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                <text>De la conceptualisation de cas au plan de traitement&lt;br /&gt;&lt;br /&gt;Conceputalization and treamtent planning</text>
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                <text>Partant de l’hypothèse qu’à l’exception des maladies strictement organiques, des problèmes résultant de carences d’informations et d’apprentissages, ou des conséquences d’une exposition toujours active à un agent causal aversif, les souffrances psychiques et psychosomatiques du patient, dans le présent, sont la résultante d’événements traumatiques non métabolisés. Retraiter les expériences de vie négatives pour intégrer des expériences positives adaptatives, constitue la partie centrale de l’approche thérapeutique EMDR (Shapiro, 2005, 2007). Cependant, cette démarche ne peut être entreprise de manière aléatoire ; elle exige, au préalable, pour la sécurité du patient, et pour l’efficience du soin, une vision et compréhension globales, un repérage des symptômes et des problématiques, une évaluation des ressources, une hypothèse sur les capacités du patient à mobiliser des changements dans le respect de sa sécurité, de son libre arbitre et surtout une appréciation de la qualité de l’engagement dans la relation thérapeutique : c’est vers l’observation et l’analyse de ces paramètres que se tourne l’étape de la conceptualisation de cas. La conceptualisation de cas repose sur une élaboration, en amont du traitement, des données qui composent la présentation clinique. Elle met en œuvre un questionnement à propos des éléments pertinents de manière à penser et anticiper leur mobilisation pour optimiser les actions thérapeutiques du TAI. Conceptualiser le cas clinique permet de poser un regard sur le tableau psychopathologique qui conduira, autour d’une bonne alliance thérapeutique, à trouver les articulations et les leviers thérapeutiques pour modifier favorablement et en profondeur cette présentation clinique…&lt;br /&gt;&lt;br /&gt;Starting from the hypothesis that with the exception of strictly organic diseases, problems resulting from lack of information and learning, or the consequences of still active exposure to an aversive causal agent, the psychological and psychosomatic suffering of the patient, in the present, are the result of unmetabolized traumatic events. Reprocessing negative life experiences to integrate positive adaptive experiences constitutes the central part of the EMDR therapeutic approach (Shapiro, 2005, 2007). However, this approach cannot be undertaken randomly; it requires, beforehand, for the safety of the patient, and for the efficiency of care, a global vision and understanding, an identification of symptoms and problems, an evaluation of resources, a hypothesis on the patient's abilities to mobilize changes in respect of one's security, one's free will and above all an appreciation of the quality of the commitment in the therapeutic relationship: it is towards the observation and analysis of these parameters that the conceptualization stage turns of cases. Case conceptualization is based on elaboration, prior to treatment, of the data that make up the clinical presentation. It involves questioning relevant elements in order to think about and anticipate their mobilization to optimize the therapeutic actions of TAI. Conceptualizing the clinical case allows us to take a look at the psychopathological picture which will lead, around a good therapeutic alliance, to finding the therapeutic articulations and levers to favorably and profoundly modify this clinical presentation...</text>
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                <text>&lt;span&gt;I&lt;/span&gt;&lt;span&gt;n &lt;/span&gt;&lt;span class="UpperCase"&gt;Tarquinio&lt;/span&gt;&lt;span&gt;, C., &lt;/span&gt;&lt;span class="UpperCase"&gt;Brennsthul&lt;/span&gt;&lt;span&gt;, M., &lt;/span&gt;&lt;span class="UpperCase"&gt;Dellucci&lt;/span&gt;&lt;span&gt;, H., &lt;/span&gt;&lt;span class="UpperCase"&gt;Iracane-Coste&lt;/span&gt;&lt;span&gt;, M., &lt;/span&gt;&lt;span class="UpperCase"&gt;Rydberg&lt;/span&gt;&lt;span&gt;, J., &lt;/span&gt;&lt;span class="UpperCase"&gt;Silvestre&lt;/span&gt;&lt;span&gt;, M., &amp;amp; &lt;/span&gt;&lt;span class="UpperCase"&gt;Zimmermann, E.&lt;span&gt; &lt;/span&gt;&lt;/span&gt;&lt;span&gt;(Eds),&lt;em&gt; &lt;/em&gt;&lt;/span&gt;&lt;span&gt;Pratique de la psychothérapie EMDR&lt;/span&gt;&lt;span&gt; (pp. 59-74). Paris: Dunod &lt;/span&gt;</text>
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              <text>Iracane, M. (2019, July). [From case conceptualization to treatment plan]. In Tarquinio, C., Brennstuhl, M.-J., Dellucci, H., Iracane-Coste, M., Rydberg, J. N., Silvestre, M., Tarquinio, P., &amp;amp; Zimmermann, E. (Eds.), &lt;a href="https://www.amazon.com/EMDR-Collectif/dp/210079597X/ref=sr_1_1?crid=23Y06OX4LJMN3&amp;amp;dib=eyJ2IjoiMSJ9.O58MiTV8RBF2zSXX-kekqWae-bXA9zMbSH0IzFpL7aZVRWcFIZBrNX87VsBsRH7W.YPFb7VRGljNYvlDNo6AHCnvLhl18jmL-C8JhFiZwSuU&amp;amp;dib_tag=se&amp;amp;keywords=Aide-m%C3%A9moire+-+EMDR&amp;amp;qid=1709372891&amp;amp;sprefix=aide-m%C3%A9moire+-+emdr%2Caps%2C99&amp;amp;sr=8-1"&gt;Aide-mémoire - EMDR&lt;/a&gt; (pp. 57-72). Dunod. French</text>
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                <text>À l’exception des maladies strictement organiques, des problèmes provenant de carences d’information et d’apprentissage, ou des conséquences d’une exposition toujours active à un agent causal aversif, les souffrances psychiques et psychosomatiques présentes du patient seraient la résultante d’événements traumatiques non métabolisés. Retraiter les expériences de vie négatives pour intégrer des expériences positives adaptatives, constitue la partie centrale de l’approche thérapeutique EMDR (Shapiro, 2005 ; 2007). Cependant, cette démarche ne peut être entreprise de manière aléatoire ; elle exige, au préalable, pour la sécurité du patient et pour l’efficience du soin, une vision et compréhension globale, un repérage des symptômes et des problématiques, une évaluation des ressources, une hypothèse sur les capacités du patient à mobiliser des changements dans le respect de sa sécurité, de son libre arbitre et surtout une appréciation de la qualité de l’engagement dans la relation thérapeutique. C’est vers l’observation et l’analyse de ces paramètres que se tourne l’étape de la conceptualisation de cas. La conceptualisation de cas repose sur une élaboration, en amont du traitement, des données qui composent la présentation clinique. Elle met en œuvre un questionnement à propos des éléments pertinents de manière à penser et anticiper leur mobilisation pour optimiser les actions thérapeutiques du TAI. Conceptualiser le cas clinique permet de poser un regard sur le tableau psychopathologique qui conduira, autour d’une bonne alliance thérapeutique, à trouver les articulations et les leviers thérapeutiques pour modifier favorablement et en profondeur cette présentation clinique…&lt;br /&gt;&lt;br /&gt;With the exception of strictly organic illnesses, problems arising from lack of information and learning, or the consequences of still active exposure to an aversive causal agent, the patient's present psychological and psychosomatic suffering would be the result of unmetabolized traumatic events. Reprocessing negative life experiences to integrate positive adaptive experiences constitutes the central part of the EMDR therapeutic approach (Shapiro, 2005; 2007). However, this approach cannot be undertaken randomly; it requires, beforehand, for the safety of the patient and for the efficiency of care, a global vision and understanding, an identification of symptoms and problems, an evaluation of resources, a hypothesis on the patient's abilities to mobilize changes in respect for one's safety, one's free will and above all an appreciation of the quality of the commitment in the therapeutic relationship. It is towards the observation and analysis of these parameters that the case conceptualization stage turns. Case conceptualization is based on elaboration, prior to treatment, of the data that make up the clinical presentation. It involves questioning relevant elements in order to think about and anticipate their mobilization to optimize the therapeutic actions of TAI. Conceptualizing the clinical case allows us to take a look at the psychopathological picture which will lead, around a good therapeutic alliance, to finding the therapeutic articulations and levers to favorably and profoundly modify this clinical presentation...</text>
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                <text>In Tarquinio, C., Brennstuhl, M.-J., Dellucci, H., Iracane-Coste, M., Rydberg, J. N., Silvestre, M., Tarquinio, P., &amp;amp; Zimmermann, E. (Eds.), Aide-mémoire - EMDR (pp. 57-72). Dunod</text>
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                <text>Discussions are ongoing in the field of EMDR Therapy about whether there is a valid need for stabilisation prior to memory reprocessing in complex trauma presentations (Boterhoven et al., 2020; de Jongh et al., 2016; Dominguez &amp;amp; Martin, 2023). This workshop presents a capacity based transdiagnostic framework for EMDR complex case conceptualisation, that includes detail on both the preparation phase and overall treatment planning. This case conceptualisation framework includes: 1. assessment of clients’ integrative capacity from a transdiagnostic AIP (Shapiro, 2018) perspective that draws on theory, knowledge, and skills from therapies to treat dissociation (Steele et al., 2015; van der Hart et al., 2006); 2. skills to regulate the body (Ogden et al., 2006; Ogden &amp;amp; Fisher, 2015; van der Kolk, 2015) and nervous system (Dana, 2021; Porges, 2021; Porges &amp;amp; Dana, 2018; Kase, 2023) during preparation and reprocessing; and 3. the development of attachment and relational capacities (Siegel, 1999; Porges, 2021; Knipe, 2015) that are foundational elements of healing interpersonal trauma across the life span (DeAngelis, 2019; Geller &amp;amp; Porges, 2014). The conceptualisation framework presented here informs therapists about clients’ needs during preparation for EMDR reprocessing, and what type of EMDR memory reprocessing is likely be tolerable and effective. The presentation will include a critical review of the literature examining the need for stabilisation in complex PTSD treatment, and clinical cases will be used to illustrate which aspects of complexity indicate a need for extended preparation to facilitate effective memory reprocessing, integration, and healing.</text>
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                <text>The great contribution of EMDR to our clinical work is to make episodic memories associated with traumatic experiences and dysfunctional family dynamics and attachment figures, more functional and constructive. Through EMDR we can achieve in a more direct and effective way what usually took years of therapy. After working on these memories of dysfunctional family patterns and relationships, the client not only solves the disturbing emotions linked to these memories, but is aware of the process he is doing and aspects of his self-esteem, sense of self are enhanced. Clients are more focused on the here and now, have more confidence in their competences and their value as a person and at the same time this process of differentiation and growth has an effect on his family system and parenting skills. During the process of learning EMDR, participants do not learn only the protocol, since teaching EMDR involve many aspects. Specially during phase 1, in order to be able to make a case conceptualization and a treatment planning, clinicians need to identify treatment goals, use their clinical judgement, take the client’s history and his family history, understand attachment issues, identify the different nature of experiential contributors (simple trauma, complex trauma, neglect, etc.), identify the precipitating factor and the present triggers and prepare the client for the future. The role of the EMDR Europe Consultant is to guide on the field the clinician to apply all these complex aspects and to master the 8 phases of the protocol. During the presentation, different strategies and tips will be presented to facilitate the Conceptualization and Treatment Planning, according to the Adaptive Information Processing model. Guidelines to facilitate the learning process of clinicians to achieve Practitioner Certification will be discussed.</text>
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                <text>Since the introduction of EMD by Dr. Shapiro in 1987, which led to the development of EMDR Therapy, clinical experiences and research contributed to a variety of protocols and procedures. While this dynamic evolution within EMDR Therapy is offering more options to treat a variety of patients suffering from various disorders, there is a greater risk of deviations from the core framework of this approach that would no longer be understood as EMDR Therapy. While research shows that following Shapiro’s standard protocols and procedural steps is important to achieve positive treatment effects, it seems prudent to define the core elements in EMDR Therapy beyond adherence to the standard protocol given the complexity of clinical demands in a variety of treatment contexts. The author proposes that best practices requires not only an adherence to the fidelity of the model, but a willingness to adapt the model in order to best meet the needs of our clients in a variety of clinical contexts. Defining the core elements that constitute EMDR Therapy offers both a structure that has been well established and offers a foundation from which clinical adaptations can be made that are within the realm of what is widely accepted as EMDR Therapy. Such a structure could also be used to define research as well as clinical applications. Additionally EMDR Therapy as a comprehensive psychotherapy approach implies that the therapeutic relationship is an important component and should be considered a core element of this methodology.</text>
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                <text>自閉スペクトラム症のクライエントをどのように鑑別し,どのようにプランニングするか (特集 つカエル臨床アセスメント : どう見立て,どうプランニングするか) &lt;br /&gt;&lt;br /&gt;Differential diagnosis and EMDR treatment planning for clients with autism spectrum disorder (ASD)</text>
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                <text>自閉スペクトラム症（ASD）の人々は、特有の脳の発達により、生活様式、行動、能力において独自の特徴を持っている。そのため、周囲から「奇妙」「異質」と見なされ、不当な扱いを受けることが多く、それがトラウマの原因となる。EMDR（眼球運動による脱感作と再処理）を希望するクライアントの中には、一般人口に比べてASDの割合が高い傾向がある。 ASDの脳は定型発達とは異なるため、トラウマへの反応も異なり、両側性刺激への反応もASD特有のものとなることが多い。したがって、ASDのクライアントに安全にEMDRを実施するためには、正式な診断がなくてもASDの傾向があるかどうかを評価する必要がある。また、ASDの特性を考慮したEMDRの実施方法を工夫することも求められる。 本論文では、ASDクライアントへのEMDR実施における評価方法と再処理時の注意点について述べている。&lt;br /&gt;&lt;br /&gt;People with Autism-Spectrum Disorder (ASD) are distinctive in terms of lifestyle, behavior and capabilities due to their characteristic brain development. Thus, they are often viewed as strange and different, and, as a result, are frequently treated unfairly by others, causing trauma. Of clients who want EMDR, the proportion of those with ASD is generally higher than observed in the general population. As ASD brains develop differently from the norm, their brains react differently to trauma and hence their response to bilateral stimulation are often unique to ASD. Therefore, in order to implement EMDR safely to ASD clients, it is necessary to assess whether the client appears to have ASD even if they have never been fully diagnosed. It is also necessary to devise measures for implementing EMDR bearing ASD characteristics in mind. This paper describes methods of assessment and points of caution for reprocessing.</text>
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                <text>本稿では、EMDR療法における効果的な臨床アセスメントの方法について、主に病歴聴取と治療計画の立て方に焦点を当てて論じている。著者は、クライアントの安全性と信頼関係を保ちながら、トラウマ関連情報を詳細に収集する重要性を強調している。標的記憶の特定、EMDR処理への準備状況の評価、ケースフォーミュレーションの治療計画への統合など、構造化されたアプローチが紹介されている。臨床事例を通じて、丁寧なアセスメントが治療効果を高め、個別的な支援につながることが示されている。&lt;br /&gt;&lt;br /&gt;This article discusses effective clinical assessment strategies in EMDR therapy, with a focus on history-taking and treatment planning. Kobayashi emphasizes the importance of gathering detailed trauma-related information while maintaining client safety and trust. The paper outlines structured approaches to identifying target memories, assessing readiness for EMDR processing, and integrating case formulation into treatment planning. Through clinical examples, the author illustrates how thoughtful assessment enhances therapeutic outcomes and supports individualized care.</text>
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                <text>The information presented in this article intends to assist clinicians in developing effective treatment goals for clients with bipolar disorder by integrating interpersonal social rhythm therapy (IPSRT) and eye movement desensitization and reprocessing (EMDR). The information in this paper focuses on aspects of this diagnosis such as research associated with treatment options, advocacy suggestions for this population, and a fictional case study with a treatment plan that integrates IPSRT and EMDR. Due to the complexity of this diagnosis, its resemblance to other disorders, and its frequent comorbidity with other mental disorders, making accurate assessment of a bipolar disorder diagnosis is important in determining effective courses of treatment. In sum, a multifaceted approach may be needed when treating this disorder. Additional research needs to be conducted to determine the usefulness of psychotropic drugs as well as psychotherapies with and without the combination of medication.</text>
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