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              <text>&lt;a href="https://doi.org/10.3389/fpsyg.2023.1191916"&gt;https://doi.org/10.3389/fpsyg.2023.1191916&lt;/a&gt;</text>
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              <text>Clair van Woudenberg&lt;br /&gt;Eline M. Voorendonk&lt;br /&gt;Bo Tunissen&lt;br /&gt;Vince H. F. van Beek&lt;br /&gt;Linda Rozendael&lt;br /&gt;Agnes Van Minnen&lt;br /&gt;Ad De Jongh</text>
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              <text>van Woudenberg, C., Voorendonk, E. M., Tunissen, B., van Beek, V. H. F., Rozendael, L., van Minnen, A., &amp;amp; de Jongh, A. (2023, August). &lt;a href="https://doi.org/10.3389/fpsyg.2023.1191916"&gt;The impact of intensive trauma-focused treatment on sexual functioning in individuals with PTSD.&lt;/a&gt; Frontiers in Psychology, 14.  doi:10.3389/fpsyg.2023.1191916</text>
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                <text>The impact of intensive trauma-focused treatment on sexual functioning in individuals with PTSD</text>
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                <text>&lt;strong&gt;Background&lt;/strong&gt;&lt;br /&gt;Individuals with posttraumatic stress disorder (PTSD) often experience sexual disturbances. Objective: To determine whether intensive trauma-focused treatment is associated with an improvement in sexual functioning (i.e., sexual satisfaction and sexual desire) in individuals with PTSD. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Method&lt;/strong&gt;&lt;br /&gt;In total, 227 patients with PTSD (68.7% women, mean age = 40.97) participated in an intensive eight-day trauma-focused treatment program consisting of prolonged exposure, eye movement and desensitization and reprocessing (EMDR) therapy, physical activity, and psychoeducation. Patients were assessed (i.e., Clinician Administered PTSD Scale and Sexual Functioning Questionnaire) pre- and post-treatment and at 6-months follow-up. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Results&lt;/strong&gt;&lt;br /&gt;Sexual satisfaction and sexual desire increased significantly associated with trauma-focused treatment from pre-treatment to 6-months follow-up, albeit the effect sizes were small (Cohen’s d = 0.39 and 0.17, respectively). Although men reported greater overall sexual desire than women, sexual functioning improved after treatment in both men and women. Furthermore, those with remission of PTSD reported greater sexual functioning post-treatment and at 6-months follow-up, than those without remission. However, changes in PTSD symptoms associated with treatment were not predictive of the level of sexual satisfaction or sexual desire 6 months after treatment. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Conclusion&lt;/strong&gt;&lt;br /&gt;The results of this uncontrolled study suggest that intensive treatment for PTSD can have beneficial effects on sexual satisfaction and desire in both men and women; however, this may not necessarily be due to a decrease in PTSD symptoms.</text>
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                <text>Frontiers in Psychology, 14.  doi:10.3389/fpsyg.2023.1191916&lt;a&gt;&lt;/a&gt;</text>
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              <text>Ad de Jongh&lt;br /&gt;Laurian C. S. Hafkemeijer</text>
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              <text>de Jongh, A., &amp;amp; Hafkemeijer, L. C. S. (2022, September). &lt;a href="https://doi.org/10.1002/jclp.23521"&gt;Trauma-focused treatment of a client with complex PTSD and comorbid pathology using EMDR therapy.&lt;/a&gt; Journal of Clinical Psychology, 1-12. doi:10.1002/jclp.23521</text>
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                <text>Trauma-focused treatment of a client with complex PTSD and comorbid pathology using EMDR therapy</text>
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                <text>&lt;strong&gt;Objective&lt;/strong&gt; &lt;br /&gt;Complex post-traumatic stress disorder (CPTSD) is a classification within the International Classification of Diseases, 11th Revision (ICD-11) that, besides the DSM-5 symptom clusters of post-post-traumatic stress disorder (PTSD), includes the presence of negative self-concept, difficulties in regulating emotions and relationship skills. The purpose of the present study was to provide guidance on how to deliver Eye Movement Desensitization and Reprocessing (EMDR) therapy in the context of CPTSD, based on current clinical knowledge and the latest scientific research findings. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Method&lt;/strong&gt; &lt;br /&gt;This paper describes the treatment of a 52-year-old woman with CPTSD and borderline personality disorder for which immediate trauma-focused EMDR therapy was used. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Results&lt;/strong&gt; &lt;br /&gt;First, a description of what EMDR therapy entails and some important treatment strategies that the therapist may employ to assist in trauma-focused treatment of clients with CPTSD using EMDR therapy are outlined. &lt;br /&gt;&lt;br /&gt;Conclusion &lt;br /&gt;The treatment results are in line with mounting evidence supporting the notion that EMDR therapy is a safe and potentially effective treatment alternative for individuals with CPTSD or personality problems.</text>
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                <text>Journal of Clinical Psychology, 1-12. doi:10.1002/jclp.23521</text>
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              <text>&lt;a href="https://doi.org/10.1002/cpp.2855"&gt;https://doi.org/10.1002/cpp.2855&lt;/a&gt;</text>
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              <text>Kuck, S., Arntz, A., Rameckers, S. A., Lee, C. W., Borerhoven de Haan, K. L., Fassbinder, E., &amp;amp; Morina, N. (2023, September-Ocotber). &lt;a href="https://doi.org/10.1002/cpp.2855"&gt;Intraindividual variability and emotional change as predictors of sudden gains in imagery rescripting and EMDR for PTSD in adult survivors of childhood abuse.&lt;/a&gt; Clinical Psychology &amp;amp; Psychotherapy, 30(5), 1029-1046, 1–18. doi:10.1002/cpp.2855</text>
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                <text>Sudden gains, defined as large and stable improvements in symptom severity during psychological treatment, have consistently been found to be associated with better outcomes across treatments and diagnoses. Yet, insights on coherent predictors of sudden gains and on emotional changes around sudden gains in post-traumatic stress disorder (PTSD) are lacking. We aimed at replicating a measure of intraindividual variability as a predictor for sudden gains and testing its independence from change during treatment. Furthermore, we expected changes in emotions of guilt, shame and disgust prior to sudden gains to predict sudden gains. Data from a pre-registered randomized controlled trial (RCT) of eye-movement desensitization and reprocessing (emdr) and Imagery Rescripting (ImRs) for PTSD in 155 adult survivors of childhood abuse were used. Intraindividual variability of PTSD symptoms in both treatments did not predict sudden gains status and was not independent of change during treatment. In the EMDR condition, levels of shame during treatment predicted sudden gains and shame decreased shortly before a sudden gain in both treatments. Reductions in all emotions during sudden gains were significantly higher for participants with sudden gains than for comparable intervals in non-sudden gainers. Our findings do not support the predictive validity of intraindividual variability for sudden gains. The decrease of guilt, shame and disgust during sudden gains warrants further research on their role as a mechanism of treatment change for PTSD.</text>
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                <text>Clinical Psychology &amp;amp; Psychotherapy, 30(5), 1029-1046, 1–18. doi:10.1002/cpp.2855</text>
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              <text>&lt;a href="http://dx.doi.org/10.1891/EMDR-2022-0014"&gt;http://dx.doi.org/10.1891/EMDR-2022-0014&lt;/a&gt;</text>
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              <text>van Diest, C., Leoni, M., Fisher, N., &amp;amp; Spain, D. (2022). &lt;a href="http://dx.doi.org/10.1891/EMDR-2022-0014"&gt;Using EMDR with autistic clients: How do therapists adapt?&lt;/a&gt; Journal of EMDR Research and Practice, 16(3), 123-134. doi:10.1891/EMDR-2022-0014</text>
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                <text>Autistic people commonly experience co-morbid mental health conditions, including post-traumatic stress disorder (PTSD), anxiety, and low mood. General consensus is that autistic people can benefit from evidence-based psychological therapies, with the acceptability and effectiveness of eye movement desensitization and reprocessing (EMDR) therapy becoming a growing area of interest. One hundred and three EMDR therapists were asked if and how they adapt the standard EMDR protocol to make the process and content more tailored to the needs and preferences of autistic people. We analyzed the qualitative responses of participants to these questions, including barriers and adaptations to all eight phases of the EMDR standard protocol. Overall, therapists emphasized the need for flexibility and responsiveness to the individual client, and the importance of autism-specific knowledge and autism-informed clinical supervision. Implications and future directions are discussed</text>
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                <text>Posited advantages of intensive trauma-focused therapy include treatment efficiency, rapidity of results, reduced risk of treatment-related destabilization, reduced risk of treatment disruption, and reduced total treatment cost (Greenwald, Camden et al, 2019). Eye movement desensitization and reprocessing (EMDR) is the best tolerated and mot efficient of the leading trauma therapies (Greenwald, Hell et al, 2019). Progressive counting (PC) has been found to be about as effective and at least as efficient as EMDR (Greenwald, McClintock, &amp;amp; Bailey, 2013; Greenwald, McClintock, Jarecki &amp;amp; Monaco, 2015). Intensive EMDR and PC have both done well (Greenwald, Camden et al, 2019; Hurley, 2018; van Woudenberg et al, 2018), but have not been directly compared.</text>
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              <text>&lt;a href="https://doi.org/10.1080/20008198.2018.1512248"&gt;https://doi.org/10.1080/20008198.2018.1512248&lt;/a&gt;</text>
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              <text>Rikkert, M., van Rood, Y., de Roos, C., Ratter, J., &amp;amp; van den Hout, M. (2018). &lt;a href="https://doi.org/10.1080/20008198.2018.1512248"&gt;A trauma-focused approach for patients with tinnitus: The effectiveness of eye movement desensitization and reprocessing - a multicentre pilot trial.&lt;/a&gt; European Journal of Psychotraumatology, 9(1512248). doi:10.1080/20008198.2018.1512248&lt;a href="https://doi.org/10.1080/20008198.2018.1512248"&gt;&lt;/a&gt;</text>
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                <text>A trauma-focused approach for patients with tinnitus: The effectiveness of eye movement desensitization and reprocessing - a multicentre pilot trial&lt;br /&gt;&lt;br /&gt;Un enfoque centrado en el trauma para pacientes con tinnitus: la eficacia de la desensibilización y reprocesamiento por movimientos oculares (EMDR). Una prueba piloto multicéntrica</text>
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                <text>&lt;strong&gt;Background:&lt;/strong&gt;&lt;br /&gt;While normal tinnitus is a short-term sensation of limited duration, in 10–15% of the general population it develops into a chronic condition. For 3–6% it seriously interferes with many aspects of life. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Objective:&lt;/strong&gt; &lt;br /&gt;The aim of this trial was to assess effectiveness of a trauma-focused approach, eye movement desensitization and reprocessing (EMDR), in reducing tinnitus distress. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Methods:&lt;/strong&gt; &lt;br /&gt;The sample consisted of 35 adults with high levels of chronic tinnitus distress from five general hospitals in the Netherlands. Participants served as their own controls. After pre-assessment (T1), participants waited for a period of 3 months, after which they were assessed again (T2) before they received six 90 min manualized EMDR treatment sessions in which tinnitus-related traumatic or stressful events were the focus of treatment. Standardized self-report measures, the Tinnitus Functional Index (TFI), Mini-Tinnitus Questionnaire (Mini-TQ), Symptom Checklist-90 (SCL-90) and the Self-Rating Inventory List for Post-traumatic Stress Disorder (SRIP), were completed again halfway through treatment (T3), post-treatment (T4) and at 3 months’ follow-up (T5). &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Results:&lt;/strong&gt; &lt;br /&gt;Repeated measures analysis of variance revealed significant improvement after EMDR treatment on the primary outcome, TFI. Compared to the waiting-list condition, scores significantly decreased in EMDR treatment [t(34) = −4.25, p &amp;lt; .001, Cohen’s dz = .72]. Secondary outcomes, Mini-TQ and SCL-90, also decreased significantly. The treatment effects remained stable at 3 months’ follow-up. No adverse events or side effects were noted in this trial. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Conclusions:&lt;/strong&gt; &lt;br /&gt;This is the first study to suggest that EMDR is effective in reducing tinnitus distress. Randomized controlled trials are warranted. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Antecedentes:&lt;/strong&gt; &lt;br /&gt;mientras que el tinnitus normal es una sensación a corto plazo de duración limitada, en el 10-15% de los pacientes se transforma en una condición crónica. Para el 3-6% de los pacientes interfiere seriamente con muchos aspectos de la vida. El objetivo de este estudio fue evaluar la efectividad de un enfoque centrado en el trauma, la Desensibilización y Reprocesamiento por Movimientos Oculares (EMDR), para reducir el estrés por tinnitus. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Métodos:&lt;/strong&gt; &lt;br /&gt;La muestra consistió en 35 adultos con altos niveles de estrés por tinnitus crónico de cinco hospitales generales en los Países Bajos. Los participantes sirvieron como sus propios controles. Después de la pre-evaluación (T1), los participantes esperaron por un período de 3 meses, después de lo cual fueron evaluados nuevamente (T2) antes de recibir seis sesiones de tratamiento EMDR manualizadas de 90 minutos en las que los eventos traumáticos o estresantes relacionados con el tinnitus fueron el foco del tratamiento. Las medidas de autorreporte estandarizadas, el Índice Funcional de Tinnitus (TFI, por su sigla en inglés), el Mini Cuestionario de Tinnitus (Mini-TQ), la Lista de Chequeo de Síntomas - 90 (SCL-90, por su sigla en inglés) y la Lista de Inventario de Autorreporte para el TEPT (SRIP, por su sigla en inglés) se completaron nuevamente durante el tratamiento (T3), postratamiento (T4) y a los 3 meses de seguimiento (T5). &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Resultados:&lt;/strong&gt; &lt;br /&gt;el análisis de varianza de medidas repetidas (ANOVA) reveló una mejora significativa después del tratamiento con EMDR en el resultado primario TFI. Comparado con la condición de lista de espera, los puntajes disminuyeron significativamente en el tratamiento con EMDR, como mostraron las pruebas t de muestras relacionadas (t(34) = -4.25, p &amp;lt;0.001, Cohen’s dz = 0.72). Los resultados secundarios Mini-TQ y SCL-90 también disminuyeron significativamente. Los efectos del tratamiento se mantuvieron estables a los 3 meses de seguimiento. No se observaron eventos adversos o efectos secundarios en este estudio. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Conclusiones:&lt;/strong&gt; &lt;br /&gt;Este es el primer estudio que sugiere que el EMDR es efectivo para reducir el estrés por tinnitus. Se requieren ensayos aleatorios controlados.</text>
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              <text>Struik, A. (2017). &lt;a href="https://doi.org/10.1002/anzf.1271"&gt;The trauma healing story: Healing chronically traumatised children through their families/whanau.&lt;/a&gt; Australian and New Zealand Journal of Family Therapy, 38. 613–626. doi:10.1002/anzf.1271</text>
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                <text>Unprocessed trauma can have a devastating impact on all areas of development (Van der Kolk et al., 2009). Chronically traumatised children can be difficult to engage in trauma-focused treatment, especially when they are removed from their families by child protection services feeling blamed and disconnected. They display challenging behaviour, move from foster family to foster family, abscond, engage in criminal activities, use drugs and do not attend school. Their parents are often responsible for the abuse and families/whanau suffer from the consequences of intergenerational trauma. Instead of distancing the child from these ‘dysfunctional families,’ the trauma healing story intervention views intensive collaboration with the child’s parents and family as the key to engaging these children. The child’s life story is described and illustrated with simple drawings in which the parents acknowledge the child’s innocence and explain their intentions. Children can start to understand they were not responsible for the abuse and feel their parents’ permission to talk about their traumatic memories. Creating a mutual narrative of what happened reconnects parents and children, and parents can encourage their children to participate in consecutive trauma-focused therapy. The process of constructing this story with the parents provides them with an opportunity to heal from intergenerational trauma as well and break the cycle of intergenerational abuse. This article describes the Trauma Healing Story intervention, illustrated with case examples. The Trauma Healing Story intervention is part of the Sleeping Dogs method, developed for resistant chronically traumatised children with promising results. Clinical experience has also demonstrated that the structured format of the Trauma Healing Story intervention accommodates a Fly-In-Fly-Out delivery model of specialised trauma-focused treatment in remote areas in Australia and New Zealand</text>
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              <text>Ingo Schäfer&lt;br /&gt;Laycen Chuey-Ferrer&lt;br /&gt;Arne Hofmann&lt;br /&gt;Peter Lieberman&lt;br /&gt;Günter Mainusch&lt;br /&gt;Annett Lotzin</text>
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          <name>Document #</name>
          <description>emdr_doc_ID</description>
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              <text>03795</text>
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          <description>emdr_title_link</description>
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              <text>&lt;a href="http://dx.doi.org/10.1186/s12888-017-1255-9"&gt;http://dx.doi.org/10.1186/s12888-017-1255-9&lt;/a&gt;</text>
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          <name>Archived</name>
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              <text>Yes</text>
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          <name>Original Work Citation</name>
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            <elementText elementTextId="417223">
              <text>Schafer, I., Chuey-Ferrer, L., Hofmann, A., Lieberman, P., Mainusch, G., &amp;amp; Lotzin, A. (2017).&lt;a href="http://dx.doi.org/10.1186/s12888-017-1255-9"&gt; Effectiveness of EMDR in patients with substance use disorder and comorbid PTSD: Study protocol for a randomized controlled trial.&lt;/a&gt; BMC Psychiatry, 17, 95 doi:10.1186/s12888-017-1255-9</text>
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          <element elementId="50">
            <name>Title</name>
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              <elementText elementTextId="417213">
                <text>Effectiveness of EMDR in patients with substance use disorder and comorbid PTSD: Study protocol for a randomized controlled trial</text>
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          <element elementId="41">
            <name>Description</name>
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                <text>&lt;strong&gt;Background&lt;/strong&gt; &lt;br /&gt;Eye Movement Desensitization and Reprocessing (EMDR) is an evidence-based treatment for PTSD. However, it is unclear whether EMDR shows the same effectiveness in patients with substance use disorders (SUD) and comorbid PTSD. In this trial, we examine the effectiveness of EMDR in reducing PTSD symptoms in patients with SUD and PTSD. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Methods/Design&lt;/strong&gt; &lt;br /&gt;We conduct a single-blinded RCT among 158 patients with SUD and comorbid PTSD admitted to a German addiction rehabilitation center specialized for the treatment of patients with SUD and comorbid PTSD. Patients are randomized to receive either EMDR, added to SUD rehabilitation and non-trauma-focused PTSD treatment (TAU), or TAU alone. The primary outcome is change from baseline in PTSD symptom severity as measured by the Clinician-Administered PTSD Scale at 6-month follow-up. Secondary outcomes are change from baseline in substance use, addiction-related problems, depressive symptoms, dissociative symptoms, emotion dysregulation and quality of life. Assessments are carried out by blinded raters at admission, at end of treatment, and at 3- and 6-month follow-up. We expect that EMDR plus TAU will be more effective in reducing PTSD symptoms than TAU alone. Mixed models will be conducted using an intention-to-treat and per-protocol approach. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Discussion&lt;/strong&gt; &lt;br /&gt;This study aims to expand the knowledge about the effectiveness of EMDR in patients with SUD and comorbid PTSD. The expected finding of the superiority of EMDR in reducing PTSD symptoms compared to non-trauma-focused PTSD treatment may enhance the use of trauma-focused treatment approaches for patients with SUD and co-morbid PTSD.</text>
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            <name>Source</name>
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              <elementText elementTextId="417215">
                <text>BMC Psychiatry, 17, 95 doi:10.1186/s12888-017-1255-9</text>
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            <name>Date</name>
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              <elementText elementTextId="417216">
                <text>2017</text>
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            <name>Format</name>
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            <name>Language</name>
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              <elementText elementTextId="417218">
                <text>English</text>
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      <tag tagId="553">
        <name>Addiction</name>
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      <tag tagId="1901">
        <name>Alcoholism</name>
      </tag>
      <tag tagId="73">
        <name>Comorbidity</name>
      </tag>
      <tag tagId="11691">
        <name>Exposure-Based Treatment</name>
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      <tag tagId="11">
        <name>Posttraumatic Stress Disorder</name>
      </tag>
      <tag tagId="11692">
        <name>Psychotherapy Outcome Research</name>
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      <tag tagId="13">
        <name>PTSD</name>
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      <tag tagId="519">
        <name>Substance Abuse</name>
      </tag>
      <tag tagId="11690">
        <name>Trauma-Focused Treatment</name>
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