The Butterfly Hug was originated and developed by Lucina Artigas during her work performed with the survivors of Hurricane Pauline in Acapulco, Mexico, 1997. For the origination and development of this method, Lucina Artigas was honored in 2000 with the Creative Innovation Award by the eye movement desensitization and reprocessing (EMDR) International Association. By 2009, The Butterfly Hug had become standard practice for clinicians in the field while working with survivors of man-made and natural catastrophes. The “Butterfly Hug” provides a way to self-administer dual attention stimulation (DAS) for an individual or for group work. This chapter explains many uses for the Butterfly Hug. During the EMDR Standard Protocol, some clinicians have also used it with adults and children to facilitate primary processing of a fundamental traumatic memory or memories. Use of the Butterfly Hug in session with the therapist can be a self-soothing experience for many trauma-therapy clients.
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Studies have evaluated the usefulness of Eye Movement Desensitization and Reprocessing (EMDR) following disaster events finding that this approach could be effective in significantly reducing post-traumatic symptoms. EMDR has been reported as effective in the treatment of children following a hurricane in Hawaii. Group therapy is a well-proven form of treatment for traumatized children and adolescents. The EMDR-Integrative Group Treatment Protocol (IGTP) was developed by members of AMAMECRISIS when they were overwhelmed by the extensive need for mental health services after Hurricane Pauline ravaged the western coast of Mexico in 1997. This protocol combines the Standard EMDR Treatment Phases 1 through 8. Designed initially for work with children, the EMDR-IGTP has also been found suitable for group work with adults. The protocol is structured within a play therapy format and has been used with disaster victims ages 7 to 50 +.
Eye Movement Desensitization and Reprocessing (EMDR) Scripted Protocols: Basics and Special Situations
Scripting is a way to inform and remind the Eye Movement Desensitization and Reprocessing (EMDR) practitioner of the component parts, sequence, and language used to create an effective outcome. As EMDR is a fairly complicated process, this book provides step-by-step scripts that will enable beginning practitioners to enhance their expertise more quickly. The book is separated into nine parts. The Client History part represents the first of the eight phases of EMDR treatment. The ability to gather, formulate, and then use the material in the intake part of treatment is crucial to an optimal outcome in any therapist’s work. Part II includes an important element of the Preparation Phase that addresses ways to introduce and explain EMDR, trauma, and the adaptive information processing (AIP) model. The importance of teaching clients how to create personal resources is the topic of Part III. Here, an essential element of the Preparation/Second Phase of EMDR work is addressed to ensure clients’ abilities to contain their affect and remain stable as they move through the EMDR process. Part IV shows how to work with clients concerning the targeting of their presenting problems when the usual ways do not work such as usage of drawings to concretize clients’ conceptualization of their issues and usage of an alternative initial targeting method. Part V includes protocols that have been scripted based on the material that appears in Francine Shapiro’s EMDR textbook. Parts VI and VII address EMDR and early intervention procedures for man-made and natural catastrophes for individuals and groups. Performance enhancement and clinician’s self-care are dealt with in the final two parts of the book.
This book provides a standard that reflects the basic elements of the 11-Step Standard Procedure; and the Standard 3-Pronged EMDR Protocol as they are applied to different populations. The diverse population includes children and adolescents; couples; clients suffering with complex post-traumatic stress disorder and dissociative disorders; clients with anxiety; clients who demonstrate addictive behaviors; clients who deal with pain; clinicians themselves. The book serves as a basis to encourage research into these various applications for EMDR. It is divided into seven parts. Part I is devoted to the scripted EMDR protocols such as olfactory stimulation, which are used to develop resources for children and adolescents who may have suffered traumatic events in their life. The protocols take into account the particular difficulties of this developmental group and help minimize common difficulties and major hurdles. Part II describes scripted EMDR protocols designed by couples therapists and sex therapists to further the progress of their patients precisely targeting templates of relational interaction, anxiety, or sexual dysfunction. Part III concerns the scripted protocols for dissociative disorders and complex post-traumatic stress disorder. The protocols represent the structured scripted efforts of many trauma therapists over a considerable number of years. Parts IV and V of the book address the concretization of much needed scripts for the EMDR treatment of addictions and pain—two interconnected public health worries. Part VI looks at the world of people’s adaptation to fears and tackles the usage of scripted protocols to detoxify the impact of specific phobias. Part VII demonstrates the usage of scripted EMDR protocols in clinician care and in the management of secondary post-traumatic stress disorder and vicarious traumatization.
Experiencing cancer is a peculiar stressor within the infrastructure of posttraumatic stress disorder (PTSD) because this debilitating disease involves ongoing stressors and is both acute and potentially chronic. The experience can include a wide range of associated adverse events, such as tumor detection, diagnosis, severity of disease, and prognosis; aggressive treatment; disfigurement and bodily dysfunction; side effects of treatment; impaired physical, social, and occupational functioning; and sometimes, recurrence and diagnosis of terminal illness. This article provides a detailed description of the clinical application of the Eye Movement Desensitization and Reprocessing (EMDR) Integrative Group Treatment Protocol (EMDR-IGTP) Adapted for Adolescents and Adults Living with Ongoing Traumatic Stress for the patients with cancer. This protocol administers the eight phases of EMDR individual treatment to a group of patients using an art therapy format (i.e., drawings) and the butterfly hug (a self-administered bilateral stimulation method to process traumatic material). A previous study (Jarero et al., 2015) showed that after 6 sessions of EMDR-IGTP, there was a significant decrease in PTSD symptoms related to the diagnosis and treatment of different types of cancer in adult women. Effects were maintained at 90-day follow-up. In this article, we discuss how this protocol can be used to effectively provide intensive EMDR treatment to large groups of patients, and we provide detailed instructions for its provision to address one of the major psychological dimensions of cancer: the ongoing traumatic stress responses experienced by patients with cancer. A clinical example illustrates the treatment process.
- Go to article: Special Applications of EMDR: Treatment of Performance Anxiety, Sex Offenders, Couples, Families, and Traumatized Groups
Special Applications of EMDR: Treatment of Performance Anxiety, Sex Offenders, Couples, Families, and Traumatized Groups
This article presents four brief reports that illustrate EMDR’s potential in addressing a range of pathologies and problems. These include traumatized groups, families and couples, sex offenders, and individuals with performance anxiety. Each brief report provides a short summary of the research, highlights current EMDR research, and points out what is needed for future investigations. Preliminary results suggest that the EMDR–integrative group treatment protocol may be an effective means of providing mental health care to large groups of people affected by critical incidents. The report titled “EMDR in Couples and Family Therapy” provides an overview of the field and describes the various ways in which EMDR is being incorporated. The presenting issue with performance anxiety is debilitating evaluation anxiety at the prospect of having to perform some important activity in front of an audience that matters a great deal to the client. Sex offender treatment is enhanced by an effective means of resolving psychological mechanisms that contribute to the dynamics of the offense chain.
- Go to chapter: Summary Sheet: EMDR Integrative Group Treatment Protocol© Adapted for Adolescents (14–17 Years) and Adults Living With Ongoing Traumatic Stress
- Go to chapter: EMDR Integrative Group Treatment Protocol© Adapted for Adolescents (14–17 Years) and Adults Living With Ongoing Traumatic Stress
EMDR Integrative Group Treatment Protocol© Adapted for Adolescents (14–17 Years) and Adults Living With Ongoing Traumatic Stress
Eye movement desensitization and reprocessing-integrative group treatment protocol (EMDR-IGTP) combines the Standard EMDR Protocols and Procedures, including the some phases, with a group therapy model and an art therapy format, and uses the Butterfly Hug as a form of self-administered bilateral stimulation. For Jarero and Uribe, acute trauma situations are related to a time frame, and to a posttrauma safety period. They hypothesized that the continuum of stressful events with similar emotions, somatic, sensory, and cognitive information does not give the state-dependent traumatic memory sufficient time to consolidate into an integrated whole. Short posttraumatic stress disorder (PTSD) Rating Interview (SPRINT) performs similarly to the Clinician-Administered PTSD Scale (CAPS) for the assessment of PTSD symptom clusters and total scores, and it can be used as a diagnostic instrument. Intensive administration of the EMDR-IGTP can be a valuable support for cancer patients with PTSD symptoms related to their diagnoses and treatment.
Eye Movement Desensitization and Reprocessing EMDR Therapy Scripted Protocols and Summary Sheets:Treating Trauma- and Stressor-Related Conditions
This book is designed to apply what we are learning through research and to support the increasing knowledge and capabilities of clinicians in the method of Eye Movement Desensitization and Reprocessing (
EMDR) Therapy. The book is divided into three parts. The first part covers trauma and stressor-related conditions. Chapters here show how EMDR Therapy is used for a range of disorders, such as reactive attachment disorders, address the issue of child attachment trauma for adults, and discuss EMDR for traumatized patients suffering from psychosis. Other chapters in this section deal with EMDR for adolescents and adults living with ongoing traumatized stress and the treatment of 911 trauma in emergency telecommunicators. The second part of the book focuses on grief and mourning. In the third part, the need for taking self-care for clinicians and prevention of compassion fatigue are explained. The book also contains an appendix, which includes the scripts for the 3-Pronged Protocol that includes past memories, present triggers, and future templates. This section helps clinicians remember the important components of the Standard EMDR Protocol to ensure fidelity to the model.
- Go to article: Le protocole EMDR intégratif de traitement de groupe pour les patients atteints de cancer
L’expérience du cancer est un facteur de stress particulier au sein de l’infrastructure de l’état de stress post-traumatique (ESPT) car cette maladie débilitante implique des facteurs de stress permanents, et elle est à la fois aiguë et potentiellement chronique. Le cancer peut s’accompagner d’un large éventail d’effets négatifs connexes, tels que la détection d’une tumeur, le diagnostic, la gravité de la maladie et le pronostic, l’agressivité des traitements, la mutilation et le dysfonctionnement physique, les effets secondaires du traitement, les perturbations du fonctionnement physique, social et professionnel et, parfois, la récidive et un diagnostic de maladie terminale. Cet article fournit une description détaillée de l’application clinique du protocole intégratif de traitement de groupe de désensibilisation et de retraitement par les mouvements oculaires (EMDR-IGTP) adapté aux patients adolescents et adultes atteints de cancer et vivant avec un stress traumatique continu. Ce protocole administre les huit phases du traitement EMDR individuel à un groupe de patients en utilisant une composante de l’art-thérapie (c’est-à-dire des dessins) et le « butterfly hug » (BH – le « câlin de papillon », une méthode de stimulation bilatérale autoadministrée utilisée pour traiter le matériel traumatique). Une étude antérieure (Jarero et coll., 2015) avait montré qu’après six séances d’EMDR-IGTP, on observait une diminution significative des symptômes d’ESPT liés au diagnostic et au traitement de différents types de cancer chez des femmes adultes. Les effets se maintenaient lors de la séance de suivi, 90 jours plus tard. Dans le présent article, nous discutons de la manière dont on peut se servir de ce protocole pour fournir efficacement un traitement EMDR intensif à de grands groupes de patients, et nous donnons des instructions détaillées pour son utilisation, afin d’aborder l’une des principales dimensions psychologiques du cancer : les réactions de stress traumatique permanentes que connaissent les patients. Un exemple clinique illustre le processus de traitement.