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E-raamat: EMDR Therapy Primer: From Practicum to Practice

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  • Formaat: 530 pages
  • Ilmumisaeg: 24-Nov-2020
  • Kirjastus: Springer Publishing Co Inc
  • Keel: eng
  • ISBN-13: 9780826182494
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EMDR Therapy Primer: From Practicum to PracticeSuurem pilt
  • Formaat: 530 pages
  • Ilmumisaeg: 24-Nov-2020
  • Kirjastus: Springer Publishing Co Inc
  • Keel: eng
  • ISBN-13: 9780826182494
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"EMDR is a powerful therapeutic approach. However, without the proper training and consultation, an untrained clinician (and this includes very experienced clinicians) could put their clients at risk. A goal of this Primer is to target those clinicians who have completed the EMDR therapy two-part basic training, 10 hours of supervised consultation, and have read Dr. Shapiro's basic text (Eye movement desensitization and reprocessing: Basic principles, protocols, and procedures, 3rd ed., 2018) and Gettingpast your past (2012), but still want additional information on using it skillfully"--

Note to Readers: Publisher does not guarantee quality or access to any included digital components if book is purchased through a third-party seller.

Praise for the Second Edition:

This book is a must-have for any newly trained EMDR therapist. Dr. Hensley, drawing from her years of experience and many conversations with Dr. Francine Shapiro, clearly and succinctly addresses the kinds of clinical questions that typically arise for new clinicians and does so in a way that is incredibly supportive and encouraging. The EMDR Therapy Primer is the perfect companion to Shapiro's seminal textbook. –Deborah Korn, PhD.

This book presents EMDR as a comprehensive therapeutic approach and informs the clinician how to integrate EMDR into clinical practice. EMDR concepts are clearly explained and illustrated with many case examples. It is informative, well-written, and an excellent resource that expands EMDR basic training for the clinician. -- Roger Solomon, PhD -

This book has been an invaluable resource as a one-stop shop for EMDR therapists. Thank you for the gift of the 3rd edition! -- Deany Laliotis, LICSW

Barbara Hensley’s book, An EMDR Therapy Primer: From Practicum to Practice, is written as a primer and companion to Francine Shapiro’s EMDR texts. It is a step-by-step overview of the foundations of EMDR therapy presented in easily accessible, conversational language, and helps both new and experienced clinicians to maximize their preparation and skills in using EMDR safely, confidently, and effectively. By providing concise coverage of the AIP model and EMDR principles, protocols, and procedures, and by addressing the types of targets accessed during the EMDR process, the book expertly summarizes the eight phases of EMDR with myriad examples so core content can be easily grasped.

The third edition is fully revised to include case examples on treating specific populations and issues - transgender issues, military personnel, children, and disaster response. The author has ensured that all relevant new information on components of memory, precepts of EMDR therapy, and adaptive information processing has been fully integrated into the text, making this the most up-to-date book available on the foundations of EMDR therapy. An eBook is included with the purchase of the print edition.

    New to the Third Edition:
  • New chapter on working with special populations including the transgender population, children, military personnel, and disaster response
  • Expanded Shapiro metaphors and introduced new informational plateau embracing social connection and belonging
    Key Features:
  • Like having a tutor in your pocket
  • Blends text, clinical examples, scripts, and derailment possibilities to explore and explain the eight phases of EMDR
  • Describes core content in clear, easy-to-understand language
  • Uses case histories, dialogues, and transcripts of successful EMDR sessions with explanations of treatment rationale
  • Details strategies and techniques for dealing with challenging clients, high levels of abreaction, and blocked processing
  • Delivers abundant diagrams, tables, and illustrations to illuminate concepts
  • Helps clinicians to guide clients smoothly through the EMDR process

Arvustused

Praise for the Second Edition:

"This book is a must-have for any newly trained EMDR therapist. Dr. Hensley, drawing from her years of experience and many conversations with Dr. Francine Shapiro, clearly and succinctly addresses the kinds of clinical questions that typically arise for new clinicians and does so in a way that is incredibly supportive and encouraging. The EMDR Therapy Primer is the perfect companion to Shapiro's seminal textbook." Deborah Korn, PhD.

"This book presents EMDR as a comprehensive therapeutic approach and informs the clinician how to integrate EMDR into clinical practice. EMDR concepts are clearly explained and illustrated with many case examples. It is informative, well-written, and an excellent resource that expands EMDR basic training for the clinician". - Roger Solomon, PhD

"This book has been an invaluable resource as a one-stop shop for EMDR therapists. Thank you for the gift of the 3rd edition!" - Deany Laliotis, LICSW

Foreword xix
Jennifer Lendl
Preface xxiii
Notes From the Author xxix
Special Acknowledgments xxxi
Acknowledgments xxxv
1 EMDR Therapy Overview
1(78)
Reintroduction to EMDR Therapy
1(1)
Trauma
2(2)
What Is Trauma?
2(1)
Types of Trauma
3(1)
Adaptive Information Processing---"The Past Drives the Present"
4(7)
Model, Methodology, and Mechanism of EMDR Therapy
11(10)
Model---How?
12(1)
Methodology---How/What?
13(5)
Mechanism---Why?
18(3)
Three-Pronged Approach
21(4)
Past, Present, Future
21(1)
Three-Pronged Targets---Experiential Contributors to Present-Day Problems
22(3)
The Importance of Past, Present, and Future in EMDR Therapy
25(1)
Targeting Possibilities
25(1)
Targets May Arise in Any Part of the EMDR Therapy Process
25(1)
Types of EMDR Targets
26(7)
Targets From the Past
26(1)
Touchstone Memory
26(1)
Primary Events
27(1)
Targets From the Present
27(1)
Circumstances
27(1)
Internal or External Triggers
27(1)
Targets From the Future
27(1)
Future Desired State
27(1)
Positive Template (i.e., Imaginal Future Template Development)
28(1)
Other Potential Targets
28(1)
Node
28(1)
Cluster Memories
29(1)
Progression
29(1)
Feeder Memory
29(1)
Blocking Belief
30(1)
Peelback Memory
31(1)
Fears
31(1)
Wellsprings of Disturbance
31(1)
Secondary Gain
32(1)
Channels of Association
32(1)
Bilateral Stimulation
33(12)
What Does It Do?
33(2)
Preferred Means of Bilateral Stimulation
35(1)
Shorter or Longer? Slower or Faster?
35(6)
Continuous Bilateral Stimulation
41(2)
How to Do Eye Movements
43(2)
Is Bilateral Stimulation EMDR Therapy?
45(1)
Important Concepts to Consider
45(8)
Memory Network Associations
45(1)
Stop Signal
46(1)
EMDR Therapy Is Not Hypnosis
47(1)
What Once Was Adaptive Becomes Maladaptive
47(1)
Developing and Enhancing Adaptive Networks of Association
47(2)
Developing New Positive Networks
49(1)
Enhancing Already Existing Positive Networks
49(1)
State Versus Trait Change
49(1)
Dual Awareness---Internal/External Balance
50(1)
Ecological Validity (i.e., Soundness)
50(2)
Side Benefits of EMDR Therapy
52(1)
Holistic Nature of the Approach
52(1)
Cookie-Cutter Approach
52(1)
Useful Metaphors
53(3)
Train Metaphor
53(2)
Tunnel Metaphor
55(1)
Hand Metaphors
56(1)
Ancillary Targets
56(2)
Secondary Gains
56(1)
Blocking Beliefs
57(1)
Subjective Units of Disturbance and the Emergence of Blocking Beliefs
57(1)
Validity of Cognition and the Emergence of Blocking Beliefs
57(1)
Body Scan and the Emergence of Blocking Beliefs
58(1)
Feeder Memories
58(1)
To Intervene or Not to Intervene
58(1)
Eye Movement Desensitization Versus EMDR Therapy
59(5)
Assessment Phase
62(2)
Desensitization Phase
64(1)
Practical Tips to Remember
64(5)
Practice, Practice, Practice
64(1)
Follow the Script Verbatim
65(1)
Know Your Client
66(1)
Stay Off the Tracks
66(1)
Tracking the Client
66(1)
Keep It Simple
66(1)
Power of Now
67(1)
One More Time
67(1)
Solo Run
68(1)
Summary Statements
69(1)
References
69(10)
2 Eight Phases of EMDR Therapy
79(68)
Introduction
79(4)
Phase 1 Client History and Treatment Planning
83(7)
Informed Consent and Suitability for Treatment
83(1)
Client Selection Criteria
84(1)
Client's Suitability and Readiness for EMDR Therapy
85(1)
Screening for Dissociative Disorders
86(1)
Client Willingness to Do EMDR Therapy
87(1)
Assessment
87(1)
Treatment Planning in EMDR Therapy
88(1)
Elements Pertinent to EMDR Therapy
88(2)
Candidates for EMDR Therapy
90(3)
What Does an Adaptive Information Processing-Informed Treatment Plan Look Like?
93(1)
Phase 2 Preparation
93(13)
Setting the Stage for Effective Reprocessing
94(1)
Maintaining a Safe Therapeutic Environment
95(1)
Explanation of the EMDR Process and Its Effects
95(2)
Safe (Calm) Place and Other Coping Strategies
97(1)
What Factors Indicate a Greater Need for Stabilization?
98(1)
Safe (Calm) Place---Stabilization and Assessment
99(3)
Resource Development and Installation, Dissociation, and Ego State Therapy
102(1)
Resource Development and Installation
102(1)
What Is Dissociation?
103(1)
Ego State Therapy
103(1)
Container
103(1)
Addressing the Client's Fears and Expectations
104(1)
Client Expectations
104(1)
Client Fears
105(1)
Mechanics of EMDR Therapy
105(1)
Seating Arrangement
105(1)
Range, Distance, Speed, Direction, and Number of Bilateral Stimulation Sets
105(1)
Phase 3 Assessment
106(5)
Identify, Assess, and Measure
107(1)
Identifying the Target
107(1)
Identifying the Image
107(1)
Assessing the Negative and Positive Cognitions, Emotions, and Location of the Physical Sensations
108(1)
Measuring the Validity of Cognition and the Subjective Units of Disturbance
108(2)
Disparate Scaling Between Subjective Units of Disturbance and Validity of Cognition
110(1)
Phase 4 Desensitization
111(13)
When Does It Begin?
111(1)
What About Reprocessing?
112(1)
Purpose of the Desensitization Phase
113(1)
Associative Processing
114(1)
Evaluating Channels of Association
114(5)
End of Channel?
119(2)
When to Return to Target?
121(1)
What to Do If the Subjective Units of Disturbance Become Stuck
122(1)
How Long Does It Last?
122(1)
When to Proceed to the Installation Phase?
123(1)
Taking a Break
124(1)
Phase 5 Installation
124(5)
What Occurs?
124(1)
Procedural Change to the Processing of the Validity of Cognition
125(2)
Evaluate Appropriateness of Original Cognition
127(1)
Validity of the Positive Cognition
128(1)
Link to Original Target
128(1)
When Is Installation Complete?
128(1)
How to Discern the Presence of a Blocking Belief
128(1)
Phase 6 Body Scan
129(2)
Phase 7 Closure
131(6)
Levels of Closure
131(1)
Strategies for Closing Sessions
132(1)
Completed Session
132(1)
Incomplete Session
132(1)
Instructions for Closing All Sessions (Complete and Incomplete)
133(3)
Assessment of Client's Safety
136(1)
What Can Happen After a Session?
137(1)
Phase 8 Reevaluation
137(6)
What Has Changed and What Is Left to Do?
137(1)
Resuming Reprocessing in an Incomplete Session
138(1)
Reevaluation of Treatment Effects
138(2)
Reevaluation and Treatment Planning
140(1)
Final Reevaluation Stage
140(1)
Past
141(1)
Present
141(1)
Future
141(1)
Pivotal Points in the Reevaluation Phase
141(2)
Summary Statements
143(1)
References
144(3)
3 Steppingstones to Adaptive Resolution
147(52)
Assessment Phase
147(1)
Back to Basics
147(1)
How Much Do You Need to Know?
148(1)
Target Assessment
148(4)
Effective EMDR Therapy Equals Effective Targeting
148(1)
Characteristics of Effective Targets
149(1)
How Is the Memory Encoded?
149(2)
Appropriateness of the Target
151(1)
Assessment of Cognitions
152(12)
Elements of Negative and Positive Cognitions
152(1)
What Is a Cognition?
153(1)
Teasing Out Negative and Positive Cognitions
153(6)
Informational (Clinical, Cognitive, or Emotional) Plateaus
159(5)
Assessment of the Validity of Cognition
164(1)
Validity of Cognition Scale
164(1)
Assessment of Emotions
164(9)
Emotion
164(9)
Assessment of Current Level of Disturbance
173(4)
Subjective Units of Disturbance Scale
173(4)
Assessment of Physical Sensations
177(1)
Body Sensations
177(1)
Case Examples
177(12)
Recent Traumatic Events and Single-Incident Traumas
189(8)
Recent Traumatic Events Protocol
190(3)
Caveats When Using the Recent Traumatic Events Protocol
193(1)
How Do You Know When Its Use Is Appropriate?
193(1)
Single-Incident Traumas
194(1)
Single Traumatic Event Protocol
194(3)
Treatment Planning Guide
197(1)
Summary Statements
197(1)
References
198(1)
4 Building Blocks of EMDR Therapy
199(36)
EMDR Therapy Is a Three-Pronged Approach
199(2)
Building Blocks of EMDR Therapy: Past, Present, and Future
200(1)
Clinical Presentation Possibilities
201(7)
Simple-Symptom Presentations
203(1)
Acute Stress Response (i.e., Fight or Flight)
203(1)
Recent Event Trauma
203(1)
Single Incident
203(1)
Specific Presenting Problem Characterized by the Following (in a Limited Context)
204(1)
Any Circumscribed Problem (or Set of Experiences) Whether Acute or Longstanding and Within a Specific Context
204(1)
Diagnoses: Posttraumatic Stress Disorder, Adjustment Disorder, and Acute Stress Disorder
204(1)
Complex Clinical Presentations
205(1)
Multiple Problems/Issues
205(1)
Pervasive Experiences Regarding Severe Childhood Abuse/Neglect
205(1)
Adult-Onset Traumatic Experiences
206(1)
Comorbidity of Disorders
206(1)
Pervasive History of Early Trauma
206(1)
Vague or Diffuse Presentations
207(1)
Diagnoses: Complex Posttraumatic Stress Disorder, Addictions and Compulsive Disorders, Mood Disorders, Phobias, Dissociative Disorders, Personality Disorders
208(1)
First Prong: Earlier Memories/Touchstone Events
208(8)
Touchstone Event
208(1)
Strategies for Accessing the Touchstone Memory
209(1)
Direct Questioning (i.e., Go Back)
210(1)
Floatback Technique (i.e., Think Back)
210(1)
Affect Scan (i.e., Feel Back)
210(3)
Identifying the Touchstone Through Direct Questioning
213(1)
Identifying the Touchstone Event Using Floatback
214(1)
Identifying the Touchstone Event Using Affect Scan
214(2)
Touchstone Revisited
216(1)
Second Prong: Present Events and Triggers
216(7)
What to Look Out For
216(1)
How Can Triggers Remain Active After So Much Processing?
217(1)
Assessment
218(1)
Desensitization
219(3)
Installation
222(1)
Body Scan
222(1)
Closure
222(1)
Present Triggers Subsumed by the Reprocessing of the Touchstone Event
223(1)
Third Prong: Future Events and Future Templates
223(11)
Goals of the Future Template
223(1)
Skills Building and Imaginal Rehearsal
224(1)
Steps Needed Prior to Creating a Positive Template
224(1)
Procedural Steps for Installing a Future Template
224(1)
Phase 1 Future Template---Desired Outcomes
225(1)
Phase 2 Future Template---Generate Challenging Situations
226(1)
Third Prong: Misunderstood, Disregarded, and Forgotten
227(1)
Future Template---Examples
228(1)
Desired Outcome
229(2)
Problem-Solving Situation
231(2)
Modifications of the Three-Pronged Approach
233(1)
Summary Statements
234(1)
References
234(1)
5 Abreactions, Blocked Processing, and Cognitive Interweaves
235(46)
When the Engine Has Stalled
235(1)
Stalled Processing
235(1)
Abreaction
236(2)
What Is It?
236(1)
Preparing the Client for Abreactions
236(1)
What Happens When a Client Abreacts?
237(1)
Abreaction Guidelines
238(1)
Strategies for Maintaining Processing
238(5)
Overresponders and Underresponders: Guidelines for Clients Who Display Too Little or Too Much Emotion
238(4)
Cautionary Note
242(1)
Returning to Target Too Soon?
242(1)
Strategies for Blocked Processing
243(3)
Blocked Processing
243(1)
Identifying Blocked Processing
243(2)
Primary Targets for Blocked Processing
245(1)
Ancillary Targets for Blocked Processing
245(1)
The Art of the Cognitive Interweave
246(19)
What Is a Cognitive Interweave?
247(1)
Using a Cognitive Interweave Effectively
247(1)
When To Use a Cognitive Interweave
248(1)
Choices of Cognitive Interweaves
249(4)
Comparison Between Strategies for Blocked Processing and Cognitive Interweaves
253(1)
Responsibility/Defectiveness, Safety/Vulnerability, and Power/Control (or Choice)
253(1)
Responsibility/Defectiveness and Responsibilities/Action Interweaves
254(1)
Safety/Vulnerability Interweaves
254(1)
Power/Control (or Choice) Interweaves
254(4)
Responsibility/Defectiveness (i.e., "I Am Something Wrong")
258(1)
Responsibility/Action (i.e., "I Did Something Wrong")
258(1)
Safety/Vulnerability
258(1)
Power/Control (or Choice)
259(1)
Social Connection and Belonging Informational Plateau
259(5)
Use the Cognitive Interweave With Complex Trauma
264(1)
Summary Statements
265(13)
References
278(3)
6 Past, Present, and Future
281(64)
EMDR Therapy Case Examples
281(1)
Questions
281(2)
Past
283(17)
Assessment
285(1)
Desensitization
286(5)
Installation
291(1)
Body Scan
291(1)
Future Resourcing
292(1)
Closure
293(1)
Assessment
294(1)
Desensitization
295(3)
Installation
298(1)
Body Scan
298(1)
Closure
299(1)
Present
300(16)
Assessment
301(1)
Desensitization
301(5)
Closure
306(1)
Assessment
307(1)
Desensitization
307(2)
Installation
309(1)
Body Scan
310(1)
Closure
311(1)
Assessment
312(1)
Desensitization
312(3)
Installation
315(1)
Body Scan
315(1)
Closure
316(1)
Future
316(28)
Future Template---Desired Outcome/Problem Solving
316(1)
Future Template---Anticipatory Anxiety
316(1)
Assessment
317(1)
Desensitization
317(4)
Installation
321(1)
Body Scan
321(1)
Closure
322(1)
Use of the Cognitive Interweave Demonstrated
322(1)
Assessment
323(1)
Desensitization
323(1)
Plateau of Responsibility/Defectiveness
323(2)
Plateau of Safety/Vulnerability
325(1)
Plateau of Power/Control (or Choice)
326(2)
Installation
328(1)
Body Scan
328(1)
Closure
329(1)
Use of Eye Movement Desensitization (EMD)
329(4)
Derailment Possibilities
333(11)
Summary Statements
344(1)
References
344(1)
7 Working With Special Populations
345(26)
Introduction
345(1)
EMDR With Military and Veteran Populations
345(8)
Sample Session With Veteran
346(1)
Assessment
347(1)
Desensitization
347(1)
Safety/Vulnerability Plateau
347(1)
Responsibility/Action ("I Did Something Wrong") Plateau
348(2)
Control/Power/Choice Plateau
350(3)
EMDR With Children
353(9)
Phase 1 History-Taking and Treatment Planning
354(1)
Phase 2 Preparation
354(1)
Phase 3 Assessment
354(1)
Image
355(1)
Cognitions
355(1)
Validity of Cognition
355(1)
Emotions
355(1)
Subjective Units of Disturbance
355(1)
Body Sensations
355(1)
Phase 4 Desensitization
355(1)
Phase 5 Installation
356(1)
Phase 6 Body Scan
356(1)
Phase 7 Closure
356(1)
Phase 8 Reevaluation
356(1)
Other Prongs
356(1)
Sample Session With Child
356(1)
Assessment
357(2)
Desensitization
359(3)
EMDR With Culturally Diverse Populations
362(5)
Sample Session With a Transgender Female
363(1)
Assessment
364(1)
Desensitization
365(2)
Summary Statements
367(1)
References
368(3)
8 Resources, Scripts, and Exercises
371(70)
A EMDR Phase 2 Exercises
371(8)
Grounding
371(1)
Grounding Exercise
371(1)
Diaphragmatic Breathing
372(1)
Breathing Exercise
373(1)
Chin Mudra as an Alternative to Teaching Client Diaphragmatic Breathing
373(1)
Anchoring in the Present
374(1)
Safe (Calm) Place
374(1)
Identify the Image
375(1)
Identify the Associated Emotions and Sensations
375(1)
Enhancing the Sensations
375(1)
Establishing a Cue Word
376(1)
Self-Cuing Instruction
376(1)
Cuing With Disturbance
376(1)
Self-Cuing With Disturbance
377(1)
Sacred Space
377(1)
Grounding the Client in the Moment
377(1)
Finding Sacred Space
378(1)
Preparing the Sacred Space
378(1)
Getting Comfortable in Sacred Space
378(1)
Preparing the Way for Wisdom's (or Guidance's) Message
378(1)
Listening for Wisdom's (or Guidance's) Message
379(1)
Closing the Sacred Space
379(1)
References
379(1)
B EMDR Therapy Scripts
380(18)
Resource Development Steps---Affect Management and Behavior Change
380(1)
Container Exercise
380(1)
Breathing Shift
381(1)
Diaphragmatic Breathing
381(1)
Spiral Technique
382(1)
Lightstream Technique
382(1)
Lightstream Transcript
383(1)
Future Template
383(1)
Future Template Script
383(1)
Steps for Recent Traumatic Events Protocol
384(1)
TICES Log
385(3)
Treatment Planning Guide
388(1)
Presenting Issues
388(1)
Treatment Planning Guide Script
389(5)
Phobia (and Anxiety) Protocol
394(1)
Steps for Processing Phobias
394(4)
References
398(1)
C Informed Consent and EMDR Therapy
399(1)
Reference
400(1)
D EMDR Therapy--Related Resources
401(5)
EMDR International Association, EMDR Research Foundation, Trauma Recovery/EMDR-Humanitarian Assistance Programs, and the EMDR Institute: What Are the Differences?
401(1)
EMDR International Association
402(1)
Trauma Recovery/Eye Movement Desensitization and Reprocessing-Humanitarian Assistance Programs
402(1)
EMDR Institute, Inc.
402(1)
Francine Shapiro Library
402(1)
Council of Scholars
403(1)
Resource Development and Installation
403(1)
Dissociative Disorders
404(1)
Clinical Signs and Symptoms of Dissociative Disorders
404(1)
Dissociative Experiences Scale
405(1)
Dissociative Experiences Scale
405(1)
Dissociative Experiences Scale-II
405(1)
Scoring the Dissociative Experiences Scale
406(1)
Interpreting the Dissociative Experiences Scale
406(1)
Ego State Therapy
406(1)
Schema Therapy
406(1)
References
406(2)
E Efficacy of EMDR Therapy
408(9)
References
417(7)
F History of EMDR Therapy and the EMDR Research Foundation
424(13)
References
437(4)
Glossary 441(4)
Abbreviations 445(2)
Index 447
Barbara J. Hensley, EdD, is a clinical counselor in Cincinnati, Ohio, a board-certified diplomate for the American Academy of Experts in Traumatic Stress, and co-founder of the Cincinnati Trauma Connection, an EMDR-based trauma center. She has served on the EMDR International Association (EMDRIA) Board of Directors as president and treasurer and has represented EMDRIA internationally. Dr. Hensley is an EMDRIA-certified therapist and approved consultant and is a regional coordinator for the Greater Cincinnati EMDR Regional Network. She is the creator of the Francine Shapiro Library, was co-named Outstanding EMDRIA Regional Coordinator, and is the recipient of the distinguished Francine Shapiro Award for her extraordinary service and contributions to EMDR.
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