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E-raamat: EMDR and The Art of Psychotherapy With Children

  • Formaat: 408 pages
  • Ilmumisaeg: 16-Jun-2008
  • Kirjastus: Springer Publishing Co Inc
  • Keel: eng
  • ISBN-13: 9780826111180
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  • Formaat: 408 pages
  • Ilmumisaeg: 16-Jun-2008
  • Kirjastus: Springer Publishing Co Inc
  • Keel: eng
  • ISBN-13: 9780826111180
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In this book, the authors present an overview of how therapists can get started in conceptualizing psychotherapy with Eye Movement Desensitization and Reprocessing (EMDR) methodology through Adaptive Information Processing (AIP) theory. The focus of the book is to teach therapists to effectively use the entire EMDR protocol with young children.The first chapter provides a comprehensive overview of how to get started with EMDR after completing basic training. The book continues with chapters that detail the basic skills in using EMDR with children and then transitions to more advanced skills in using EMDR with children with specific diagnosis and presenting issues. They follow with a chapter summarizing the published evidence to date supporting the practice of EMDR with children. Data is then incorporated into a chapter summarizing their research on EMDR with young children in order to provide evidence of therapists' ability to adhere to the EMDR protocol with children, and to document their research findings about training therapists to use EMDR with children.Finally, they conclude the book with goals for the future of EMDR with children while encouraging therapists to consider conducting research in order to compel the practice of EMDR with children into the mainstream of child psychotherapy. It is a major task of the book to inspire therapists to begin thinking about conducting research and how important research is to therapists in order to validate and advance the practice of psychotherapy.In the end, the most significant goal of this book is to provide best practice for children who are in need of expert psychotherapy in order to change the trajectory of their lives. The hope is to provide guidance and support to therapists in order to launch them in their practice of EMDR. This is the art of treating children with EMDR.
Foreword xv
Robbie Dunton
Preface xix
Acknowledgments xxv
Theoretical Underpinnings and Research on EMDR with Children
1(18)
Basic Training in EMDR
1(1)
Adaptive Information Processing and EMDR in Child Psychotherapy
2(3)
Assessing the Literature on EMDR With Children
5(1)
Research on EMDR
5(1)
Research on EMDR in Psychotherapy With Children
6(1)
EMDR Individual Studies With Children
6(6)
EMDR Group Studies With Children
12(1)
Our First Research Study
13(4)
Summary
17(2)
Getting Started With EMDR
19(24)
Getting Started With EMDR
20(1)
Books on EMDR
20(1)
Research on EMDR
21(1)
The Eight Phases of EMDR
22(1)
Client History and Treatment Planning Phase
22(3)
Preparation Phase
25(2)
Assessment Phase
27(3)
Desensitization Phase
30(2)
Installation Phase
32(1)
Body Scan Phase
33(1)
Closure Phase
33(3)
Reevaluation Phase
36(1)
First Client Considerations
37(1)
The Therapist's Role in EMDR
38(1)
Setting Up the Office for EMDR, and Especially for Working With Children
38(1)
Integrating Play Therapy Into the EMDR Protocol
39(1)
EMDR Progress Notes
39(1)
Cognitive Interweaves
40(1)
Additional Tools for Getting Started With EMDR
40(1)
Study Groups
40(1)
Listservs
41(1)
Summary
41(2)
EMDR Phase 1: Client History and Treatment Planning
43(26)
Client History
44(5)
Interviewing Parents and Children
49(1)
Procedural Considerations
50(2)
Listening for Targets
52(1)
Presenting Problem
52(1)
Psychosocial History
52(1)
Parent-Child Attachment/Attunement
53(1)
Educational History
53(1)
Religious Affiliations/Cultural Dynamics
54(1)
Developmental History
54(1)
Medical History
54(1)
Assessment of Current Stability
55(1)
Affect Tolerance
55(1)
Trauma History
56(1)
Current Resources, Innerpersonal, and Interpersonal Skills
56(1)
Potential Targets
56(1)
Listening for Negative Cognitions
57(1)
Treatment Planning
58(1)
Therapist Script for Client History and Treatment Planning
59(1)
Informed Consent
60(1)
Establishing the Therapeutic Relationship and Engaging the Client in Therapy
60(1)
Assessment Tools for Evaluating Children
61(1)
Ethical and Legal Issues
61(1)
Cognitive/Intellectual Assessment
62(1)
Academic/Achievement Assessment
62(1)
Developmental Assessment
62(1)
Behavioral Assessment
63(1)
Emotional Assessment
63(1)
Assessing Children's Readiness for Therapy/Selection Criteria
64(1)
Monitoring Child Symptoms
65(1)
Providing Psychoeducational Information
65(1)
Summary
66(1)
Initial EMDR Session Protocol
66(3)
EMDR Phase 2: Preparation Phase
69(30)
Explaining EMDR and Informed Consent for Treatment
69(1)
Explaining EMDR to Parents
69(1)
Explaining EMDR to Children
70(1)
Assessing the Child's Resources
71(1)
Assessing the Child's Internal Resources and Skills
71(3)
Assessing the Child's External Resources
74(3)
Teaching the Mechanics of EMDR
77(1)
Bilateral Stimulation (BLS)
77(2)
Clinical Decision Making With BLS
79(1)
Differences Between Adults and Children Regarding BLS
80(1)
Speed and Number of Saccades
81(1)
Demonstrating BLS to Clients
81(1)
Safe/Calm Place
82(3)
Safe/Calm Place Protocol for Children
85(2)
Stop Signal
87(1)
Metaphor for EMDR
88(1)
Procedural Considerations
89(3)
Techniques for Distancing and Titrating Intense Affect
92(1)
Containers and Types of Containers
92(4)
Organizing the Office for Treating Children With EMDR
96(1)
Resourcing and Mastery Skills
96(1)
Skills for Dealing With Between Sessions and Incomplete Sessions
96(1)
Summary
97(1)
Preparation Phase Session Protocol
97(2)
EMDR Phase 3: Assessment Phase
99(58)
Procedural Steps of the Assessment Phase of EMDR
100(1)
Target Identification
101(1)
Clinical Implications
102(4)
Tools for Target Identification With Child Clients
106(1)
Touchstone Event
106(2)
Interviewing Children and Parents to Identify Targets
108(8)
Floatback Technique
116(4)
Creative Techniques for Identifying Targets for Reprocessing With EMDR
120(1)
Mapping Targets for EMDR Processing
120(9)
Graphing EMDR Mastery Experiences, Targets, and Symptoms
129(5)
Additional Techniques for Target Identification of Children
134(4)
Negative (NC) and Positive Cognitions (PC)
138(2)
Identifying NCs and PCs With Children
140(7)
Cognitive Themes: Responsibility/Safety/Choices
147(1)
NCs and PCs and Cognitive Interweaves
148(1)
Assessing the Validity of Cognition (VoC)
148(1)
Procedural Considerations for Measurements in EMDR
149(1)
Measuring the VoC
149(2)
Identifying Emotions or Feelings and Body Sensations
151(1)
Measuring the Subjective Units of Disturbance
151(2)
Procedural Considerations for Body Sensations
153(1)
Summary
153(1)
Procedural Steps of the Assessment Phase
153(4)
EMDR Phase 4: Desensitization
157(36)
The Goal of the Desensitization Phase
157(1)
Procedural Considerations
158(1)
Evidence of Reprocessing During Desensitization With Children
158(1)
Children Process Quickly
159(1)
Affective and Behavioral Indicators of Reprocessing With Children
160(1)
Implication of Developmental Milestones on Reprocessing
160(1)
Use of Bilateral Stimulation (BLS) With Children During Reprocessing
161(1)
Sets of BLS
161(1)
Need to Change Type of BLS or Play or Focus
161(1)
Eye Movements
161(1)
Issues Unique to Desensitization With Children
162(1)
Children May Display Hesitancy and Avoidance Behavior
162(1)
Fluctuations in SUD Ratings
163(1)
Children May Process in Fantasy Before Processing in Reality
164(1)
Therapists' Role
165(1)
Therapists' Skills, Tools, and Use of Self in Therapy With Children
165(1)
Strategies for Regulating the Speed of Reprocessing
166(1)
Flooding
166(1)
Techniques for Distancing and Titrating Intensity of Memory Reprocessing With Children
167(1)
Containers
168(1)
Incomplete Accessing
169(1)
Cognitive Interweaves
169(1)
Procedural Considerations
170(1)
Themes for Cognitive Interweaves: Responsibility/Safety/Choices
171(1)
End of a Channel
172(1)
Checking the Target
173(1)
Incomplete Sessions
173(1)
Procedure for Closing Incomplete Sessions
173(1)
Summary
174(1)
Instructions to the Client and Therapist's Script for Desensitization Phase
174(2)
Case Presentation: EMDR Session With a 3-Year-Old Child
176(1)
Transcript of a Therapy Session
177(16)
EMDR Phases 5, 6, and 7: Installation, Body Scan, and Closure
193(14)
Phase 5: Installation Phase
193(2)
Script for Installation of Positive Cognition (PC)
195(1)
Challenges to Installing the PC With Children
196(1)
Procedural Considerations
197(1)
Phase 6: Body Scan
197(1)
Script for Body Scan
198(1)
Procedural Considerations
198(1)
Future Template
199(3)
Future Template Script
202(1)
Phase 7: Closure
203(1)
Choosing an Ending Point for the Session
204(1)
Tools for Assisting a Child to Debrief and Regroup at the End of a Session
204(1)
Tools for Between Sessions, Including Coping Strategies if Additional Information Arises Between Sessions
205(1)
Script for Closure/Debriefing the Experience
206(1)
Summary
206(1)
EMDR Phase 8: Reevaluation
207(12)
Reevaluation Phase
209(1)
Review What Is Currently Happening in the Child's Environment
209(1)
Clinical Implications
209(1)
Review the Child's Response to Previous Sessions
210(1)
Reevaluate the Specific Target
210(1)
Procedural Considerations
211(2)
Reevaluation at the End of Treatment
213(1)
Treatment Reevaluation With Single-Incident Traumas
214(1)
Treatment Reevaluation With Chronic Trauma
214(2)
Summary
216(3)
Emotional Resources, Coping Skills, and Strengthening Mastery Experiences for Children
219(20)
Goals of Resourcing, Coping, and Mastery
219(1)
Emotional Resources, Coping, and Mastery Skills
220(1)
Relaxation Skills
220(1)
Breathing Techniques
221(1)
Guided Imagery
221(1)
Containers
221(1)
Get a Grip
222(2)
Techniques for Discharging Intense Emotions
224(1)
Calming and Soothing Skills and Techniques
224(2)
Mastery Skills for Children
226(1)
Procedural Considerations for Mastery Skills
227(1)
Resource Development and Installation (RDI) Skills for Children
228(1)
Procedural Considerations for RDI With Child Clients
228(5)
Scripts for RDI
233(1)
Procedural Considerations for RDI Protocols With Children
234(2)
Summary
236(1)
Abbreviated RDI Protocol for Children
237(2)
Tools for Blocked Processing and Cognitive Interweaves
239(18)
Blocked Processing
240(1)
Editing
240(1)
Looping
241(1)
Numbing
241(1)
Avoidance/Reluctance
242(1)
Dissociation
243(1)
Abreactions
244(1)
Intense Emotional Reactions
245(1)
Clinical Implications for Therapists Working With Blocked Processing
245(1)
Cognitive Interweaves
246(1)
Motor Interweaves
247(1)
Sensory Interweaves
247(1)
Educational Interweaves
247(2)
Narrative Interweaves
249(1)
Cognitive Interweaves With Children
249(1)
Examples of Cognitive Interweaves to Restart Processing With Children
250(4)
Cognitive Interweaves for Current or Future Issues
254(1)
Summary
255(2)
Specialty Topics on Using EMDR with Children
257(52)
Parents, Parenting Skills, and Active Parenting
258(1)
General Categories of Childhood Concerns
259(1)
Clinical Diagnoses of Childhood
260(21)
Clinical and Behavioral Issues
281(2)
Behavioral/Developmental Issues of Childhood
283(10)
Situational Issues Unique to Children
293(1)
Testifying in Court
293(1)
Dealing With Divorce
294(1)
Motor Vehicle Accidents
295(1)
Child Abuse
296(3)
Educational Issues
299(4)
Summary
303(6)
The Future of EMDR With Children
309(14)
Adaptive Information Processing and EMDR in Child Psychotherapy
310(1)
How Therapists Conceptualize Treatment With Children
311(1)
How Children Construct Reality
311(1)
How Children Learn
311(1)
The Relationship Between the Child and Therapist
312(1)
The Therapist's Role in Psychotherapy With Children
312(1)
Theoretical Orientations of Psychotherapy
313(1)
Theoretical Orientations and Psychotherapy Approaches With Children
314(1)
Play Therapy
314(1)
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)
315(1)
The EMDR Treatment Model as a Template for a Comprehensive Approach to Child Psychotherapy
316(1)
EMDR With Children as Evidence-Based Practice
317(1)
What Really Matters: The Children's Stories
318(1)
The End Is Just the Beginning
319(4)
Appendix I: Consent/Assent for Treatment Form 323(2)
Appendix II: EMDR Client History/Treatment Planning Form 325(2)
Appendix III: Child/Adolescent Symptom Monitoring Form 327(2)
Appendix IV: Safe/Calm Place Protocol for Children Worksheet 329(2)
Appendix V: Mapping Targets for EMDR Processing 331(8)
Appendix VI: Graphing EMDR Targets or Symptoms 339(6)
Appendix VII: Recent Event Protocol for Children 345(2)
Appendix VIII: Scripts for Assessment, Desensitization, Installation, Body Scan, Closure, and Reevaluation 347(10)
Appendix IX: Kids' List of Cognitions 357(2)
Appendix X: EMDR Fidelity Questionnaire 359(2)
References 361(6)
Index 367