When the perpetrator is the client’s own body, the Illness and Somatic Disorders Protocol can be used. It is important to note that this protocol addresses both psychological and physical factors related to somatic complaints. For many, addressing the psychological dimensions will cause partial or complete remission of the physical symptoms. When primarily organic processes are involved, the psychological issues may be exacerbating the physical conditions. While physical symptoms may not remit, the clinical emphasis is on improving the person’s quality of life. Eye Movement Desensitization and Reprocessing (EMDR) has also been used in the hospital to assist clients who are suffering from intractable pain to let go of the guilt they feel about wanting to die and be released from the pain. There are many ways to bolster the immune system in order to facilitate the healing process, however, death may be inevitable for some clients.
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Protocol for excessive grief is to be used when there is a high level of suffering, self-denigration, and lack of remediation over time concerning the loss of a loved one. Eye Movement Desensitization and Reprocessing (EMDR) does not eliminate healthy appropriate emotions, including grief. The protocol is similar to the Standard EMDR Protocol for trauma. The goal of this work is to have clinicians’ client accept the loss and think back on aspects of life with the loved one with a wide range of feelings, including an appreciation for the positive experiences they shared. Francine Shapiro often brings up the issue: How long does one have to grieve? She asks us to not place our limitations on our clients as this would be antithetical to the notion of the ecological validity of the client’s self-healing process.
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 chapter presents a summary of the Current Anxiety and Behavior Protocol. For current anxiety and behavior problems, the Standard Eye Movement Desensitization and Reprocessing (EMDR) Protocol should be applied to the certain targets, including the past, present, and future templates. The chapter serves as a one-stop resource where therapists can access a wide range of word-for-word scripted protocols for EMDR practice. These scripts are outlined in an easy-to-use, manual style template for therapists, allowing them to have a reliable, consistent form and procedure when using EMDR with clients. After clients have processed their issue(s), they might want to work on positive templates for the future in other areas of their lives using the future templates. If new material comes ups during the Reevaluation Phase after the current anxiety and behavior were processed, target this material as soon as possible to make sure that the whole event have been reprocessed.
- Go to article: EMDR and Phantom Limb Pain: Theoretical Implications, Case Study, and Treatment Guidelines
This article reviews the literature on EMDR treatment of somatic complaints and describes the application of Shapiro’s Adaptive Information Processing (AIP) model in the treatment of phantom limb pain. The case study explores the use of EMDR with a 38-year-old man experiencing severe phantom limb pain 3 years after the loss of his leg and part of his pelvis in an accident. Despite treatment at several rehabilitation and pain centers during the 3 years, and the use of opiate medication, he continued to experience persistent pain. After 9 EMDR treatment sessions, the patient’s phantom limb pain was completely ablated, and he was taken off medication. Effects were maintained at 18-month follow-up. The clinical implications of this application of EMDR are explored.
Eye movement desensitization and reprocessing (EMDR) is a therapeutic approach guided by the adaptive information processing (AIP) model. This article provides a brief overview of some of the major precepts of AIP. The basis of clinical pathology is hypothesized to be dysfunctionally stored memories, with therapeutic change resulting from the processing of these memories within larger adaptive networks. Unlike extinction-based exposure therapies, memories targeted in EMDR are posited to transmute during processing and are then again stored by a process of reconsolidation. Therefore, a comparison and contrast to extinction-based information processing models and treatment is provided, including implications for clinical practice. Throughout the article a variety of mechanisms of action are discussed, including those inferred by tenets of the AIP model, and the EMDR procedures themselves, including the bilateral stimulation. Research suggestions are offered in order to investigate various hypotheses.
- Go to article: EMDR y el Modelo del Procesamiento Adaptativo de la Información Mecanismos potenciales del cambio
La desensibilización y el reprocesamiento a través de movimientos oculares (EMDR) es un enfoque terapéutico guiado por el modelo del procesamiento adaptativo de la información (PAI). Este artículo ofrece una breve visión general de algunos de los principales preceptos del PAI. Se formula la hipótesis de que la base de la patología clínica son los recuerdos almacenados disfuncionalmente, produciéndose el cambio terapéutico a través del procesamiento de dichos recuerdos dentro de redes adaptativas más amplias. A diferencia de las terapias de exposición basadas en la extinción, se propone que los recuerdos sobre los que se incide en EMDR se transmutan durante el procesamiento, volviéndose a almacenar por medio de un proceso de re-consolidación. Por tanto, se ofrece comparación y contraste con los modelos de procesamiento de la información y tratamientos basados en la extinción, incluyendo las implicaciones para la práctica clínica. A lo largo del artículo, se habla de diversos mecanismos de acción, incluyendo aquellos derivados de los principios del modelo PAI, así como los propios procedimientos de EMDR, incluyendo la estimulación bilateral. Se ofrecen sugerencias de investigación, con el fin de investigar diversas hipótesis.
This Point/Counterpoint concludes the interchange in Greenwald, R. and Shapiro, F. (2010) What is EMDR?: Commentary by Greenwald and Invited Response by Shapiro Journal of EMDR Practice and Research, 4, 170–179. Greenwald Rejoinder: In this rejoinder, I highlight areas of agreement between Shapiro and me that were obscured by Shapiro’s (2010) response to my (Greenwald, 2010) commentary. I also address some of the erroneous statements made by Shapiro (2010) in her arguments against my positions. Finally, I summarize our disagreements, and again assert that until we have an empirical basis for preferring a particular theoretical model of eye movement desensitization and reprocessing (EMDR), it is premature for professional organizations to endorse Shapiro’s model. Shapiro Response: In response to Greenwald, I again confine myself to addressing some of the errors and misconceptions in his arguments in relation to important aspects of EMDR therapy, theory, and research. Further, contrary to his assertion, there is already a sufficient empirical basis to support the preferential use of the adaptive information processing (AIP) model from which the EMDR procedures were formulated. His argument against this position is antithetical to the traditional process by which foundational models are challenged, refined, or replaced. Implications are salient to both training and practice.
Greenwald: Eye movement desensitization and reprocessing (EMDR) has already been defined by at least one EMDR-focused professional association as inextricably based on Shapiro’s (2001) eight-phase protocol and adaptive information processing (AIP) model. This commentary argues that given the lack of data supporting an exclusive preference for Shapiro’s constructs, EMDR’s definition should not preclude legitimate alternative conceptualizations. Since definitions may be used for many inclusive and exclusive purposes with impact on EMDR’s development, dissemination, practice, and reputation, EMDR’s definition should be reconsidered. Shapiro: Greenwald’s arguments and suggested redefinition are examined in relation to EMDR research, theory and practice. As evaluated in numerous studies, EMDR is a distinct, eight-phase integrative psychotherapy approach that consists of numerous procedures and protocols, which were formulated and are conducted in accordance with the principles of the AIP model. Research and published clinical case reports have validated both its utility and predictions of positive treatment outcomes with a variety of populations. Professional implications are explored.