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9780898629606: Eye Movement Desensitization and Reprocessing: Basic Principles, Protocols, and Procedures

Synopsis

Eye Movement Desensitization and Reprocessing (EMDR) is a innovative clinical treatment for victims of trauma. Since its introduction in 1989, the approach has been taught to over 18,000 clinicians worldwide and has received an enormous amount of media attention. With very positive results emanating from recent studies, EMDR is now the most extensively researched treatment for Posttraumatic Stress Disorder and many other applications are also being explored.

EMDR is a time-efficient, comprehensive methodology for the treatment of the disturbing experiences that underlie many pathologies. An integrated model that draws from behavioral, cognitive, psychodynamic, body-based, and systems therapies, EMDR provides profound and stable treatment effects in a short period of time. Comprising an eight-phase treatment that includes the use of eye movements or other left-right stimulation, EMDR helps victims of trauma reprocess disturbing thoughts and memories. Although current knowledge of neurobiology does not provide a definitive explanation, a number of physiological studies are being carried out and theoretical suggestions have been put forth that link its effects to REM sleep, dual attention, and/or bihemispheric involvement.

This authoritative volume reviews research and development; discusses theoretical constructs and possible underlying mechanisms; and presents protocols and procedures for treatment of adults and children with a range of presenting problems. Among the many clinical populations for whom the material in this volume is applicable are survivors of sexual abuse, crime, and combat, as well as phobia sufferers. To facilitate the learning process, detailed descriptions and transcripts guide the clinician through every stage of therapeutic treatment, from client selection to the administration of EMDR and its integration within a comprehensive treatment plan.

This volume is essential reading for all clinicians and researchers interested in treating victims of trauma. The extensive and detailed exposition of each phase of treatment and myriad applications make it an invaluable handbook for experienced EMDR clinicians as well as those new to the approach. Accessibly written, it also serves as a text for advanced students of clinical psychology.

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About the Author

Francine Shapiro, PhD, the originator and developer of EMDR, is a senior research fellow at the Mental Research Institute in Palo Alto, California; Executive Director of the EMDR Institute in Watsonville, California; and founder and President Emeritus of the EMDR Humanitarian Assistance Programs, a nonprofit organization that coordinates disaster response and pro bono trainings worldwide. She is a recipient of the International Sigmund Freud Award for distinguished contribution to psychotherapy, from the City of Vienna; the American Psychological Association Division 56 Award for Outstanding Contributions to Practice in Trauma Psychology; and the Distinguished Scientific Achievement in Psychology Award, from the California Psychological Association. Dr. Shapiro was designated as one of the "Cadre of Experts" of the American and Canadian Psychological Associations' Joint Initiative on Ethnopolitical Warfare. She has written and coauthored more than 60 articles, chapters, and books about EMDR.

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Preface
1. Background
2. The Model as a Working Hypothesis
3. Components of EMDR Treatment and Basic Treatment Effects
4. Treatment Sequence, Phase One: Client History
5. Treatment Sequence, Phases Two and Three: Preparation and Assessment
6. Treatment Sequence, Phases Four to Seven: Desensitization, Installation, Body Scan and Closure
7. Strategies for Working with Abreaction and Blocks
8. Phase Eight: Reevaluation and the Use of The EMDR Standard Protocol
9. Protocols and Procedures for Special Situations
10. The Cognitive Interweave: A Proactive Strategy for Working With Challenging Clients
11. Special Populations
12. Research, Theory, and Clinical Implications
Appendix A: Clinical Aids
Appendix B: Client Safety
Appendix C: EMDR Resources
Appendix D: EMDR Clinician Survey

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Shapiro, Francine
Published by The Guilford Press, 1995
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