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                <text>EMDR is a treatment methodology that can be useful in the mourning process. Utilizing Theresa Rando’s framework, a protocol will be presented describing how EMDR can be applied through the mourning process. REMDR does not shorten the phases of assimilation and accommodation of the loss, but processes the factors that can complicate the mourning. EMDR can help the mourner deal with the following mourning processes: 1) Recognizing the loss 2) React to the separation 3) Recollect and re-experience the deceased and the relationship 4) Relinquish the old (external) attachments to the deceased and the old assumptive world 5) Readjust to move adaptively into the new world without forgetting the old 6) Reinvest. EMDR seems to facilitate the formation of an adaptive inner representation. We do not lose attachments to loved ones that die, they are transformed. We move from living in presence to living in absence. Memories of the deceased often emerge during EMDR treatment. It is the emergence of memories of the deceased that let us know and acknowledge the meaning of the relationship, the person’s role in our lives and identity. And enable us to carry the basic security of having loved and been loved into the future. We can go forward in a world without the deceased, because we have an adaptive inner representation to take with us.</text>
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                <text>Introduction: Eye Movement Desensitization and Reprocessing (EMDR) is an empirically-supported psychotherapeutic approach for treating trauma, which is also applicable to a wide range of other experientially-based clinical complaints. It is particularly useful in treating grief and mourning. Literature findings: EMDR is guided by the Adaptive Information Processing Model (AIP), which conceptualizes the effects of traumatic experiences in terms of dysfunctional memory networks in a physiologically-based information processing system. Numerous empirical studies have demonstrated EMDR's efficacy. Discussion: The death of a loved one can be very distressing, with memories and experiences associated with the loss becoming dysfunctionally stored and preventing access to adaptive information, including positive memories of the deceased. EMDR can be utilized to integrate these distressing experiences and facilitate the assimilation and accommodation of the loss and movement through the mourning processes. Conclusion: Applying the eight phases of EMDR to grief and mourning can yield potent clinical results in the aftermath of loss.</text>
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                <text>本稿では、「死の反応」と呼ばれる死別に関連する心理的苦痛に対して、EMDR（眼球運動による脱感作と再処理）を用いた治療の症例を紹介している。松本氏は、喪失体験に伴う未処理の悲嘆やトラウマが、情動の不安定さ、フラッシュバック、回避行動などとして現れることに着目している。EMDRセッションを通じて、クライエントはトラウマ記憶を再処理し、情動的反応を軽減することができた。本研究は、EMDRが死別に伴う症状の緩和と適応的な悲嘆の促進に有効である可能性を示している。&lt;br /&gt;&lt;br /&gt;This article presents a clinical case study exploring how EMDR (Eye Movement Desensitization and Reprocessing) can be used to treat psychological distress triggered by death-related trauma, often referred to as “death responses.” Matsumoto examines how unresolved grief and trauma associated with loss can manifest as emotional dysregulation, flashbacks, and avoidance behaviors. Through EMDR sessions, the client was able to reprocess traumatic memories and reduce emotional reactivity. The study highlights EMDR’s potential to support adaptive mourning and emotional stabilization in individuals struggling with bereavement-related symptoms.</text>
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                <text>&lt;strong&gt;Objective:&lt;/strong&gt; &lt;br /&gt;To discuss how Eye Movement Desensitization and Reprocessing (EMDR) therapy can be utilized in the treatment of grief and mourning. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Method:&lt;/strong&gt; &lt;br /&gt;Several frameworks of grief and mourning that can inform EMDR therapy are discussed. Rando’s “R” processes provides a framework for understanding the psychological processes necessary for the assimilation and accommodation of loss. Attachment theory provides a framework for understanding grief and mourning given that loss can trigger the same reactions experienced as a child to loss of an attachment figure. Dual Process theory posits that healthy grief involve the oscillation between coping with emotional aspects of the loss (Loss Orientation) and coping with the daily life tasks (Restoration Orientation). Continuing Bonds theory describes how grief does not resolve from detaching from the deceased loved one, but rather in developing a new relationship, a continuing bond that endures through one’s life. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Results and Conclusions:&lt;/strong&gt; &lt;br /&gt;EMDR therapy, utilizing an eight phase, three pronged (past, present, future) approach can be utilized in the treatment of grief and mourning. Different theoretical frameworks inform case conceptualization and selection of memories for EMDR processing to facilitate assimilation and accommodation of the loss.</text>
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                <text>This workshop will focus on integrating EMDR into the treatment of grief and mourning. A traumatic loss can disable the ability to cope, impair functioning, compromise the ability to adapt, and add significantly to the mourner’s distress. Trauma also complicates the mourning by interfering with the processes necessary for the assimilation and accommodation of the loss. EMDR can be integrated into treatment of grief and loss through processing a) the past memories that underlie current dysfunction b) present triggers, c) future template for adaptive behavior. Past memories include the moment of realization of the loss (e.g. when the mourner heard the news), but can be past traumas or losses that are complicating the current clinical picture. For example, research has shown attachment issues stemming from early childhood can complicate grief, necessitating the processing of past memories connected to current problems (e.g. hyperactivating or deactivating strategies). Present triggers include the situations, people, and places where symptoms are experiences. For each present trigger, future templates for adaptive behavior are applied. EMDR processing seems to allow the client to experience, express and discharge the pain. This is necessary for the eventual adaptive shifting resulting from the linking in of other networks with positive, adaptive information (e.g. healthy accommodation). A loss can be so distressing that access to memory networks containing positive memories of the loved one are blocked. With processing of distressing moments, experiences, and memories, these memory networks become accessible and play a vital role in accommodation of loss. Memories of the deceased serve as an essential bridge between the world with and the world without the loved one and are the building blocks of adaptive inner representations, continuing bonds, and meaning. This presentation will discuss grief and mourning, the processes the mourner has to go through for adaptive assimilation and accommodation of the loss, factors that can complicate bereavement, and how EMDR can be integrated into an overall treatment plan.</text>
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                <text>The death of a loved one can be a time of unparalleled distress and the adaptation to the loss can be very challenging. Even when uncomplicated, bereavement can result in significant psychological, behavioral, social, physical, and economic consequences. It is important for therapists to be knowledgeable about theoretical frameworks and effective treatment methodologies to alleviate pain, reduce dysfunction, work through conflicts, and promote adaptation. This workshop offers a framework for understanding grief and mourning, how the trauma of the loss and attachment issues can complicate grief, and how utilization of EMDR therapy can be a particularly potent and efficacious treatment.</text>
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              <text>Duraković-Belko, E. (2018). &lt;a href="http://www.hdbp.org/psychiatria_danubina/pdf/dnb_vol30_sup5/dnb_vol30_sup5_311.pdf"&gt;Mourning after the loss of a ten year old son: Unfinished EMDR therapy with the mother - What we've achieved and the challenges for continuation of the therapy - A case report.&lt;/a&gt; Psychiatria Danubina, 30(Supplement. 5), S311-S314. Presentation at the 1st EMDR Conference (2017, November) in Bosnia and Herzegovina. Sarajevo</text>
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                <text>The loss of a child belongs to the category of traumatic loss and is identified as a high risk variable in the development of complicated mourning. Rando (1993) even points at the need to conceptualize a special model to describe parental mourning, because bereaved parents cannot, and must not, be expected to have the same bereavement experiences as other mourners. This author describes 6 „R“ processes of mourning: recognizing the loss, reacting to the separation, recollecting and re-experiencing the deceased and the relationship, relinquishing the old attachments to the deceased and the old assumptive world, and readjusting to move adaptively into the new world without forgetting the old, and reinvesting.</text>
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              <text>Silva, D. R. (2019). [&lt;a href="https://www.pucsp.br/pos-graduacao/mestrado-e-doutorado/defesas/emdr-como-possibilidade-de-psicoterapia-para-o-luto-um"&gt;EMDR as a possibility of psychotherapy for mourning: A collective instrumental case study].&lt;/a&gt; (Dissertation, Pontifical Catholic University of São Paulo)</text>
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                <text>EMDR como possibilidade de psicoterapia para o luto: um estudo de caso instrumental coletivo&lt;br /&gt;&lt;br /&gt;EMDR as a possibility of psychotherapy for mourning: A collective instrumental case study</text>
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                <text>Esta pesquisa qualitativa, de caráter exploratório, configura-se como um estudo de caso instrumental coletivo. Diante da necessidade de aprofundar o conhecimento a respeito do tema, a pesquisa tem como objetivos compreender o processo psicoterápico do EMDR com pacientes enlutados por morte de ente querido e contribuir para a avaliação e a prática clínica do EMDR com enlutados. Seis participantes com idades entre 33 a 52 anos se voluntariaram a participar a partir de sua própria percepção de que precisavam de ajuda em relação ao processo de luto por perda de ente querido há, no mínimo, dois anos. A avaliação inicial foi realizada para verificar a pertinência de sua participação, em observação aos cuidados clínicos do EMDR, bem como para estabelecer os objetivos do processo psicoterápico e o levantamento dos alvos a serem trabalhados por meio do plano de tratamento. Como instrumentos foram utilizados Avaliação Clínica Inicial (AI), Hogan Grief Reaction Checklist (HGRC), Escala de Experiência de Dissociação – II (DES-II), Escala Beck de Depressão (BDI), Plano de Tratamento (PTr), Protocolo Básico do EMDR, Prontuários, Avaliação Clínica Final (AF), Diário de Campo e Caderno de Anotações Pessoais. Após a realização da avaliação inicial, foram levantadas as queixas com foco no luto e para o estabelecimento de um PTr individual, cada participante realizou entre 8 a 10 sessões e, após o encerramento da intervenção, passou pela avaliação final. No primeiro movimento de análise, foram estudados os casos de forma individual. No segundo movimento de análise, foi realizado o estudo do conjunto múltiplo de casos. As comparações das avaliações proporcionadas pela aplicação do HGRC, DES-II e BDI apresentaram-se em concordância com os resultados qualitativos observados em todos os participantes e na redução da perturbação das memórias desadaptativas, a saber: redução ou remissão de diversos sintomas físicos; alívio ao perceber a acomodação da memória trabalhada; surgimento de memórias positivas; organização das memórias; construção de significado e/ou crescimento pessoal; equilíbrio entre a orientação para a perda e a orientação para a restauração; surgimento de uma representação interna indicando o desenvolvimento de um vínculo contínuo. Concluindo, o EMDR mostrou-se adequado como intervenção psicoterápica para o trabalho com variações do luto complicado que compuseram este estudo de caso instrumental coletivo. Assim, esta investigação tornou-se uma importante colaboração para o conhecimento do uso do EMDR como intervenção psicoterápica com enlutados.&lt;br /&gt;&lt;br /&gt;This qualitative research, of an exploratory nature, is configured as a collective instrumental case study. In view of the need to deepen the knowledge about the theme, the research aims to understand the psychotherapeutic process of EMDR with patients who are in love with the death of a loved and contribute to the evaluation and clinical practice of EMDR with enluted .  Six participants aged 33 to 52 years volunteered to participate from their own perception that they needed help in relation to the grieving process for loss of loved one for at least two years. The initial evaluation was performed to verify the relevance of its participation, in observation to the clinical care of EMDR, as well as to establish the objectives of the psychotherapeutic process and the survey of the targets to be worked through the plan of Treatment. As instruments were used initial clinical assessment (AI), Hogan Grief Reaction Checklist (HGRC), dissociation experience Scale – II (DES-II), Beck Depression Scale (BDI), treatment plan (PTr), EMDR Basic protocol, medical records, Final Clinical Evaluation (PA), field Diary and personal notes notebook. After the initial evaluation, the complaints were raised with a focus on mourning and for the establishment of an individual PTr, each participant performed between 8 and 10 sessions and, after the end of the intervention, passed the final evaluation. In the first analysis movement, the cases were individually studied. In the second analysis, the study of the multiple set of cases was carried out. The comparisons of the assessments provided by the application of the HGRC, DES-II and BDI were in agreement with the qualitative results observed in all participants and in the reduction of the perturbation of the deadaptive memories, namely: reduction or Remission of several physical symptoms; Relief when perceiving the accommodation of the memory worked; Emergence of positive memories; organization of Memories; Construction of meaning and/or personal growth; Balance between guidance for loss and guidance for restoration; The emergence of an internal representation indicating the development of a continuous bond. In conclusion, the EMDR proved to be adequate as a psychotherapeutic intervention for work with variations in the complicated mourning that comprised this collective instrumental case study. Thus, this investigation has become an important collaboration for the knowledge of the use of EMDR as psychotherapeutic intervention with enluted.</text>
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                <text>Death of a loved one is universally distressing. The stressful conditions of COVID-19 can compound the trauma of a loss. Consequently, the mourner has to deal with: (a) the loss of a loved one; (b) potential complications of grief and mourning caused by COVID-19 (e.g., sudden and unexpected death, a loved one’s suffering, inability to be physically present to offer comfort or say good-bye, social distancing interfering with funeral and religious ceremonies); and (c) personal disruption caused by COVID-19 (e.g., disruption of employment and daily living routines, fears related to safety and uncertainty). Further, grief can be complicated by prior unresolved losses and trauma, including attachment-based trauma, which would also need to be identified and treated. This article presents a framework for treatment of grief and mourning with Eye Movement Desensitization and Reprocessing (EMDR) therapy. EMDR treatment, guided by the Adaptive Information Processing model, can be informed by other frameworks, including attachment theory and the Dual Process Model, which are described. A case example is presented to illustrate treatment of a client whose father died due to COVID-19.</text>
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