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.
- 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 chapter: Summary Sheet: EMDR Integrative Group Treatment Protocol© Adapted for Adolescents (14–17 Years) and Adults Living With Ongoing Traumatic Stress
- Go to article: Protocole EMDR individuel pour une utilisation paraprofessionnelle : un essai randomisé contrôlé auprès de premiers intervenants
Protocole EMDR individuel pour une utilisation paraprofessionnelle : un essai randomisé contrôlé auprès de premiers intervenants
Le protocole EMDR (désensibilisation et retraitement par les mouvements oculaires) individuel pour une utilisation paraprofessionnelle dans les situations de traumatisme aigu (EMDR-PROPARA) fait partie d'un projet développé à l'initiative du Dr Francine Shapiro. Cet essai clinique randomisé a examiné l'efficacité de ce protocole, administré par des thérapeutes EMDR expérimentés. Trente-neuf premiers intervenants en service actif ayant subi des traumatismes ont été répartis de manière aléatoire en deux groupes et ont reçu des séances de quatre-vingt-dix minutes, soit d'EMDR-PROPARA, soit de thérapie de soutien. Les participants du groupe EMDR-PROPARA ont montré une amélioration immédiatement après le traitement, et leurs scores au Short PTSD Rating Interview (SPRINT), lors d'un suivi à trois mois, avaient encore baissé. Comparativement, les participants du groupe ayant bénéficié de la thérapie de soutien présentaient une amélioration non significative après le traitement et une augmentation des scores au SPRINT lors du second suivi. La différence significative entre les deux traitements donne un support préliminaire à l'hypothèse de l'efficacité de l'EMDR-PROPARA pour réduire la gravité des symptômes post-traumatiques et favoriser une amélioration subjective globale. Les auteurs recommandent que des études mieux contrôlées soient menées afin d'évaluer plus précisément l'efficacité de cette intervention.
- Go to article: Primer Estudio de Investigación de la Aplicación del Protocolo Grupal e Integrativo con EMDR a Niños Víctimas de Violencia Interpersonal Severa
Primer Estudio de Investigación de la Aplicación del Protocolo Grupal e Integrativo con EMDR a Niños Víctimas de Violencia Interpersonal Severa
El presente estudio, evalúo un abordaje de tratamiento del trauma, multi-componente y en fases, aplicado a 34 niñas y niños que fueron víctimas de violencia interpersonal severa (e.g., violación, abuso sexual, violencia física y emocional, negligencia y abandono). Los niños asistieron a un campamento de recuperación del trauma que tuvo una duración de una semana, en el que se les facilitaron experiencias para desarrollar recursos psicológicos, y en el que se les administró el Protocolo Grupal e Integrativo con Terapia de Reprocesamiento y Desensibilización a través del Movimiento Ocular (EMDR-IGTP) y terapia individual de EMDR, para la resolución de las memorias traumáticas. Las sesiones de terapia individual de EMDR, se administraron a 26 niños y niñas que aún presentaban perturbación relacionada con las memorias traumáticas elegidas como blanco, después de la administración del Protocolo Grupal e Integrativo con EMDR. Los resultados mostraron una mejoría significativa en la Escala Child's Reaction to Traumatic Events Scale (CRTES) y en el Short PTSD Rating Interview (SPRINT) para todos los participantes. Estos resultados se mantuvieron en el seguimiento. Es necesario realizar más investigación para evaluar el Protocolo Grupal e Integrativo con EMDR y la terapia individual de EMDR, como parte de una aproximación terapéutica multi-modal para el tratamiento de niños que han sufrido violencia interpersonal severa.
- Go to article: Randomized Controlled Trial: Provision of EMDR Protocol for Recent Critical Incidents and Ongoing Traumatic Stress to First Responders
Randomized Controlled Trial: Provision of EMDR Protocol for Recent Critical Incidents and Ongoing Traumatic Stress to First Responders
This randomized controlled trial aimed to evaluate the effectiveness of the Eye Movement Desensitization and Reprocessing Protocol for Recent Critical Incidents and Ongoing Traumatic Stress (EMDR-PRECI) in reducing posttraumatic stress disorder (PTSD), anxiety, and depression symptoms related to the work of first responders on active duty. Participants were randomly assigned to two 60-minute individual treatment sessions (N = 30) or to a no-treatment control condition (N = 30). They completed pre-, post-, and follow-up measurements using the Posttraumatic Stress Disorder Checklist for Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) (PCL-5) and the Hospital Anxiety and Depression Scale (HADS). Data analysis by repeated measures analysis of variance (ANOVA) showed clear effects of the EMDR-PRECI in reducing PTSD work-related symptoms in the treatment group with symptom reduction maintained at 90-day follow-up with a large effect size (d = 3.99), while participants continued to experience direct exposure to potentially traumatic work-related events during the follow-up period. Data analysis by repeated measures ANOVA revealed a significant interaction between time and group, F (2,116) = 153.83, p < .001, ηP2 = .726 for PTSD, and for anxiety F (1,58) = 37.40, p < .005, ηP2 = .090, but not for depression. A t-test showed a clear decrease for depression symptoms for the treatment group with statistically significant results. The study results suggest that the EMDR-PRECI could be an efficient and effective way to address first responders' work-related PTSD, anxiety and depression symptoms. Future research is recommended to replicate these results and to investigate if symptom improvement also results in the reduction of physical health symptoms and early retirement for PTSD-related reasons among first responders.