&gt;Praktijkboek EMDR: Casusconceptualisatie en specifieke patintengroepen&lt;/a&gt; (pp. 177-199). Amsterdam: Pearson. Dutch</text>
            </elementText>
          </elementTextContainer>
        </element>
        <element elementId="111">
          <name>Link to Document (e.g. DOI, PDF)</name>
          <description>emdr_title_link</description>
          <elementTextContainer>
            <elementText elementTextId="409075">
              <text>&lt;a href="http://www.amazon.co.uk/Praktijkboek-EMDR-casusconceptualisatie-specifieke-pati%C3%ABntengroepen/dp/9026522096"&gt;http://www.amazon.co.uk/Praktijkboek-EMDR-casusconceptualisatie-specifieke-pati%C3%ABntengroepen/dp/9026522096&lt;/a&gt;</text>
            </elementText>
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            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="382323">
                <text>EMDR bij dissociatieve stoornissen &lt;br /&gt;&lt;br /&gt;EMDR in dissociative disorders</text>
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            </elementTextContainer>
          </element>
          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="382324">
                <text>In E. ten Broeke, A. de Jongh, &amp;amp; H.-J. Oppenheim (Eds.), Praktijkboek EMDR: Casusconceptualisatie en specifieke patiëntengroepen (pp. 177-199). Amsterdam: Pearson</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="382326">
                <text>2009</text>
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          <element elementId="44">
            <name>Language</name>
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              <elementText elementTextId="382327">
                <text>Dutch</text>
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              <elementText elementTextId="382328">
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              </elementText>
            </elementTextContainer>
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    <tagContainer>
      <tag tagId="135">
        <name>Dissociative Disorder</name>
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          <elementContainer>
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            <elementText elementTextId="380578">
              <text>08448</text>
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        <element elementId="117">
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          <description>dc_creator</description>
          <elementTextContainer>
            <elementText elementTextId="380579">
              <text>Jesus Sanfiz Mellado&lt;br /&gt;Maria Jose Sanchez Luque&lt;br /&gt;Raquel Quilez Pardos</text>
            </elementText>
          </elementTextContainer>
        </element>
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          <name>Year</name>
          <description>emdr_year</description>
          <elementTextContainer>
            <elementText elementTextId="380582">
              <text>2007</text>
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        <element elementId="104">
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          <description>emdr_accuracy</description>
          <elementTextContainer>
            <elementText elementTextId="380587">
              <text>Yes</text>
            </elementText>
          </elementTextContainer>
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          <description>spec_citation</description>
          <elementTextContainer>
            <elementText elementTextId="380590">
              <text>Mellado, J. S., Luque, M. J. S., &amp;amp; Pardos, R. Q. (2007, November). [Working with dissociative reactions during an EMDR session]. Presentation at the 1st EMDR Ibero-American Conference, Brasilia, Brazil. Spanish</text>
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            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="380580">
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            </elementTextContainer>
          </element>
          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="380581">
                <text>Presentation at the 1st EMDR Ibero-American Conference, Brasilia, Brazil</text>
              </elementText>
            </elementTextContainer>
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            <name>Date</name>
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            <elementTextContainer>
              <elementText elementTextId="380583">
                <text>2007, November</text>
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            </elementTextContainer>
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          <element elementId="44">
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              <elementText elementTextId="380584">
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          <element elementId="42">
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                <text>Today EMDR is widely recognized as one of the most effective therapies for simple trauma. But if people suffer from complex trauma, with dissociative disorder, EMDR, as it has been invented originally, becomes problematic. The therapist has then to develop his/her art in order to keep the therapeutic process ongoing. Numerous authors conceptualized many different ways of adapting the EMDR standard protocol for those apparently difficult clients. Here also, there is no consensus between therapists who are extremely cautious and take a lot of time before coming to the trauma confronting phase, and those who go earlier to desensitization and do further adaptations. Which are the risks ? How to adapt therapy to the sometimes chaotic life style of the person ? In which ways EMDR could be adapted to overcome this dilemma and be more efficient, even with those clients known as being difficult ?</text>
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              <text>Gonzalez, A., Mosquera, D., &amp;amp; Seijo, N. (2011, November). EMDR in dissociative disorders: The progressive approach. Presentation at the International Society for the Study of Trauma and Dissociation 28th Annual International Conference, Montreal, QE</text>
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                <text>Abstract: After the first cautions for the use of EMDR in dissociative disorders, many proposals have been done to adapt EMDR procedures to this specific population. Interesting interventions have been done for the use of EMDR in the preparation phase, but in spite of these useful proposals, EMDR is still considered by many clinicians as an intervention that is limited for the treatment of traumatic memories. From this conceptualization, which we have called the all/nothing perspective, the use of EMDR is strongly limited. Many clinicians wait years for trauma reprocessing. As a consequence of this conceptualization, many EMDR therapists do not use EMDR with most of their dissociative clients, and just use it with highly functioning patients, sometimes after years of therapy with other approaches. In this workshop we will describe (and exemplify with clinical cases and videos) different interventions with EMDR in dissociative clients, from the preparatory phase, in what we have called a Progressive Approach. The way in which specific EMDR procedures can contribute to enhance recovery in survivors will be explained. For doing this, concepts from the different approaches and scientific knowledge about severe traumatization will be integrated with the Adaptive Information Processing Model from EMDR. The idea is to propose a holistic model for EMDR therapy in Dissociative Disorders. The interweaving between theoretical concepts and clinical procedures, theoretical developments and video examples, will allow the audience to assimilate information and translate it to their clinical practice. Therapist from approaches different from EMDR will understand what this therapy can offer to the treatment of severely traumatized people. EMDR therapists will learn new proposals of interventions at the different phases of the treatment. We will present different examples of interventions in severely traumatized patients: DID, DESNOS, BPD and Somatoform dissociation.</text>
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              <text>Dellucci, H. (2010, November). [EMDR and dissociative disorders]. Preconference presentation at the Second University Research Seminar Integrative Dimensions in EMDR, Metz, France. French</text>
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                <text>La dissociation c’est… définition Definition du DSM-IV-TR (APA 2000): « une rupture des fonctions habituellement intégrées de la conscience, de la mémoire, de l’identité ou de la perception de l’environnement » Ne contient pas d’éléments somatoformes, comme des fonctions de contrôle moteur ou de sensations physiques Moreau de Tours (1845): dissociation comme un phénomène de désagrégation psychique Pierre Janet (1907): « …une maladie de la synthèse personnelle. » « Une forme de dépression mentale caractérisée par la rétraction du champ de la conscience et une tendance à la dissociation et à l’émancipation des systèmes d’idées et des fonctions que constitue la personnalité. » 19e siècle: concepts de dissociation de la personnalité et dissociation de conscience sont utilisés conjointement Van der Hart, Nijenhuis &amp;amp; Steele (2006): il s’agit d’un « manque d’intégration parmi deux ou plusieurs sous-systèmes psychobiologiques de la personnalité, comme système entier, ces sous-systèmes endossant chacun au moins un sens de Soi rudimentaire. » [Extrait]&lt;br /&gt;&lt;br /&gt;The separation is ... Definition Definition of DSM-IV-TR (APA 2000), "a breakdown in the usually integrated functions of consciousness, memory, identity or perception of the environment" Do not contain any somatoform, as functions of motor control or physical sensations Moreau de Tours (1845): dissociation as a phenomenon of psychic disintegration  Pierre Janet (1907): "... a disease of personal synthesis. "" A form of mental depression characterized by retraction of the field of consciousness and a tendency to dissociation and emancipation of the systems of ideas and functions that constitute personality. " 19th century concepts of dissociation of the personality and dissociation of consciousness are used in conjunction Van der Hart, Nijenhuis &amp;amp; Steele (2006): This is a" lack of integration among two or more subsystems psychobiological personality, as the entire system, these subsystems endorsing each at least a rudimentary sense of self. "[Excerpt]</text>
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              <text>Struik, A. (2011, April). [Sleeping dogs? Wake up! A stabilization method for early, chronic traumatized children]. Presentation at the 5th Vereniging EMDR Nederland Conference, Nijmegen, The Netherlands. Dutch</text>
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                <text>Slapende honden? Wakker maken! Een stabilisatie methode voor vroegkinderlijk, chronisch getraumatiseerde kinderen &lt;br /&gt;&lt;br /&gt;Sleeping dogs? Wake up! A stabilization method for early, chronic traumatized children</text>
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                <text>De stabilisatie en behandeling van deze kinderen kan gecompliceerd zijn. Vanzelfsprekend is het creëren van een veilige omgeving en een hechtingsfiguur een eerste stap. Maar wat dan? Deze kinderen functioneren soms ogenschijnlijk goed. Hun vermijdingsstrategieën zijn effectief en ze weigeren om over het trauma te praten of zeggen dat ze het vergeten zijn. Ze hebben er geen last meer van, of ze weten er niks meer van omdat ze een dissociatieve stoornis hebben. Maar de verleiding van de therapeut om dan geen slapende honden wakker te maken is een gevaarlijke. Want onder deze ogenschijnlijk goed functionerende buitenkant, zit een constant alert, angstig en eenzaam kind. Dit kind kan zich niet hechten en dit gebrek aan veilige hechting is verwoestend voor de ontwikkeling. Dit wordt echter vaak alleen zichtbaar door er expliciet naar te zoeken, zeker als er sprake is van dissociatie. &lt;br /&gt;&lt;br /&gt;In deze presentatie zal ik toelichten hoe je deze stabilisatiemethode, welke een bewerking is van De drie testen (Spierings, 2008), kunt gebruiken en met name bij dissociatieve stoornissen. Deze methode helpt de therapeut om te beslissen of een kind verdere stabilisatie nodig heeft en hoe dat te bereiken, voordat met EMDR gestart kan worden. Deze workshop is anders dan de presentatie van vorig jaar omdat de focus meer ligt op het toepassen van de methode en dan met name bij dissociatie. &lt;br /&gt;&lt;br /&gt;Allereerst begin je natuurlijk met diagnostiek van dissociatie. Door dan de problemen die het kind ervaart te koppelen aan ervaringen in het verleden wordt het kind gemotiveerd voor behandeling. Dan worden de zes stappen van de stabilisatiemethode (veiligheid, rust in het dagelijks leven, hechting verbeteren, emotieregulatie, zelfbeeld en notendop) toegelicht. Dan wordt besproken hoe EMDR kan worden geïntegreerd in een gefaseerde behandeling voor deze kinderen en wat aanpassingen zijn bij dissociatieve stoornissen. &lt;br /&gt;&lt;br /&gt;The stabilization and treatment of these children can be complicated. Obviously, creating a safe environment and an attachment figure is a first step. But what then? These children sometimes seemingly functioning properly. Their avoidance strategies are effective and they refuse to talk about the trauma or say they forgot it. They have no more trouble, they know nothing more because they have a dissociative disorder. But the seduction of the therapist and then to wake sleeping dogs is dangerous. For, by this seemingly well-functioning without, is a constant alert, anxious and lonely child. This child can not stick and this lack of secure attachment is devastating for the development. This is often visible only by explicitly to look for, especially when there is dissociation. &lt;br /&gt;&lt;br /&gt; In this presentation I will explain how this stabilization method, which is a reworking of the three tests (Spierings, 2008), can use and in particular in dissociative disorders. This method helps the therapist to decide whether a child needs further stabilization and how to reach before EMDR can be started. This workshop is different than the presentation of last year because the focus is more on applying the method and especially for dissociation. &lt;br /&gt;&lt;br /&gt; First you start with diagnostics course of dissociation. By then the problems the child experiences to link past experiences, the child is motivated for treatment. Then the six steps of the method of stabilization (safety, peace in everyday life, improve adherence, emotion regulation, and self nutshell) explained. Then discusses how EMDR can be integrated into a phased treatment for these children and what changes in dissociative disorders.</text>
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              <text>Mariette Groenendijk</text>
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                <text>Na met veel succes deze workshop op de Europese congressen in Amsterdam en Hamburg te hebben gegeven, is Mariëtte gevraagd om ook op het Nederlandse congres haar kennis te delen. De workshop gaat over welke aanpassingen er nodig zijn om EMDR ook bij dissociatieve stoornissen te kunnen inzetten en aan de hand van de videoband van Maria zal getoond worden hoe dat werkt. De workshop is bedoeld voor therapeuten zijn die al werkende met getraumatiseerden bij een deel van hen stuiten op vroeger of ernstiger trauma dan ze aan het begin wisten en ook pas gaandeweg dissociatieve fenomenen ontdekken. &lt;br /&gt;&lt;br /&gt;After this very successful workshop at the European conferences in Amsterdam and Hamburg have given, Mariette also asked the Dutch conference to share her knowledge. The workshop is about what changes are needed to EMDR also deploy and dissociative disorders on the basis of the videotape of Mary will demonstrate how that works. The workshop is intended for therapists already working with traumatized by a number of them encounter severe trauma or earlier than they did at the beginning and only gradually explore dissociative phenomena.</text>
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