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EMDR Within a Phase Model of Trauma-Informed Treatment [Pehme köide]

(Founder, Executive Director, and Faculty Chair, Child Trauma Institute, Massachusetts, USA)
  • Formaat: Paperback / softback, 272 pages, kõrgus x laius: 276x216 mm, kaal: 720 g
  • Ilmumisaeg: 08-Aug-2007
  • Kirjastus: Routledge
  • ISBN-10: 0789032163
  • ISBN-13: 9780789032164
Teised raamatud teemal:
  • Formaat: Paperback / softback, 272 pages, kõrgus x laius: 276x216 mm, kaal: 720 g
  • Ilmumisaeg: 08-Aug-2007
  • Kirjastus: Routledge
  • ISBN-10: 0789032163
  • ISBN-13: 9780789032164
Teised raamatud teemal:
A practical guide to learning and using EMDR! Trauma is a potential source of most types of emotional or behavioral problems. Extensive research has shown EMDR to be an effective and efficient trauma treatment. EMDR Within a Phase Model of Trauma-Informed Treatment offers mental health professionals an accessible plain-language guide to this popular and successful method. The book also introduces the Fairy Tale Model as a way to understand and remember the essential phases of treatment and the tasks in each phase.

This manual teaches a clear rationale and a systematic approach to trauma-informed treatment, including often-neglected elements of treatment that are essential to preparing clients for EMDR. The reader is led step by step through the treatment process, with scripted hands-on exercises to learn each skill. In addition to presenting the fundamental EMDR procedures, EMDR Within a Phase Model of Trauma-Informed Treatment teaches a treatment system that can be applied to a variety of cases. Using research-supported and proven-effective methods, this book takes you through the treatment process with easily-understood dialogues and examples. Explicitly guided exercises produce hands-on skills and familiarize you with ways to explain trauma to clients and prepare them for EMDR. You will also learn to problem-solve challenging cases using the trauma framework.





Additional discussions address: why trauma matters posttraumatic symptoms the trauma wall the structure of trauma treatment the role of EMDR the eight phases of EMDR preparing clients for EMDR legal and medical issues in EMDR problem solving strategies in EMDR sessions treatment strategies for a variety of presenting problems using EMDR with children and adolescents use and application of the fairy tale model on-line and digital resources

Designed to be a comprehensive primer, companion/supplemental textbook, and valuable reference resource, EMDR Within a Phase Model of Trauma-Informed Treatment is ideal for clinicians already trained in EMDR, those actively learning EMDR, and mental health professionals interested in EMDR. Note that to practice EMDR requires formal supervised training.

Arvustused

"Dr. Greenwald has created an OUSTANDING IN-DEPTH EMDR TRAINING MANUAL useful for both new and experienced EMDR clinicians. . . . Unusually accessible, easy to understand and utilize with well developed explanations, examples, and exercises on all aspects of treating trauma. Dr. Greenwald has addressed many aspects of treatment that are rarely taught, giving numerous ideas on how to handle common problems in explaining EMDR and in working clinically with clients, both children and adults. I WHOLEHEARTEDLY RECOMMEND THIS EXCELLENT MANUAL."

Phyllis Klaus, MFT, CSW, EMDR Instructor and Consultant; Author of Bonding; The Doula Book; Your Amazing Newborn; When Survivors Give Birth

"Greenwald has managed to create one book that masterfully teaches trauma-informed treatment and the use of EMDR within this framework. This book is an indispensable guide to EMDR treatment with the wide range of clients who present in diverse clinical settings. In addition to teaching a comprehensive framework to inform treatment, it's a goldmine of practical strategies and techniques for EMDR clinicians and trainers. Simply stated, this is a 'must read' book for anyone doing or teaching EMDR."

Nancy Smyth, PhD, LCSW, EMDR Instructor, Dean and Professor, University of Buffalo School of Social Work

"PROVIDES READERS WITH A WEALTH OF INFORMATION that is comprehensive and true to the original EMDR methodology. Trainers and students alike will find this DOWN-TO-EARTH RESOURCE reveals how to formulate cases and EMDR targets safely and efficiently."

Sandra Paulsen, PhD, EMDR Consultant and Workshop Leader; Leading developer of EMDR applications for dissociative disorders and ego state therapy

"This book is full of helpful content and interesting details both for experienced EMDR therapists as well as those in training. The exercises will help readers to really 'get it'. The many effective explanations, metaphors, and interventions will give every clinician some new and useful tools. One of the great strengths of the book is the way EMDR is embedded in a trauma-based treatment approach. The detailed guidance on how to implement this approach will help many of our colleagues to pursue a clear path in treatment and achieve better outcomes."

Judith Bo l, MEd, RCC, HAP Trainer and Past President of EMDR-HAP

Acknowledgments ix
Introduction 1(4)
SECTION I: TRAUMA-INFORMED TREATMENT AND EMDR
5(44)
Understanding Trauma
7(14)
Why Trauma Matters
7(1)
A Useful Definition of Trauma
7(1)
What Makes an Event Traumatic?
8(2)
The ``Trauma Wall''
10(2)
Resiliency and Vulnerability
12(1)
Safety and Attachment
13(1)
Posttraumatic Symptoms
14(2)
Posttraumatic Symptoms over Time
16(2)
A Note on Exercises/Activities in this Book
18(1)
Exercise: Float-Back
18(3)
The Structure of Trauma Treatment
21(16)
Meaning of Behavior
21(6)
Selecting a Trauma Treatment Structure
27(10)
The Role of EMDR
37(12)
Exposure
38(2)
EMDR
40(3)
Adaptive Information Processing Theory
43(1)
The EMDR Protocol: The Eight Phases of Treatment
44(2)
EMDR and Other Therapy Approaches
46(1)
EMDR and the Fairy Tale Model
47(2)
SECTION II: PHASE 1---CLIENT HISTORY AND TREATMENT PLANNING
49(42)
The Initial Interview: From ``Hello'' to History
53(8)
Acculturation
53(1)
Therapist Style
54(1)
Introducing Treatment
54(1)
The Rules
54(1)
Individual Interview Strategies
55(3)
How Much Should the Client Talk?
58(1)
Obtaining More History While Focusing on Strengths
59(2)
Taking a Trauma History
61(10)
Exercise: Take a Trauma/Loss History
65(1)
Exercise Follow-Up Questions
65(6)
Trauma-Informed Case Formulation
71(10)
Exercise: Do It Yourself
74(7)
Making a Treatment Contract
81(10)
Motivation Enhancement
81(3)
Finding the Princess
84(1)
Treatment Planning and Contracting
85(1)
Presenting the Treatment Plan
86(2)
Obstacles to Following Through with the Contract
88(3)
SECTION III: PHASE 2---CLIENT PREPARATION
91(56)
Safety and Stabilization
93(10)
Avoiding High Risk
94(4)
How Long Does Fence-Around Take?
98(1)
Clients in Perpetual Crisis
99(1)
Routines for Starting and Ending the Session
99(1)
Fence-Around in the Session
100(3)
Resource Development and Installation
103(10)
Introducing Eye Movements
103(1)
Exercise: Practice Eye Movements
104(2)
The Safe Place Visualization
106(1)
Exercise: Safe Place
107(1)
Safe Place Script
107(1)
Problem Solving the Safe Place Intervention
108(1)
Resource Development and Installation
108(1)
Exercise: Resource Development and Installation
109(2)
Exercise: Using the Resource in a Positive Template
111(2)
Self-Management Training
113(12)
Self-Management of Anxiety Symptoms
113(3)
Self-Control of Behavioral Choices
116(2)
Choices Have Consequences
118(2)
Exercise: Map Out a Problem
120(5)
Precautions for EMDR
125(10)
Legal Issues
125(2)
Medical Issues
127(2)
Self-Control Issues
129(1)
Secondary Gain
129(1)
Timing
130(1)
Dissociation
130(3)
Dissociative Experiences Scale (DES) Information
133(2)
Final Preparations for EMDR
135(12)
Reorient to the Treatment Plan
135(1)
Target Order
136(4)
Introducing EMDR
140(2)
Accessing Resources
142(3)
Exercise: Stop Means Stop and Safety Device
145(1)
Stop Means Stop
145(1)
Safety Device
145(1)
Discussion
146(1)
SECTION IV: PHASES 3-8---TRAUMA RESOLUTION
147(46)
Phase 3: Assessment, or ``Setting Up the Target''
149(8)
Exercise: Practice Target Setup
155(1)
Discussion
155(2)
Phases 4 to 5: Desensitization and Installation
157(14)
Preparing the Client
157(1)
Doing the Eye Movements (EM)
158(5)
Some Tips and Reminders
163(2)
Exercise: Practice EMDR
165(3)
Discussion
168(3)
Phases 6 to 7: Body Scan and Closure
171(8)
Body Scan
171(1)
Checks on Completion
171(1)
Closure
172(2)
Exercise: Container
174(1)
Discussion Questions
174(1)
Closure for All Sessions
175(1)
Exercise: Practice EMDR
176(3)
Phase 8: Reevaluation and Consolidation of Gains
179(14)
Reevaluation
179(1)
Exercise: Reevaluation
179(2)
Using the Float-Back
181(2)
Exercise: Float-Back and EMDR
183(1)
Consolidation of Gains
184(3)
Other Aspects of Daily Functioning
187(1)
Anticipating and Preparing for Future Challenges
187(5)
Ending Treatment
192(1)
SECTION V: ADVANCED EMDR APPLICATIONS
193(46)
Problem Solving in an EMDR Session
195(12)
When the Client Is Stuck
195(2)
Other Challenges and Strategies
197(3)
This Is Too Hard
200(2)
Blocking Beliefs
202(1)
Cognitive Interweave
202(1)
Cognitive Interweave Methods
203(4)
Treatment Strategies for a Variety of Presenting Problems
207(10)
Variations of the EMDR Protocol
207(3)
Applications of EM and EMDR in the Fairy Tale Model
210(1)
Treating Anxiety or Phobia
211(1)
Treating Illness or Somatic Issues
212(2)
Treating Problem Behaviors
214(3)
EMDR for Children and Adolescents
217(8)
Basic Principles
217(1)
Safety First
218(1)
Technical Variations
219(2)
Cognitive Interweaves
221(1)
Follow-up
222(1)
Younger Children
222(3)
Challenging Cases: Applying the Fairy Tale Model
225(14)
The Fairy Tale Revisited
225(2)
Applying the Model
227(1)
Exercise: Apply the Model
228(1)
Suggested Answers
229(5)
The Importance of Using the Fairy Tale Model
234(1)
Exercise: Case Consultation Using the Fairy Tale Model
235(4)
Appendix. EMDR and Trauma Treatment Resources Online 239(2)
References 241(6)
Index 247


Dr. Ricky Greenwald is a practicing clinical psychologist who has been working with children, teens, adults, and families since 1985. He is the Trauma Institute & Child Trauma Institutes founder, executive director, and chair of faculty.