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                <text>This session explores the crucial role of normal sleep-wake rhythms in sustaining the adaptive information processing (AIP) model for mental and physical health. Trauma disrupts autonomic regulation and can lead to persistent sleep disturbances such as nightmares, insomnia disorder (ID), and obstructive sleep apnea (OSA), which can interfere with AIP processing in EMDR therapy. Participants in this symposium will engage in practicum experiences to develop communication strategies for educating clients about sleep health, screen for sleep disorders, and integrate sleep assessments into EMDR treatment planning. Neuroscientific foundations for addressing trauma-related sleep dysregulation in Phase 2 stabilization will be reviewed, emphasizing the importance of restoring autonomic balance. Practical applications include hands-on training in breathing and relaxation techniques to help repair sleep-wake rhythms independent of AIP reprocessing. Through clinical case examples and experiential learning, EMDR therapists will gain tools to enhance stabilization and improve treatment outcomes by systematically addressing sleep disturbances before progressing to Phases 3 through 8.</text>
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                <text>Η τεχνική ήρεμος/ασφαλής τόπος σε πλαίσια ιδρυματικής φροντίδας &lt;br /&gt;&lt;br /&gt;The calm/safe place technique in residential care</text>
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                <text>Η τεχνική του «ήρεμου/ασφαλούς τόπου» αποτελεί μια άσκηση νοερής απεικόνισης που χρησιμοποιείται στο στάδιο της σταθεροποίησης κατά τη θεραπεία τραύματος, προσφέροντας στα παιδιά έναν χρήσιμο πόρο για την αντιμετώπιση έντονων συναισθημάτων κατά την επεξεργασία του τραύματος. Η τεχνική αυτή παρέχει μια μορφή ελεγχόμενης αποσύνδεσης, η οποία μπορεί να είναι ιδιαίτερα λειτουργική. Ωστόσο, τα παιδιά που ζουν σε πλαίσια ιδρυματικής φροντίδας έχουν συχνά βιώσει αναπτυξιακά και πολλαπλά τραύματα, με αποτέλεσμα να μην έχουν αναπτύξει ασφαλείς δεσμούς προσκόλλησης, γεγονός που δυσχεραίνει τη διαδικασία σύνδεσης με έναν ήρεμο και ασφαλή εσωτερικό τόπο. Οι ανήλικοι που έχουν βιώσει σοβαρά ψυχικά τραύματα σε ιδρυματικά περιβάλλοντα παρουσιάζουν συχνά δυσκολίες στην κατανόηση και την αξιοποίηση αυτής της τεχνικής. Το παρόν άρθρο παρουσιάζει τη συγκεκριμένη μέθοδο, συνοδευόμενη από ανάλυση 14 ζωγραφιών παιδιών που είχαν παραπεμφθεί για θεραπεία EMDR στη μονάδα «Σπίτι του Παιδιού» και διαμένουν σε διαμερίσματα του συλλόγου «Το Χαμόγελο του Παιδιού». Σε ορισμένες από τις εικόνες υπήρξε ανάγκη προστασίας της ιδιωτικότητας, ενώ παράλληλα αναλύονται τα μοτίβα που εντοπίστηκαν στις δημιουργίες των παιδιών. Επιπλέον, το άρθρο στοχεύει να παρουσιάσει τα ευρήματα μιας εστιασμένης συζήτησης (focus group) με τη συμμετοχή τριών θεραπευτών EMDR (δύο κλινικών ψυχολόγων και ενός παιδοψυχίατρου). Οι συμμετέχοντες ψυχοθεραπευτές, που είχαν εφαρμόσει τη μέθοδο και συνεργάζονταν θεραπευτικά με τα παιδιά, συζήτησαν τόσο τα εμπόδια στη δημιουργία ενός ασφαλούς χώρου εργασίας όσο και τις θεραπευτικές προτάσεις για την αποτελεσματική εφαρμογή της τεχνικής σε αυτόν τον πληθυσμό. Τα αποτελέσματα της συζήτησης παρουσιάζονται μέσω ανάλυσης SWOT, παρέχοντας προτάσεις για την προσαρμογή της τεχνικής σε ιδρυματικά πλαίσια φροντίδας.. Λέ&lt;br /&gt;&lt;br /&gt;Calm/safe place is an imagery stabilization exercise, an important resource the child can use during trauma processing when emotions become too distressing. Safe place can be viewed as a form of controlled dissociation. However, children in residential care, due to their developmental and complex traumas, may not have developed secure foundations for attachments and, therefore, face difficulties in identifying a safe place in therapy. This article aims at presenting 12 drawings of safe places of children that have been referred for EMDR therapy at the Mental Health Unit the “House of the Child” andlive in host houses of the association “the Smile of the Child”. The analysis of drawings indicated the need for privacy and particular patterns that will be discussed. The second aim of this article is to present the conclusions of a pilot focus group in which three EMDR therapists participated (two clinical psychologists and a child psychiatrist). The EMDR therapists work therapeutically with children in residential care and discuss the obstacles to establishing a safe place and other therapeutic considerations. The output of the focus group is presented through a SWOT analysis. Our findings could have implications on the conceptualization of the stabilization phase in the therapeutic work with children in residential care.</text>
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                <text>&lt;strong&gt;Background&lt;/strong&gt; &lt;br /&gt;While treatment of posttraumatic stress disorder (PTSD) in refugees is generally effective, many refugees remain symptomatic after treatment. Coping styles could be relevant to PTSD treatment response and as such may be a potential focus of PTSD treatment. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Aims&lt;/strong&gt; &lt;br /&gt;The study aims to examine 1) if baseline coping styles are related to treatment response after EMDR therapy or stabilization, and 2) if coping styles change during these treatments. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Method&lt;/strong&gt; &lt;br /&gt;Seventy-two refugees with PTSD were randomly allocated to 12 hours of EMDR therapy or stabilization. A coping questionnaire (COPE-easy) and clinical interview for PTSD (CAPS-IV) were administered before and after treatment and at three-month follow-up. The association between baseline coping styles and PTSD symptom change was examined using regression analysis and a t-test. Changes in coping styles were analyzed using mixed design ANOVA. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Results&lt;/strong&gt; &lt;br /&gt;No significant relations between baseline coping style levels and PTSD symptom changes were found. Additionally, coping style levels did not change significantly after either treatment. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Conclusion&lt;/strong&gt; &lt;br /&gt;Contrary to the hypothesis, we did not find any evidence that treatment was related to (changes in) coping style. Addressing pre-treatment coping styles among refugees receiving short-term therapy, may not be required for reducing PTSD. Changing coping styles may need a longer or different type of treatment.</text>
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                <text>As restrictions on psychedelic substances are relaxed across the globe, the notion they are a ‘silver bullet’ treatment has led to a dramatic increase in psychedelic induced PTSD and psychosis. EMDR therapy is well-placed to stabilise this client group, and recent studies have demonstrated its efficacy in treating the symptoms of psychosis. This case study illustrates the use of EMDR and the AIP model to stabilise a client with drug induced psychosis caused by the synthetic psychedelic 2C-B (an analogue of mescaline). This case material demonstrates the emerging theory that the core themes in psychosis often have clear roots in early trauma that can be treated, and offers a viable alternative to medication when treating adverse reactions to psychedelics.</text>
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                <text>Les interventions d’urgence ont pour objectif premier de stabiliser les émotions et donc l’état physiologique du patient : il s’agit de permettre à l’individu de réguler son état émotionnel et de se réorienter fortement dans la sécurité de l’instant présent. Pour nous aider à repérer l’état interne d’un patient, nous pouvons nous référer au concept de la fenêtre de tolérance (Siegel, 1999), également décrit en tant que modèle de modulation par Ogden et Minton (2000) et zone d’activation optimale par Wilbarger et Wilbarger (1997). Selon ce concept, le fonctionnement optimal d’une personne se situe dans une certaine zone d’activation physiologique et émotionnelle ; si ce niveau d’activation dépasse un certain seuil élevé, la personne se retrouve en état d’hyperactivation (avec notamment vertiges, palpitations, bouche sèche, anesthésie, tensions musculaires, sentiment d’irréalité, nociception réduite, puis si cela perdure, tachycardie, vasoconstriction, hypertension, hypervigilance, forte activation émotionnelle [Schauer &amp;amp; Elbert, 2010]) et s’il dépasse un autre seuil bas, la personne se retrouve en état d’hypoactivation (avec bradycardie, vasodilatation, hypotension, baisse de l’activation, capitulation, déficit cognitif, anesthésie émotionnelle, pouvant aller jusqu’au malaise vagal et à la perte de connaissance [Schauer &amp;amp; Elbert, 2010]). Ces seuils sont très variables chez les patients et sont influencés par de nombreux facteurs, dont les antécédents traumatiques, leur sévérité et chronicité, mais aussi l’existence de paramètres protecteurs, tels que la présence d’un réseau de soutien et de ressources psychologiques personnelles…&lt;br /&gt;&lt;br /&gt;The primary objective of emergency interventions is to stabilize the emotions and therefore the physiological state of the patient: it is a question of allowing the individual to regulate their emotional state and to reorient themselves strongly in the security of the present moment. . To help us identify a patient's internal state, we can refer to the concept of the window of tolerance (Siegel, 1999), also described as a modulation model by Ogden and Minton (2000) and zone of tolerance. optimal activation by Wilbarger and Wilbarger (1997). According to this concept, a person's optimal functioning is located in a certain zone of physiological and emotional activation; if this level of activation exceeds a certain high threshold, the person finds themselves in a state of hyperactivation (including dizziness, palpitations, dry mouth, anesthesia, muscular tension, feeling of unreality, reduced nociception, then if this persists, tachycardia , vasoconstriction, hypertension, hypervigilance, strong emotional activation [Schauer &amp;amp; Elbert, 2010]) and if it exceeds another low threshold, the person finds themselves in a state of hypoactivation (with bradycardia, vasodilation, hypotension, drop in activation , capitulation, cognitive deficit, emotional anesthesia, which can lead to vagal discomfort and loss of consciousness [Schauer &amp;amp; Elbert, 2010]). These thresholds vary greatly among patients and are influenced by many factors, including traumatic history, their severity and chronicity, but also the existence of protective parameters, such as the presence of a support network and personal psychological resources. …</text>
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                <text>In Tarquinio, C., Zimmermann, E., Brennstuhl M.-J., Ludwig, C., Dellucci, D., Iracane-Cost, M., Piedfort-Marin, O., Rydberg. J. A., Silvestre, M., &amp;amp; Tarquinio, P. (Eds.), Pratique de la psychothérapie EMDR (pp. 564-580). Paris: Dunod</text>
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                <text>La stabilisation est à la base un concept médical que tous les médecins connaissent, indépendamment de leur spécialité. Ce principe implique qu’un patient doit présenter les conditions suffisantes pour pouvoir subir un traitement, une intervention chirurgicale ou un examen intrusif. Par exemple certains patients ne se verront pas proposer une intervention chirurgicale lourde si leur condition somatique n’est pas assez bonne et stable. Les médecins feront alors en sorte que le patient améliore et stabilise sa condition avant d’envisager l’opération. Avant une intervention chirurgicale l’anesthésiste s’assure que le malade a les conditions qui lui permettront de supporter l’anesthésie et l’intervention chirurgicale. Cela permet aussi de prévoir les risques possibles et les mesures à prévoir si un de ces risques devait se présenter. Par ailleurs, Primum non nocere : d’abord ne pas nuire. Tel est le principe qui doit guider tout médecin lorsqu’il prend en charge un patient. Il devrait en être de même pour les psychothérapeutes. &lt;br /&gt;&lt;br /&gt;Stabilization is basically a medical concept that all doctors know, regardless of their specialty. This principle implies that a patient must present sufficient conditions to be able to undergo treatment, surgery or an intrusive examination. For example, some patients will not be offered major surgical intervention if their somatic condition is not good and stable enough. The doctors will then ensure that the patient improves and stabilizes his condition before considering the operation. Before a surgical procedure, the anesthesiologist ensures that the patient has the conditions that will allow him to withstand the anesthesia and the surgical procedure. This also makes it possible to predict possible risks and the measures to be taken if one of these risks were to arise. Furthermore, Primum non nocere: first do no harm. This is the principle that must guide every doctor when caring for a patient. The same should be true for psychotherapists.</text>
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              <text>Herz, J. K. E. (2022). [&lt;a href="Jana%20Katharina%20Elisabeth%20Herz"&gt;Overview of eye movement desensitization and reprocessing and stabilization in groups with fluctuations with post-traumatic stress disorder&lt;/a&gt;].  (Dissertation, Christian University of Kiel). German</text>
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                <text>Vergleich von eye movement desensitization and reprocessing und stabilisierung in gruppen bei flüchtlingen mit posttraumatischer belastungsstörung&lt;br /&gt;&lt;br /&gt;Overview of eye movement desensitization and reprocessing and stabilization in groups with fluctuations with post-traumatic stress disorder</text>
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                <text>(Dissertation, Christian University of Kiel)</text>
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                <text>Einleitung Am 15. April 2016 stellte der damalige Generalsekretär der Vereinten Nationen Ban Ki-moon in Washington einer Rede zum Thema „Forced Displacement: A Global Challenge“ diese Aussage voran: “We are facing the biggest refugee and displacement crisis of our time. Above all, this is not just a crisis of numbers; it is also a crisis of solidarity.”1 Seit dem Zweiten Weltkrieg waren weltweit nicht mehr so viele Menschen auf der Flucht wie im Jahr 2015.2 Ende 2015 meldete der United Nations High Commissioner for Human Rights (UNHCR) Rekordzahlen, denen zu Folge weltweit insgesamt 65,3 Millionen Menschen gezwungen waren, ihre Heimat zu verlassen. Als „Flüchtling“ bezeichnet man laut Artikel 1 der Genfer Flüchtlingskonvention eine Person, die außerhalb des Landes, dessen Staatsangehörigkeit er oder sie angehört bzw. außerhalb des Landes, in dem er oder sie seinen festen Wohnsitz hat, Schutz sucht.3 Von den 65,3 Millionen heimatvertriebenen Menschen fielen im Jahr 2015 weltweit 21,3 Millionen unter die Definition „Flüchtling“.2 Mit ca. 4,9 Millionen Menschen kamen die meisten Geflüchteten im Jahr 2015 und in den darauffolgenden Jahren aus Syrien.2,4 Laut dem Bundesamt für Migration und Flüchtlinge (BAMF) wurden 2015 allein in Deutschland 441.899 5, im Jahr 2017 198.317 Asylerstanträge gestellt.4 Die Nichtregierungsorganisation Human Rights Watch (HRW) untersuchte in einem Bericht von 2015 die Fluchtursachen von Migranten aus den Herkunftsländern Syrien, Afghanistan, Eritrea und Somalia. Die Hauptursachen für eine Flucht waren laut HRW die instabile politische Situation in den Herkunftsländern z.B. durch militärische Auseinandersetzungen zwischen Regierungsanhängern und Oppositionellen und die Bedrohung durch extremistische Gruppierungen (z.B. Islamischer Staat, Al-Qaida).6&lt;br /&gt;&lt;br /&gt;Introduction On April 15, 2016, the then Secretary-General of the United Nations, Ban Ki-moon, prefaced a speech on “Forced Displacement: A Global Challenge” in Washington with the following statement: “We are facing the biggest refugee and displacement crisis of our time. Above all, this is not just a crisis of numbers; it is also a crisis of solidarity.”1 Not since the Second World War have there been as many people fleeing the world as in 2015.2 At the end of 2015, the United Nations High Commissioner for Human Rights (UNHCR) reported record numbers, which resulted in a total of 65 .3 million people were forced to leave their homes. According to Article 1 of the Geneva Convention on Refugees, a “refugee” is a person who seeks protection outside the country of which he or she is a national or outside the country of his or her permanent residence.3 Of the 65, Of the 3 million displaced people worldwide, 21.3 million fell under the definition of “refugee” in 2015.2 At around 4.9 million people, most of the refugees in 2015 and the years that followed came from Syria.2,4 According to the Federal Office for Migration and Refugees (BAMF) 441,899 5 asylum applications were made in Germany alone in 2015, and 198,317 in 2017.4 In a 2015 report, the non-governmental organization Human Rights Watch (HRW) examined the reasons why migrants fled their countries of origin: Syria, Afghanistan, Eritrea and Somalia. According to HRW, the main reasons for fleeing were the unstable political situation in the countries of origin, e.g. due to military conflicts between government supporters and opposition figures and the threat posed by extremist groups (e.g. Islamic State, Al-Qaeda).6</text>
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              <text>de Jongh, A., Bicanic, I., Matthijssen, S., Amann, B. L., Hofmann, A., Farrell, D., Lee, C. W., &amp;amp; Maxfield, L. (2019). &lt;a href="https://doi.org/10.1891/1933-3196.13.4.284"&gt;The current status of EMDR therapy involving the treatment of complex posttraumatic stress disorder.&lt;/a&gt; Journal of EMDR Practice and Research, 4(13).  doi:10.1891/1933-3196.13.4.284</text>
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                <text>The current status of EMDR therapy involving the treatment of complex posttraumatic stress disorder</text>
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                <text>Complex posttraumatic stress disorder (CPTSD) is a diagnostic entity that will be included in the forthcoming edition of the International Classification of Diseases, 11th Revision (ICD-11). It denotes a severe form of PTSD, comprising not only the symptom clusters of PTSD (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition [DSM-IV-TR]), but also clusters reflecting difficulties in regulating emotions, disturbances in relational capacities, and adversely affected belief systems about oneself, others, or the world. Evidence is mounting suggesting that first-line trauma-focused treatments, including eye movement desensitization and reprocessing (EMDR) therapy, are effective not only for the treatment of PTSD, but also for the treatment of patients with a history of early childhood interpersonal trauma who are suffering from symptoms characteristic of CPTSD. However, controversy exists as to when EMDR therapy should be offered to people with CPTSD. This article reviews the evidence in support of EMDR therapy as a first-line treatment for CPTSD and addresses the fact that there appears to be little empirical evidence supporting the view that there should be a stabilization phase prior to trauma processing in working with CPTSD.</text>
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&lt;p&gt;Journal of EMDR Practice and Research, 4(13).  doi:10.1891/1933-3196.13.4.284&lt;/p&gt;
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              <text>&lt;a href="https://doi.org/10.1016/j.ejtd.2020.100157"&gt;https://doi.org/10.1016/j.ejtd.2020.100157&lt;/a&gt;</text>
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                <text>The methods of neurofeedback (Kirk, 2016) and Eye Movement Desensitization and Reprocessing (Shapiro, 2018; Shapiro &amp;amp; Silk Forrest, 1997) will be reflected in relation to a short-time treatment of a patient with complex PTSD and an unspecified dissociative disorder. The aim is to inspire colleges to integrate therapy methods in their quest to help dysregulated patients to become stabile and regulated enough to endure trauma work. This is considered important, especially when working with patients with severe and complex posttraumatic conditions and dissociative disorders, where the evidence-based treatments often not fit for purpose (Corrigan &amp;amp; Hull, 2015). An alternative approach is presented with a single case-study of a patient treated with neurofeedback and EMDR in a psychodynamic short-time psychotherapy. The results of these interventions are presented together with the patient's drawings and reflections and finally discussed.</text>
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                <text>This session explores the crucial role of normal sleep-wake rhythms in sustaining the adaptive information processing (AIP) model for mental and physical health. Trauma disrupts autonomic regulation and can lead to persistent sleep disturbances such as nightmares, insomnia disorder (ID), and obstructive sleep apnea (OSA), which can interfere with AIP processing in EMDR therapy. Participants in this symposium will engage in practicum experiences to develop communication strategies for educating clients about sleep health, screen for sleep disorders, and integrate sleep assessments into EMDR treatment planning. Neuroscientific foundations for addressing trauma-related sleep dysregulation in Phase 2 stabilization will be reviewed, emphasizing the importance of restoring autonomic balance. Practical applications include hands-on training in breathing and relaxation techniques to help repair sleep-wake rhythms independent of AIP reprocessing. Through clinical case examples and experiential learning, EMDR therapists will gain tools to enhance stabilization and improve treatment outcomes by systematically addressing sleep disturbances before progressing to Phases 3 through 8.</text>
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              <text>&lt;a href="https://aura.antioch.edu/cgi/viewcontent.cgi?article=1404&amp;amp;context=etds"&gt;https://aura.antioch.edu/cgi/viewcontent.cgi?article=1404&amp;amp;context=etds&lt;/a&gt;</text>
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              <text>Brendler, E. H. (2017). &lt;a href="https://aura.antioch.edu/cgi/viewcontent.cgi?article=1404&amp;amp;context=etds"&gt;How eye movement desensitization and reprocessing (EMDR) trained therapists stabilize clients prior to reprocessing with EMDR therapy.&lt;/a&gt; (Doctoral dissertation, Antioch University)</text>
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              <elementText elementTextId="424567">
                <text>How eye movement desensitization and reprocessing (EMDR) trained therapists stabilize clients prior to reprocessing with EMDR therapy</text>
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                <text>Helping clients develop resources and stability required to tolerate reprocessing memories can be a considerable part of psychotherapy, particularly with clients who are suffering symptoms related to complex developmental trauma or cumulative multiple-event trauma. There is a paucity of research regarding how experienced EMDR Therapy practitioners experience helping their clients to develop resources required to tolerate reprocessing of trauma memories. This dissertation is an in-depth study of five participants, each a licensed mental health practitioner in the State of Washington, who are trained in EMDR and experienced working with clients who are suffering symptoms of trauma. Each participant was interviewed and the interviews were analyzed using Interpretive Phenomenal Analysis. Four primary themes were identified: Therapist Experience, Trauma Conceptualization, Stabilization, and All these Tools. Each participant described their experience in the context of their own motivators, their own conceptualization of what their clients were experiencing, and their understandings of what worked in helping their clients to stabilize throughout the process of therapy. Participants acknowledged the significant role that EMDR Therapy training had in shaping both their understanding and treatment of trauma. They also described the complexity of working with traumatized clients and the importance of common factors, such as relationship, trust, and safety in their work.</text>
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              <elementText elementTextId="424569">
                <text>(Doctoral dissertation, Antioch University)</text>
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              <elementText elementTextId="424570">
                <text>2017</text>
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              <name>Title</name>
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                  <text>EMDR Collection</text>
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              <text>Anouk Wagenmans&lt;br /&gt;Agnes van Minnen&lt;br /&gt;Marieke Sleijpen&lt;br /&gt;Ad de Jongh</text>
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              <text>Wagermans, A., van Minnen, A., Sleijpen, M., &amp;amp; de Jongh, A.  (2018, February). &lt;span class="cit"&gt;&lt;span&gt;&lt;a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5804725/"&gt;The impact of childhood sexual abuse on the outcome of intensive trauma-focused treatment for PTSD. &lt;/a&gt;European Journal of Psychotraumatol&lt;/span&gt;ogy, 9(1), 430962. &lt;span class="doi" style="white-space:nowrap;"&gt;doi:10.1080/20008198.2018.1430962&lt;/span&gt;&lt;/span&gt;</text>
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              <text>&lt;a href="https://doi.org/10.1080/20008198.2018.1430962"&gt;https://doi.org/10.1080/20008198.2018.1430962&lt;/a&gt;&lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Available PDF:&lt;/strong&gt;&lt;br /&gt;&lt;a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5804725/"&gt;https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5804725/&lt;/a&gt;</text>
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              <text>05243</text>
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          <element elementId="50">
            <name>Title</name>
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              <elementText elementTextId="424175">
                <text>The impact of childhood sexual abuse on the outcome of intensive trauma-focused treatment for PTSD</text>
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                <text>&lt;strong&gt;Background:&lt;/strong&gt; &lt;br /&gt;It is assumed that PTSD patients with a history of childhood sexual abuse benefit less from trauma-focused treatment than those without such a history. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Objective:&lt;/strong&gt; &lt;br /&gt;To test whether the presence of a history of childhood sexual abuse has a negative effect on the outcome of intensive trauma-focused PTSD treatment. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Method:&lt;/strong&gt; &lt;br /&gt;PTSD patients, 83% of whom suffered from severe PTSD, took part in a therapy programme consisting of 2 × 4 consecutive days of Prolonged Exposure (PE) and EMDR therapy (eight of each). In between sessions, patients participated in sport activities and psycho-education sessions. No prior stabilization phase was implemented. PTSD symptom scores of clinician-administered and self-administered measures were analysed using the data of 165 consecutive patients. Pre-post differences were compared between four trauma groups; patients with a history of childhood sexual abuse before age 12 (CSA), adolescent sexual abuse (ASA; i.e. sexual abuse between 12 and 18 years of age), sexual abuse (SA) at age 18 and over, or no history of sexual abuse (NSA). &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Results:&lt;/strong&gt; &lt;br /&gt;Large effect sizes were achieved for PTSD symptom reduction for all trauma groups (Cohen’s d = 1.52–2.09). For the Clinical Administered PTSD Scale (CAPS) and the Impact of Event Scale (IES), no differences in treatment outcome were found between the trauma (age) groups. For the PTSD Symptom Scale Self Report (PSS-SR), there were no differences except for one small effect between CSA and NSA. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Conclusions:&lt;/strong&gt; &lt;br /&gt;The results do not support the hypothesis that the presence of a history of childhood sexual abuse has a detrimental impact on the outcome of first-line (intensive) trauma-focused treatments for PTSD.</text>
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              <elementText elementTextId="424177">
                <text>European Journal of Psychotraumatology, 9(1), 430962. doi:10.1080/20008198.2018.1430962</text>
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            <elementTextContainer>
              <elementText elementTextId="424181">
                <text>2018, February</text>
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            </elementTextContainer>
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              <elementText elementTextId="424183">
                <text>English</text>
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        <name>Childhood Sexual Abuse</name>
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        <name>Intensive Trauma-Focused Therapy</name>
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        <name>Posttraumatic Stress Disorder</name>
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        <name>Prolonged Exposure</name>
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        <name>PTSD</name>
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              <text>Michèle Lambin</text>
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              <text>Lambin, M. (2018, April). EMDR with children: Discovering their world to explore, stabilize, reprocess. Presentation at the EMDR Canada Annual Conference, Québec City, QC. French</text>
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                <text>EMDR auprès des enfants: Découvrir leur monde pour explorer, stabiliser, retraiter&lt;br /&gt;&lt;br /&gt;EMDR with children: Discovering their world to explore, stabilize, reprocess</text>
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              <elementText elementTextId="423716">
                <text>Presentation at the EMDR Canada Annual Conference, Québec City, QC</text>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
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              <elementText elementTextId="428640">
                <text>L’approche EMDR est caractérisée à la fois par une démarche thérapeutique rigoureuse et une grande créativité dans l’utilisation des outils cliniques. Lors de l’application du protocole en 8 étapes, il est souhaitable que nous utilisions la porte d’entrée la plus accessible avec les clientèles enfants et adolescentes. Différentes stratégies cliniques nous permettent d’y parvenir. Dont l’utilisation de l’art qui peut s’avérer un outil thérapeutique extrêmement efficace. L’important pour le travail clinique est d’adapter les différentes phases du protocole en fonction des besoins de l’enfant ainsi que de tenir compte de sa façon d’entrer en contact avec son environnement. Les sens permettent un accès privilégié au monde de l’enfant et l’utilisation du jeu, mode d’activités par excellence sera grandement encouragé. Le traitement EMDR inclura dessins, images, toutous, poupées et autres figurines; le sac à soucis et le sac qui fait du bien; l’expression par le corps, l’effet papillon, etc. La théorie de l’attachement nous guidera pour favoriser l’accordage dans le lien parent-enfant et ainsi aider le parent à sécuriser son enfant et à créer des expériences - ressources pour l’enfant. Le but de cet atelier est d’amener le clinicien à découvrir et expérimenter différents outils cliniques adaptés aux enfants dans le traitement EMDR, Toute forme d’expression créative permet à l’enfant d’avancer dans sa démarche. Rejoindre l’enfant dans son monde est un atout dans le traitement EMDR. &lt;br /&gt;&lt;br /&gt;The EMDR approach is characterized by a rigorous therapeutic approach and a great creativity in the use of clinical tools. When applying the 8-step protocol, it is desirable that we use the most accessible gateway with children and teenage clienteles. Different strategies clinics allow us to achieve this. Including the use of art that can be a therapeutic tool extremely effective. The important thing for the clinical work is to adapt the different phases of the protocol according to the needs of the child as well as to take into account how he comes into contact with his child. environment. The senses allow a privileged access to the world of the child and the use of the game, fashion activities will be greatly encouraged. EMDR treatment will include drawings, pictures, doggies, dolls and other figurines; the bag with worries and the bag that is good; expression by the body, the butterfly effect, etc. The theory of attachment will guide us to promote tuning in the parent-child relationship and thus help the parent to secure his child and create experiences - resources for the child. The purpose of this workshop is to get the clinician to discover and experiment with different clinical tools suitable for children in the EMDR treatment, Any form of creative expression allows the child to move forward. Rejoin the child in his world is an asset in EMDR treatment.</text>
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        <name>Children</name>
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                <text>This article provides a comprehensive review of the challenges faced by chronically abused children and their treatment providers. The main aim of this pilot study was to explore whether chronically traumatized children, who presented as unable or unwilling to engage in eye movement desensitization and reprocessing (EMDR) therapy, could be prepared with the "Sleeping Dogs" method to complete EMDR therapy. The second aim was to determine whether there was sufficient reduction in posttraumatic stress symptoms to enable positive placement decisions. Participants were 14 children, age 3–9 years (M = 5.1), refusing to participate in EMDR therapy. All were living in residential care (n = 12) or with foster families (n = 2) and were considered stuck cases because of their severe problems. With the treatment package of "Sleeping Dogs" plus EMDR therapy, all children completed EMDR therapy in an average of 7.57 sessions leading to the resolution of all identified traumatic memories. At posttest, the Trauma Symptom Checklist for Young Children showed a significant reduction of scores on the Intrusion and Depression subscales. Two thirds of the children (n = 8) who were in residential care at study onset were placed in foster families within 2 months after the last session, some even during treatment. This is the first study on the "Sleeping Dogs" method and even though the limited sample size and research design restricts generalization of results, the present findings suggest important directions for future study.</text>
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              <text>ter Heide, F. J. J. (2015). [&lt;a href="https://www.boompsychologie.nl/media/3/9789089539175.pdf"&gt;An eye for complexity: EMDR versus stabilisation in traumatised refugees (met een samenvatting in het Nederlands)]. &lt;/a&gt;(Master's thesis, Utrecht University)</text>
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                <text>&lt;p align="left"&gt;Oog voor complexiteit: EMDR versus stabilisatie bij getraumatiseerde vluchtelingen (met een samenvatting in het Nederlands)&lt;br /&gt;&lt;br /&gt;An eye for complexity: EMDR versus stabilisation in traumatised refugees (met een samenvatting in het Nederlands)&lt;/p&gt;</text>
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                <text>How safe and effective is it to offer trauma-focused treatment to traumatised asylum seekers and refugees? After all, from a clinical point of view asylum seekers and refugees constitute a complex population, with many suffering from an accumulation of traumatic and current stressors. Consequently, there are fears that with this population trauma-focused interventions may cause unmanageable distress, if not harm, and may prove ineffective. These questions and considerations have played a major role in the scientific and clinical debate on treatment with asylum seekers and refugees who have resettled in western countries. Despite the recommendation proffered by some clinicians that said population should be treated with present-centred or phased treatment rather than stand-alone traumafocused treatment, trauma-focused interventions such as narrative exposure therapy (NET) and culturally adapted cognitive behavioural therapy (CA-CBT) have in recent years been shown effective with asylum seekers and refugees. To this day, however, there has been no high-quality research into the safety and effectiveness of another trauma-focused treatment of choice, eye movement desensitisation and reprocessing therapy (EMDR). The fine book you are about to read goes far to fill this hiatus. Its main focus is on the efficacy and safety of EMDR with traumatised asylum seekers and refugees. In addition, it addresses the questions whether traumatised refugees are prone to develop complex PTSD as has been claimed, and whether traumatised refugees as a population are more difficult to treat than are traumatised non-refugees. The author of this significant study, Jackie June ter Heide, a clinical psychologist and researcher with Foundation Centrum ’45, has succeeded in determining the efficacy and safety of EMDR on the basis of a pilot study among traumatised asylum seekers and refugees followed by a full trial with a larger sample of refugee patients. Outcomes of the pilot study were promising as EMDR appeared at least as efficacious as stabilisation and no EMDR patients dropped out of treatment due to unmanageable distress. In the subsequent trial with traumatised refugees, exposing patients to traumatic memories through EMDR was convincingly shown not to be harmful. In addition, a substantial number of patients benefited from EMDR, although the effect for the group as a whole was clinically small. These findings tie in with evidence for trauma-focused treatment such as NET and CACBT, which have been shown to be both safe and effective with refugees. In a subsequent search for determinants of treatment response in refugees, Ter Heide investigated response to treatment as usual of refugees in comparison with that of patients who suffer from profession-related trauma.This study showed that even though there was no great clinical difference in treatment response between refugees and non-refugees, symptom severity in refugees was a great deal higher than it was in non-refugees, both at intake and after one year. These findings lead the author to sound a cautionary note to the effect that both therapists and refugee patients ought to have realistic expectations about the effects of treatment as usual. She further recommends that if treatment as usual is offered to refugees with severe PTSD this may need to be supplemented with additional treatment that focuses on enhancing quality of life. The author of this study also explores the assertion that asylum seekers and refugees with complex trauma are at an increased risk of developing complex PTSD. It is foremost on the basis of this claim that trauma-focused treatment is frequently discouraged in refugees with complex trauma. However, Ter Heide’s research, importantly, goes to refute this claim. Comparisons of the prevalence of complex PTSD in refugees with that in other trauma-exposed populations such as survivors of childhood trauma point to the conclusion that refugees are, in fact, more likely to be given a regular or no PTSD diagnosis than a complex PTSD diagnosis. Ter Heide also extensively discusses the implications her findings have for clinical practice. Since complex PTSD should not be assumed to be present in refugees who have complex traumatic experiences, she not only urges careful diagnosis by means of a validated interview but also advocates that, given its proven safety and efficacy, a course of trauma-focused treatment be offered to all refugees. It is with a sense of great pride that we present this ground-breaking study and share its important findings. We feel it greatly contributes to our understanding of the pros and cons of not only EMDR but of trauma-focused treatment in general with traumatised asylum seekers and refugees.</text>
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                <text>&lt;p&gt;In EMDR in various cultural contexts &amp;amp; special populations (Matthew Woo, Chair). Presentation at the 3rd EMDR Asia International Conference, Shanghai, China&lt;/p&gt;</text>
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                <text>The Adaptive Information Processing (AIP) system is a mind-body-spiritual model that has found supportive evidence with the advances in neuroimaging and neuropsychology. The AIP is hypothesized to be resilient and naturally directed toward repair; but trauma, can and does compromise its ability to recover. When the situation is one of encapsulated trauma, employing the EMDR 8 phase protocol quickly resets the system; but, in cases of complex trauma, a more enriched preparation phase seems needed along with a movement back and forth from what has become to be known as resourcing and the trauma work. Unfortunately, resourcing has many faces and the question of length of same that is required is frequently subject to dispute. The questions are: “how much and how long is resourcing required” and “are there ways that one could better predict what is required and how better to do it?” Here in enters our eastern-western confluence popularized in western counties when US president Nixon began to recognize how important improved China relations could benefit the health of the world. Exposure to acupuncture, yin/yang and a variety of Chinese medical traditions combined with the American interest in muscle testing as an indicator of health in an individual began to morph into what is today known as energy psychology in general and thought field therapy in particular. This workshop will begin to demonstrate the usefulness of energy psychology in resourcing during the preparation phase of EMDR therapy and during other phases as needed. Examples will be given.</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>The workshop will start with a presentation of the newest research findings for the treatment of complex trauma.These findings contradict long (and dearly) held beliefs about the treatment of complex clients with psychosis, borderline personality disorder, major depression, dissociative symptoms etc. The evidence from research conflicts with the felt reality from the workfloor, in the office. Are the worries and precautions of clinicians working with these clients outdated, and should they be replaced by an eagerness to treat-right-away? In this interactive workshop some complex cases are presented. During the presentation of the cases, the audience will be asked: what would you do, at this moment in treatment, and why would you make that choice? What are essential reasons to postpone trauma confrontation? The workshop will provide an in depth discussion of the implications of research findings for actual clinical practice; how can they be integrated?</text>
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              <text>ter Heide, F. J. J., Morren, T. M., van de Schoot, R., de Jongh, A., &amp;amp; Kleber, R. J.  (2016, February). &lt;a href="http://bjp.rcpsych.org/content/bjprcpsych/early/2016/02/04/bjp.bp.115.167775.full.pdf"&gt;Eye movement desensitisation and reprocessing therapy v. stabilisation as usual for refugees: Randomised controlled trial.&lt;/a&gt; The British Journal of Psychiatry, 1–8. doi: 10.1192/bjp.bp.115.167775</text>
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                <text>Eye movement desensitisation and reprocessing therapy v. stabilisation as usual for refugees: Randomised controlled trial</text>
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                <text>Background &lt;br /&gt;&lt;br /&gt;Eye movement desensitisation and reprocessing (EMDR) therapy is a first-line treatment for adults with post-traumatic stress disorder (PTSD). Some clinicians argue that with refugees, directly targeting traumatic memories through EMDR may be harmful or ineffective. &lt;br /&gt;&lt;br /&gt;Aims &lt;br /&gt;To determine the safety and efficacy of EMDR in adult refugees with PTSD (trial registration: ISRCTN20310201). &lt;br /&gt;&lt;br /&gt;Method &lt;br /&gt;In total, 72 refugees referred for specialised treatment were randomly assigned to 12 h (9 sessions) of EMDR or 12 h (12 sessions) of stabilisation. The Clinician-Administered PTSD Scale (CAPS) and Harvard Trauma Questionnaire (HTQ) were primary outcome measures.&lt;br /&gt;&lt;br /&gt; Results &lt;br /&gt;Intention-to-treat analyses found no differences in safety (one severe adverse event in the stabilisation condition only) or efficacy (effect sizes: CAPS –0.04 and HTQ 0.20) between the two conditions. &lt;br /&gt;&lt;br /&gt;Conclusions &lt;br /&gt;Directly targeting traumatic memories through 12 h of EMDR in refugee patients needing specialised treatment is safe, but is only of limited efficacy.</text>
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                <text>The British Journal of Psychiatry, 1–8. doi:10.1192/bjp.bp.115.167775</text>
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              <elementText elementTextId="411859">
                <text>2016, February</text>
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        <name>Randomized Controlled Trial</name>
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        <name>Refugees</name>
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        <name>Stabilization</name>
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                  <text>EMDR Collection</text>
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              <text>Ad de Jongh&lt;br /&gt;Patricia A. Resick&lt;br /&gt; Lori A. Zoellner&lt;br /&gt;Agnes van Minnen&lt;br /&gt;Christopher W. Lee&lt;br /&gt;Candice M. Monson&lt;br /&gt;Kathleen Wheeler&lt;br /&gt;Erik ten Broeke&lt;br /&gt;Norah Feeny&lt;br /&gt;Sheila A. M. Rauch&lt;br /&gt;Kathleen M. Chard&lt;br /&gt;Kim T. Mueser&lt;br /&gt;Denise M. Sloan&lt;br /&gt;Mark van der Gaag&lt;br /&gt;Barbara Olasov Rothbaum&lt;br /&gt;Frank Neuner&lt;br /&gt;Carlijn de Roos&lt;br /&gt;Lieve M. J. Hehenkamp &lt;br /&gt;Rita Rosner &lt;br /&gt;Iva A. E. Bicanic</text>
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              <text>02221</text>
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              <text>&lt;a href="http://dx.doi.org/10.1002/da.22469"&gt;http://dx.doi.org/10.1002/da.22469&lt;/a&gt;</text>
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              <text>de Jongh, A., Resick, P. A., Zoellner, L. A., van Minnen, A., Lee, C. W., Monson, C. M., ... Bicanic, I. A. E. (2016). Critical analysis of the current treatment guidelines for complete PTSD in adults. Depression and Anxiety, 1–11.  doi:10.1002/da.22469</text>
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                <text>According to current treatment guidelines for Complex PTSD (cPTSD), psychotherapy for adults with cPTSD should start with a “stabilization phase.” This phase, focusing on teaching self-regulation strategies, was designed to ensure that an individual would be better able to tolerate trauma-focused treatment. The purpose of this paper is to critically evaluate the research underlying these treatment guidelines for cPTSD, and to specifically address the question as to whether a phase-based approach is needed. As reviewed in this paper, the research supporting the need for phase-based treatment for individuals with cPTSD is methodologically limited. Further, there is no rigorous research to support the views that: (1) a phase-based approach is necessary for positive treatment outcomes for adults with cPTSD, (2) front-line trauma-focused treatments have unacceptable risks or that adults with cPTSD do not respond to them, and (3) adults with cPTSD profit significantly more from trauma-focused treatments when preceded by a stabilization phase. The current treatment guidelines for cPTSD may therefore be too conservative, risking that patients are denied or delayed in receiving conventional evidence-based treatments from which they might profit.</text>
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                <text>Depression and Anxiety, 1–11.  doi:10.1002/da.22469</text>
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                <text>2016</text>
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                <text>Critical analysis of the current treatment guidelines for complete PTSD in adults</text>
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        <name>Complex PTSD</name>
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        <name>Phase-Based Trauma Treatment</name>
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        <name>Stabilization</name>
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        <name>Treatment Guidelines</name>
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              <text>Sanae Aoki</text>
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              <text>01625</text>
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              <text>&lt;a href="https://www.emdr.jp/emdr%E7%A0%94%E7%A9%B6-%E7%AC%AC7%E5%B7%BB-%E7%AC%AC1%E5%8F%B7-2015%E5%B9%B45%E6%9C%88/"&gt;https://www.emdr.jp/emdr%E7%A0%94%E7%A9%B6-%E7%AC%AC7%E5%B7%BB-%E7%AC%AC1%E5%8F%B7-2015%E5%B9%B45%E6%9C%88/&lt;/a&gt;</text>
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              <text>Aoki, S. (2015, May). [&lt;a href="https://www.emdr.jp/emdr%E7%A0%94%E7%A9%B6-%E7%AC%AC7%E5%B7%BB-%E7%AC%AC1%E5%8F%B7-2015%E5%B9%B45%E6%9C%88/"&gt;Characteristics of clients unable to construct a feeling of safety in their "safe place"].&lt;/a&gt; Japanese Journal of EMDR Research and Practice, 7(1), 16-25. Japanese</text>
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          <element elementId="50">
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                <text>「安全な場所」において安全感が構築されないクライエントの特徴&lt;br /&gt;&lt;br /&gt;Characteristics of clients unable to construct a feeling of safety in their "safe place"</text>
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              <elementText elementTextId="409275">
                <text>「安全な場所」はEMDRにおいて最もよく使われる安定化アプローチの１つである。本研究では「安全な場所」において安全感が構築されない者の特徴を検討することを目的とした。11名の心的外傷性症状を有する患者を対象とした。「安全な場所」により安全感が構築された群（7名）と安全感が構築されなかった群（4名）の「安全な場所」の内容を比較した結果，後者の「安全な場所」は視覚イメージがシンプルかつ静的であり，聴覚，触覚などのイメージも伴わず，身体感覚も賦活されにくいことが示された。また，安全感が構築されにくい群には2つのタイプがあり，イメージ全般が抑制的で安全感が獲得されないタイプと，不快情動が混入するが故に安全感が得られないタイプに分けられた。両者の心理検査の結果を比較したところ，前者は情動や思考が抑制的で自分の状態に気がつきにくく，後者は思考や情動が活性化されやすいが肯定的情動に否定的情動が混在しやすいことが示された。&lt;br /&gt;&lt;br /&gt;The “safe place” is one of the most common stabilization approaches used in EMDR. The objective of this study is to consider the characteristics of clients who are unable to achieve a sense of safety in their safe places. Eleven persons with symptoms of psychic trauma were the subjects. The “safe places” of the group able to achieve a feeling of safety （7s） were compared with those of the group unable to achieve it （4s）. Results show that the latter had “safe places” that were simple and static. There were no sounds or tactile images, and thus no actively physical sensations. Further, this group lacking a feeling of safety consisted of two types. The first had overall suppressed images that failed to evoke a feeling of safety, and the second had unpleasant emotions mixed into their images that prevented a sense of safety. When the psychological tests of these two types were compared, the first had suppressed emotions and thinking, making it difficult for them to realize their conditions. The second type had more active emotions and thoughts, but they tended to get negative emotions mixed in with positive ones.</text>
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              <elementText elementTextId="409276">
                <text>Japanese Journal of EMDR Research and Practice, 7(1), 16-25</text>
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              <elementText elementTextId="409277">
                <text>2015, May</text>
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              <text>Onnp van der Hart&lt;br /&gt;Mariette Groenendijk&lt;br /&gt;Anabel Gonzales&lt;br /&gt;Dolores Mosquera&lt;br /&gt;Roger Solomon</text>
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              <text>&lt;a href="http://dx.doi.org/10.1891/1933-3196.9.2.E79"&gt;http://dx.doi.org/10.1891/1933-3196.9.2.E79&lt;/a&gt;</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>Dysocjacja osobowości a terapia EMDR w zaburzeniach wynikających ze złożonej traumy: możliwości zastosowania w fazie stabilizacji &lt;br /&gt;&lt;br /&gt;Dissociation of the personality and EMDR therapy in complex trauma-related disorders: Applications in the stabilization phase</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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              <elementText elementTextId="407534">
                <text>Journal of EMDR Practice and Research, 9(2), 79E-93E. doi:10.1891/1933-3196.9.2.E79</text>
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              <elementText elementTextId="407535">
                <text>2015</text>
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                <text>These methods have been adapted for use in group settings from Katie O’Shea’s “EMDR Friendly Preparation Methods for Adults and Children”, published in EMDR Solutions II (Shapiro, R. 2009); and presented at EMDR Europe 2003 and 2006. &lt;br /&gt;Healthy individuals are born with emotional responses that are ordered, balanced, and when maintained, provide physical and mental well-being as they grow. Traumatic experiences may lead to the loss of healthy, automatic, emotional responses to daily events, interfering with their ability to respond and cope successfully. These methods offer ways to reactivate and restore this healthy capability, leading to improved functioning and interactions with others, whether or not trauma reprocessing follows. They awaken our innate ability to accelerate learning from life experiences. The methods will be described, demonstrated and experienced. Our focus is on the universal promotion of emotional health with an emphasis on the well-being of individuals through the use of methods based on leading neuroscience. Aspects of this group program are being piloted in Canada, USA, and Greece with ages ranging from pre-school children to adults. The Preparation/Stabilization methods presented include: •Containment: providing the ability to focus on the present rather than the past or future; •Safe State: allowing activation of the innate ability to feel safe when we are safe; •Reset/Update Emotional Circuits: using symbolic imagery, subcortical affective circuits are updated so they respond automatically at a level commensurate with the current event/situation rather than over- or under-reacting.</text>
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                <text>性的虐待の実態を提示し、外傷の重症度に影響を与える要因を議論することを目的とした作者。また、治療的アプローチ、EMDRの実装に関連するポイント、EMDRの認知織り特定のタイプ、および虐待を受けた人のためのストレス対処戦略の獲得だけでなく、臨床医自身の二次外傷性ストレスに対する対策がある発表した。&lt;br /&gt;&lt;br /&gt;The authors aimed to present the actual state of sexual abuse and discuss factors that affect the severity of trauma. Also presented are therapeutic approaches, points related to EMDR implementation, specific types of cognitive interweaving in EMDR, and acquisition of stress-coping strategies for those who were abused, as well as measures against secondary traumatic stress of the clinicians themselves.</text>
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                <text>Preconference presentation at the 15th EMDR Europe Association Conference, Edinburgh, Scotland</text>
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              <elementText elementTextId="400448">
                <text>This workshop initially provides an overview of dissociation and how it impacts on EMDR processing. There will be an explanation of Ego State Therapy (EST) and how it fits with EMDR to provide the stabilization clients need, as well as dealing with blocked processing. Clinical case material is used throughout to illustrate learning points. Through demonstration and practice participants will learn how to build resources for clients, access ego states in a controlled way and effect therapeutic change. In the latter part of the day, participants will see videos of live cases where EST is used effectively in the Preparation Phase of EMDR to: 1) identify the part-selves and 2) moderate the malevolence displayed by two difficult ego states. &lt;br /&gt;&lt;br /&gt;Learning objectives &lt;br /&gt;•Understand how complex trauma and dissociative disorders impact EMDR processing &lt;br /&gt;•Understand the concept of working with part-selves as a way of preparing clients for the standard EMDR protocol. •Learn how to access ego states in a controlled way and effect therapeutic change and stability. &lt;br /&gt;•Learn techniques to deal with difficult ego states. &lt;br /&gt;&lt;br /&gt;Rationale &lt;br /&gt;We all display particular patterns of thinking, feeling and acting, depending on the situation. The transition is usually seamless in well-adjusted people, but where there has been disrupted attachment or sustained early life trauma the result is often the formation of particular ego states, also known as alters, parts, or schema modes. These states perform roles usually geared towards survival, but in adulthood they can be dysfunctional. Depending upon a client’s early life experiences some ego states can be malevolent, wanting bad things for the client such as willing them to suffer in some way. These clients present us with the greatest challenges through what we know as complex trauma and dissociative disorders. &lt;br /&gt;&lt;br /&gt;It is necessary for clients to remain stable during EMDR sessions and contained between sessions, particularly with complex trauma and dissociative disorders. There is a need, therefore, to learn techniques to work in the Preparation Phase with more difficult clients so they too can benefit from the full EMDR protocol. It is also helpful to know how to deal with blocked processing in the Desensitization Phase due to the interference of an ego-state.</text>
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              <text>Yulia Dierzkia &lt;br /&gt;Rahmia Dewi</text>
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              <text>North Aceh, Indonesia, Poster, Sodomy, Stablization</text>
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          <name>Accuracy Verified?</name>
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          <elementTextContainer>
            <elementText elementTextId="399207">
              <text>Yes</text>
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          <name>Archived</name>
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          <elementTextContainer>
            <elementText elementTextId="399210">
              <text>Dierzkia, Y., &amp;amp; Dewi, R. (2014, January). Description of mental condition and utilizing EMDR stabilization technique for mental recovery on victims of sodomy in North Aceh, Indonesia. Poster presented at the 2nd EMDR Asia International Conference, Manila, The Philippines</text>
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                <text>Description of mental condition and utilizing EMDR stabilization technique for mental recovery on victims of sodomy in North Aceh, Indonesia</text>
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              <elementText elementTextId="399201">
                <text>Poster presented at the 2nd EMDR Asia International Conference, Manila, The Philippines</text>
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                <text>2014, January</text>
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                <text>North Aceh is an area in Indonesia that affected by the armed conflict for a long time. On September 2013 there are 11 children who are victims of sodomy in Batee Lapan, North Aceh. This study aims to determine the psychological condition of the victims, as well as the perceptions against the sodomy incident. It also determines the role of EMDR stabilization technique in their mental recovery. The research method uses the qualitative approach by identifying the existing problems as well as knowing the victim's perception of the event. Besides, describing utilization of EMDR stabilization technique as the intervention. Rapid assessment results showed that the children suffered from deep psychological trauma some of them hid what happened as long as two years. They also had an eating disorder, sleep disorders, fear and some children complained of stomach after experiencing the sodomy. Most of the victims showed symptoms of Posttraumatic Stress Disorder, such as nightmares, fatigue, forgetfulness, difficulty concentrating, withdrawal, avoiding talk about traumatic events and often feel insecure. Currently, several parents of victims reported that some children who are victims now starting to play with their genitals and even tried to commit sexual abuse on other children or his brother. Additionally both children and parents feel afraid to talk about the trauma because they were threatened by the perpetrator though indirectly. They used since the times of armed conflict to cover themselves when feeling threatened. EMDR stabilization techniques are given in the form of inner safe-place, resource building and positive containers. After therapy, the children seem happier, more self-motivated, enjoy being and playing in the group. This is reinforced by the provision of EMDR stabilization techniques to parents of victims and providing psycho education about the long-term effects due to the sodomy on a child and the psychological support needed by children so that they do not feel embarrassed , would open up to parents and families as well as their mental recovery . The expected result is a reduction in risk of mental disorders in the victims, emotional stabilization both in children and their parents, as well as the strengthening of the resources.</text>
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        <name>Sodomy</name>
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        <name>Stabilization</name>
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              <description>A name given to the resource</description>
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        <element elementId="110">
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              <text>10197</text>
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              <text>Benedikt L. Amann&lt;br /&gt;Ramon L. Romero</text>
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        <element elementId="98">
          <name>Year</name>
          <description>emdr_year</description>
          <elementTextContainer>
            <elementText elementTextId="399163">
              <text>2014</text>
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          <elementTextContainer>
            <elementText elementTextId="399167">
              <text>Bipolar Disorders, Eye Movement, Stabilization</text>
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          </elementTextContainer>
        </element>
        <element elementId="113">
          <name>Accuracy Verified?</name>
          <description>emdr_accuracy</description>
          <elementTextContainer>
            <elementText elementTextId="399168">
              <text>Yes</text>
            </elementText>
          </elementTextContainer>
        </element>
        <element elementId="114">
          <name>Archived</name>
          <description>emdr_archived</description>
          <elementTextContainer>
            <elementText elementTextId="399169">
              <text>Yes</text>
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          </elementTextContainer>
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        <element elementId="116">
          <name>Original Work Citation</name>
          <description>spec_citation</description>
          <elementTextContainer>
            <elementText elementTextId="399171">
              <text>Amann, B. L., &amp;amp; Romero, R. L. (2014, January). From eye movement to mood stabilization: EMDR as a treatment option for bipolar patients. In EMDR and bipolar disorder (Helga Matthess, Chair). Presentation at the 2nd EMDR Asia International Conference, Manila, The Philippines</text>
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          </elementTextContainer>
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            <elementTextContainer>
              <elementText elementTextId="399161">
                <text>From eye movement to mood stabilization: EMDR as a treatment option for bipolar patients</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="399162">
                <text>In EMDR and bipolar disorder (Helga Matthess, Chair). Presentation at the 2nd EMDR Asia International Conference, Manila, The Philippines</text>
              </elementText>
            </elementTextContainer>
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            <elementTextContainer>
              <elementText elementTextId="399164">
                <text>2014, January</text>
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              <elementText elementTextId="399165">
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          <element elementId="42">
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            <elementTextContainer>
              <elementText elementTextId="399170">
                <text>Traumatic events and PTSD are frequent in severe mental disorders, initiate and worsen the course and outcome. Therefore, psychotherapeutic interventions in this indication are clinically important but have been rarely studied. In this workshop we will introduce most important data on bipolar disorder, the neurobiology of bipolar disorder and EMDR by presenting some relevant neuroimaging data in the field. Then we will review the evidence of the co-occurrence of traumatic events and severe mental diseases and its consequences. Finally, we present a first controlled, randomized pilot trial of EMDR in traumatized, subsyndromal bipolar I and II patients, the so-called BET-study (Bipolar EMDR Trauma-study). Based on that study, we furthermore will highlight the EMDR Bipolar Protocol (EBP) with five sub-protocols, focused on insight, adherence, mood-stabilization, de-idealization of manic symptoms and impulsivity. As interactive part of the workshop, we also will practically apply some of the new protocols. We also will share with the audience the design of the next larger study of EMDR in traumatized bipolar patients to confirm or reject our first positive results of the pilot trial.</text>
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              <text>09982</text>
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          <elementTextContainer>
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              <text>Ana Gomez</text>
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          <elementTextContainer>
            <elementText elementTextId="396914">
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          <elementTextContainer>
            <elementText elementTextId="396918">
              <text>Attachment, Stabilization</text>
            </elementText>
          </elementTextContainer>
        </element>
        <element elementId="113">
          <name>Accuracy Verified?</name>
          <description>emdr_accuracy</description>
          <elementTextContainer>
            <elementText elementTextId="396919">
              <text>Yes</text>
            </elementText>
          </elementTextContainer>
        </element>
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          <name>Archived</name>
          <description>emdr_archived</description>
          <elementTextContainer>
            <elementText elementTextId="396920">
              <text>No</text>
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          </elementTextContainer>
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          <name>Original Work Citation</name>
          <description>spec_citation</description>
          <elementTextContainer>
            <elementText elementTextId="396921">
              <text>Gomez, A. (2013, October). [You see, I feel, you know: EMDR therapy, attachment and mentalization]. Presentation at the 3rd EMDR Iberoamerican Conference, San Jose, Cost Rica. Spanish</text>
            </elementText>
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              <elementText elementTextId="396912">
                <text>Te veo, te siento, te conozco: La terapia EMDR, el apego y la mentalización &lt;br /&gt;&lt;br /&gt;You see, I feel, you know: EMDR therapy, attachment and mentalization</text>
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            </elementTextContainer>
          </element>
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            <elementTextContainer>
              <elementText elementTextId="396913">
                <text>Presentation at the 3rd EMDR Iberoamerican Conference, San Jose, Cost Rica</text>
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              <text>Hartung, J. (2013, October). [70 Reports continued stabilization through 8 phases EMDR]. Postconference presentation at the 3rd EMDR Iberoamerican Conference, San Jose, Costa Rica. Spanish</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>A phased model of treatment is recommended for the treatment of people who have experienced repeated and multiple traumas and who may still be facing ongoing stress and threat. Establishing a sense of safety and stability is the first stage of treatment before any exposure work can begin. This can be particularly challenging when treating refugees with complex PTSD presentations. This interactive workshop will explore treatment approaches to establishing a sense of safety and stability in preparation for trauma focused therapy. Case examples of torture survivors, victims of trafficking and domestic abuse will be presented to illustrate some of the difficulties in this stage of treatment and interventions. &lt;br /&gt;The workshop will promote an understanding of: •Complex PTSD presentations in refugees and asylum seekers •Stabilisation and symptom management in preparation for trauma focused interventions •Managing dissociative flashbacks, dissociative seizures and sensory/physical flashbacks •Cognitive techniques for managing shame, guilt and self blame which may be barriers to exposure work •How best to work with trauma memories and when to use NET, CBT or EMDR •Cultural considerations •Managing vicarious traumatisation and self care</text>
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                <text>Working with mourning clients can be difficult. To face the irrevocability of loss and to stand helpless and empty-handed as a therapist is a heavy burden. Sometimes it seems there is nothing we can do to help our clients. Yet there are many ways in which EMDR can contribute to help our clients to live a valuable life after a serious loss. &lt;br&gt; &lt;br&gt;In this presentation the psychodynamics of complicated mourning are discussed. Treatment strategies and treatment techniques (both EMDR and combined techniques) are developed for specific patterns of complicated mourning (i.e. denied mourning, postponed mourning, chronic mourning, distorted mourning, traumatized mourning, somatized mourning). &lt;br&gt; &lt;br&gt;Some non-EMDR techniques (rituals, Gestalt dialogue, writing assignments, imagination techniques) will be integrated into EMDR treatment. Also practical interventions to address resistance and affect regulation problems will be discussed. &lt;br&gt;  &lt;br&gt; &lt;br&gt;Learning Objectives: &lt;br&gt;What are the key aspects of using EMDR with issues of grief and mourning;  Outline the core characteristics of stabilization and resourcing for this population; Review the range of cognitive interviews that have an application when evidence of blocked processing is apparent with this client group </text>
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              <text>Moura, J. G. D. (2012, November). [EMDR - Construction of common diagnosis or hitting the target]. In temas diversos. Presentation at the 2nd EMDR Brazilian Congress, Brasilia, Brazil. Portuguese</text>
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                <text>EMDR – Construção de diagnóstico comum ou acertando o alvo &lt;br /&gt;&lt;br /&gt;EMDR - Construction of common diagnosis or hitting the target</text>
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                <text>A estabilização é o momento do processo onde recebemos o paciente construímos rapport, entendimento comum do que esta se passando, damos informações psicopedagógicas sobre o trauma e o que é EMDR e o preparamos para as próximas fases. Esta apresentação pretende focar esta primeira etapa, que seria a construção do que convencionamos chamar de setting terapêutico dentro da perspectiva do EMDR. Este é um momento fundamental para o sucesso do tratamento. Quando nos posicionamos de forma correta frente a ele construindo um entendimento comum, que também podemos chamar de diagnostico comum, emparelhamos, damos sentido e fluidez ao processo. Reproduzimos e ativamos dentro do jogo psicoterapêutico capacidade inata de nós seres humanos de mimetização e sincronização com o outro na intenção de realizar algo, aprender e melhorar nossas chances de sobreviver. Lançamos mão constantemente como terapeutas desta aptidão para resolução das equações trazidas por nossos pacientes e não raramente nos beneficiamos aprendendo mais sobre nós e o mundo. Este processo pressupõe um exercício de entrar na plástica do outro, estranhá-la e refletir para e com ele sobre o que o aflige e suas potencialidades. Como se dá este processo? Como podemos transformar impressões em narrativa? Como construímos um diagnostico comum?&lt;br /&gt;&lt;br /&gt;The stabilization process is the time where we get the patient build rapport, common understanding of what is going on, we psychopedagogical information about trauma and what is EMDR and prepare for the next phases. This presentation aims to address this first phase, the construction of what would conventionally call the therapeutic setting within the perspective of EMDR. This is a critical time for successful treatment. When positioned correctly in front of him building a common understanding, which we can also call common diagnosis, emparelhamos, give direction and fluidity to the process. Reproduced within the game and activate innate ability psychotherapeutic us humans to mimic and synchronize with each other in an attempt to accomplish something, learn and improve our chances of survival. We used this constantly as therapists ability to solve the equations brought by our patients and not infrequently we benefit by learning more about ourselves and the world. This process involves an exercise of plastic entering the other, her strange and reflect and to him about what ails you and your capabilities. How is this process? How can we turn impressions into narrative? How to build a common diagnosis?</text>
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              <text>Grenough, M. (2012, October). OASIS in the overwhelm: Affect management/stabilization with diverse cultures. Presentation at the 17th EMDR International Association Conference, Arlington, VA</text>
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                <text>This highly participatory workshop will teach four 60-second strategies that can be learned quickly by clinicians and used immediately with clients. The presenter has used these strategies over ten years at an urban Hispanic Clinic, and with children and adults of diverse cultural, economic, educational, and national backgrounds. Because the strategies focus on active physical involvement, they quickly help clients to identify and manage personal sensations and emotions (Phase 2-Preparation), pave the way for clearer gut understanding of (Phase 3) negative and positive cognition’s as well as “Where do you feel it in your body?” and (Phase 6) Body Scan.</text>
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              <text>Hans-Jaap Oppenheim</text>
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              <text>Lamprecht, F., Lempa, W., &amp;amp; Sack, M. (2000). &lt;a&gt;[Treatment of posttraumatic stress disorder using EMDR].&lt;/a&gt; Psychotherapie im Dialog, 1, 45-51. German</text>
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                <text>Die behandlung posttraumatischer belastungsstoerungen mit EMDR &lt;br /&gt;&lt;br /&gt;Treatment of posttraumatic stress disorder using EMDR</text>
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                <text>Psychotherapie im Dialog, 1, 45-51</text>
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            <name>Date</name>
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                <text>2000</text>
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            <name>Language</name>
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                <text>German</text>
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            <name>Description</name>
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                <text>Mit der EMDR-Behandlung (Eye Movement Desensitization and Reprocessing) steht ein relativ neues, sehr zeitökonomisches Verfahren zur Behandlung der Posttraumatischen Belastungsstörung zur Verfügung. Es handelt sich um eine manualisierte therapeutische Methode, die in 8 Phasen eingeteilt werden kann. Anhand von 2 Kasuistiken wird die Vorgehensweise der EMDR-Behandlung veranschaulicht. Eigene Arbeitserfahrungen und Forschungsergebnisse ergeben ein sehr positives Bild von der Wirksamkeit der EMDR-Behandlung. Auch auf der Basis der international vorliegenden Forschungsergebnisse kann daher der Schluss gezogen werden, dass EMDR eine effektive und ökonomische Methode der Behandlung Posttraumatischer Belastungsstörungen darstellt.&lt;br /&gt;&lt;br /&gt;With EMDR (Eye Movement Desensitization and Reprocessing) is a relatively new, very time-economical method for the treatment of posttraumatic stress disorder are available. It is a manualized therapeutic method that can be divided into 8 phases. Based on 2 case reports the approach of EMDR is illustrated. Own work experiences and research results give a very positive picture of the effectiveness of EMDR treatment. Also on the basis of the internationally available research can therefore be concluded that EMDR is an effective and economical method of treating post-traumatic stress disorder the circuit.</text>
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        <name>Posttraumatic Stress Disorder</name>
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        <name>PTSD</name>
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        <name>Stabilization</name>
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        <name>Trauma</name>
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                  <text>EMDR Collection</text>
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              <text>07365</text>
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              <text>&lt;div style="text-align:left;"&gt;
&lt;p&gt;Esly Regina Souza Souza de Carvalho&lt;/p&gt;
&lt;/div&gt;</text>
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          <name>Year</name>
          <description>emdr_year</description>
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              <text>2010</text>
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              <text>http://www.emdriberoamerica.org/</text>
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          <name>Subjects</name>
          <description>emdr_subject</description>
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              <text>Stabilization</text>
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          <name>Accuracy Verified?</name>
          <description>emdr_accuracy</description>
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              <text>Yes</text>
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          <name>Archived</name>
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              <text>Carvalho, E. R. (2010, October/November). [Pillars of life]. Presentation at the 2nd EMDR Ibero-American Conference, Quito, Ecuador. Spanish</text>
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                <text>Pilares de vida &lt;br /&gt;&lt;br /&gt;Pillars of life</text>
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                <text>Presentation at the 2nd EMDR Ibero-American Conference, Quito, Ecuador</text>
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                <text>2010, October/November</text>
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        <name>Stabilization</name>
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