This book offers practical guidance and strategies to avoid the common pitfalls of eye movement desensitization and reprocessing (EMDR) practice through the 8-phase protocol. It proposes to guide those therapists into a safer way of working while encouraging them to access accredited training and supervision for their practice. The scope of the book is limited to EMDR practice with adults. Phase 1 of the standard EMDR protocol is history taking. It is important to determine whether the client is appropriate for EMDR selection. The therapist needs to help the client to identify and practice appropriate coping strategies that will support the client throughout the therapy. Therapists need to address any fears that the client (or therapist) may have about the later desensitization. Failing to do this can result in problems later. Many of the clients that come for EMDR will have a history of complex trauma or a chaotic childhood. The treatment plan needs to identify specific targets for reprocessing. This will be a three-pronged approach that includes the past memories that appeared to have set the pathology in process, the present situations that, and people who, exacerbate this dysfunction, and the desired future response, emotionally, cognitively, and behaviorally. Clients and therapists need to understand the rationale for selecting a particular target utilizing prioritization and clustering techniques as illustrated with the case study. Choosing the correct target can involve some detective work, but this will be time well spent. The book guides practitioners on how to identify the components of a memory network for reprocessing. It then focuses on the assessment phase and the importance of negative cognitions (NCs) drawing heavily on illustrative case vignettes.
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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.
This book provides a foundation for counselors planning to supervise clinicians working with individuals and groups, attain leadership positions within an agency, or open their own professional practice. It encompasses key information about supervisory roles and responsibilities, ethics, multicultural issues, evaluation, and due-process procedures along with administrative issues such as agency leadership, budgeting, information management, crisis management, and quality-improvement practices. The book is divided into two sections: supervision and agency management. Chapters 1 to 4 are dedicated to issues related specifically to the supervisory process, such as roles and responsibilities, ethics, and various due-process procedures. Individual and groups supervision, ethical issues in supervisory relationship as well as developmental models, counseling theory-based models, and social role models of supervision are also discussed. Chapters 5 to 10 focus on the aspects of agency management (including issues that pertain to private practice) that may be less familiar to counselors. Here, chapters focus on budgeting, information management, leadership, and marketing. The budgeting chapter gives the reader information about how to financially plan and provides the information in a very accessible manner. Another chapter in this section enables assisting supervisors, counselor educators, and agency managers to understand the nature of critical incidents and crisis response and subsequently develop the strategies necessary to incorporate this important concept into practice.
A Guide to the Standard EMDR Therapy Protocols for Clinicians, Supervisors, and Consultants, 2nd Edition
The book describes updated information on mechanisms of action of eye movement desensitization and reprocessing (
EMDR) therapy. It delivers clear, concise treatment guidelines for students, practicing clinicians, supervisors, clinic directors, and hospital administrators involved in the treatment of those with posttraumatic stress disorder (PTSD), Specific Phobias, and Panic Disorder. In EMDR therapy, various strategies can be employed to support the goals of stabilization and symptom reduction. Some stabilization strategies commonly used in EMDR therapy were developed in other traditions such as progressive relaxation, self-hypnosis, biofeedback, and meditation. The book provides an overview of the standard eight-phase model of EMDR therapy and the general three-pronged protocol that provides the framework for the specific treatment protocols for diagnostic groups. It briefly touches on clinical situations where the general principle of treatment planning based on the three-pronged protocol must give way to an initially inverted protocol for treatment planning that starts with reprocessing targets in the future, then on the present, and addresses past targets only after significant treatment gains have been achieved. The book explores the theoretical and practical aspects of the EMDR therapy approach to case formulation, treatment planning, and selecting and preparing patients with PTSD and other post-traumatic syndromes for EMDR reprocessing. Screening for a possible dissociative disorder is essential before offering EMDR reprocessing on either traumatic targets or resource installation. Case studies with transcripts illustrate the different protocols and further guide practitioners of EMDR therapy in informed decision-making.
This book provides a unique resource guide with practical application for graduate students, counselor educators and supervisors, and mental health practitioners to prepare to meet the intense challenges of disaster response in the 21st century. Each section of the book defines, describes, and applies the knowledge, awareness, and skills to work in a variety of disaster mental health counseling scenarios. Considerations are given to working with a variety of different cultures and special populations. Chapters cover the medical aspects such as blast wounds, psychosocial adjustment issues such as chronic illnesses and disabilities (CIDs), career transitions and clinical interventions in disaster mental health counseling. Survivors of mass violence are at high risk for a wide range of psychiatric, neurobehavioral, and neurocognitive disorders as a result of experiencing extraordinary stressful and traumatic events. One of the chapters offers a description of the empathy fatigue construct as it relates to other professional fatigue syndromes, a recently developed tool, Global Assessment of Empathy Fatigue (GAEF). The book goes beyond the traditional counseling theories and interventions text in that it offers real-world functional assessments, explains culturally relevant interventions, and provides readers with a structured approach for healing trauma; the Personal Growth Program to Heal Trauma (PGP-HT).
Disability Across the Developmental Lifespan, 2nd Edition:An Introduction for the Helping Professions
This is the only book to examine the experience of disability in relation to theories of human growth and development. It provides a foundational and comprehensive examination of disability that encompasses the intellectual, psychiatric, physical, and social arenas. The second edition is updated to underscore its versatility as an introductory text about the developmental tasks of people with disabilities for all the helping professions. Reorganized to illuminate the book’s interdisciplinary focus, it includes new demographics, new case studies and first-person accounts, discussions on cultural aspects of disabilities, family concerns, and more. The book delivers practice guidelines for each of the conventional life stages and describes the developmental tasks of individuals with disabilities (
IWDs). It emphasizes the positive trend in the perception of IWDsas normal and underscores the fact that IWDshave the same motivations, emotions, and goals as those without disabilities. In this second edition, three new components have been added: The Family and Disability; Cultural, Developmental Stages, and Disability; and Intersectionality and Disability. Intersectionality refers to the experiences of individuals when they experience prejudice or discrimination from more than one source, such as a person with disabilities who is African American, or elderly, or a woman, or all of these identities. There are several sections at the end of each chapter to provide further learning experiences and to allow students to engage more fully in the information presented. Students will be able to integrate the material in the textbook, class discussion, additional readings, and topics of personal interest.
Cultural Competence and Healing Culturally Based Trauma With EMDR Therapy:Innovative Strategies and Protocols
Underscoring the importance of cultural competence, this book focuses on using eye movement desensitization and reprocessing (EMDR) therapy with specific populations, particularly those groups typically stigmatized, oppressed, or otherwise marginalized in society. Drawing on social psychology research and theory as well as social justice and social work principles, it delivers general protocols for EMDR intervention for recovery from the internalized effects of cultural mistreatment. Employing best-practice methods for cultural competence as EMDR therapy is introduced to new cultures worldwide, the editor and esteemed EMDR clinician-authors relay their experiences, insights, guidance, and lessons learned through trial and error while adapting EMDR interventions for cross-cultural competency and therapeutic effectiveness. The book defines cultural competence and validates the need for a multi-culturally aware approach to psychotherapy that embraces authentic socialidentities and attends to the impact of socially based trauma. Chapters address using EMDR therapy to heal the trans-generational impact of anti-Semitism, working with the LGBT population, treating an immigrant woman suffering from social anxiety, healing individuals with intellectual disabilities, thetraumatizing effects of racial prejudice, harmful cultural messages about physical appearance, EMDR therapy attuned to specific cultural populations andsocially based identities, and many other scenarios. The book is replete with step-by-step treatment guidelines to help clients recover from traumatic life events, dos and don’ts, and common adaptive and maladaptive cultural beliefs.
This book is a practical guide for professionals to better understand how grief impacts the lives of bereaved children and how they can provide a safe place for grieving children and their families to find support. The information provided comes from the authors’ personal experiences working with children and their families over the past three decades. It provides a theoretical model for understanding childhood grief due to death as a natural, transitional experience that is an integral part of a child’s development into healthy adulthood. The first chapter, Understanding Childhood Grief and the Bereavement Professional’s Role, presents five universal realities of grief. The second chapter, Impact of Grief on Children, describes common grief reactions in children and factors that influence childhood grief. The third chapter talks about suicide, homicide, sudden death, and illness. The fourth and fifth chapters: Death of a Parent, and Death of Other Family Members, describes the strengths of parent/child relationship, sibling relationship, and grandparent/grandchild relationships. These first five chapters provide a framework for understanding how grief impacts the lives of children and how their surrounding circumstances further influence their reactions to grief. The sixth and seventh chapters explore the factors that promote health in grieving children and modes of helping. The eighth chapter describes the grief support settings for bereaved children. The ninth chapter presents activities that engage children, and the tenth chapter discusses professional accountability and ethical considerations. The last five chapters offer a structure for professionals to provide support to bereaved children and their families. This book also presents “How to Help” sections that offer practical ways professionals can be supportive to bereaved children and their families.
A Practical Ethics Worktext for Professional Counselors:Applying Decision-Making Models to Case Examples
This book is intended to be used as an addendum to a more comprehensive text associated with the Professional Counseling Orientation and Ethical Practice training required by the Council for the Accreditation of Counseling and Related Education Programs. It provides practical examples of managing ethical concerns for practicing counselors and counselors in training. Much has been made of the science-to-service problem in counseling, with the consensus being that there is a gap between the academics writing the books and papers and the clinicians actually doing the work. This text is an effort to meet the needs of both by providing an overview of case examples that are relatable and accessible and by providing responses to these cases that meet the careful scrutiny required by the American Counseling Association (
ACA). The book includes 63 real-life case examples demonstrating step-by-step application of decision-making models. It teaches counselors how to think and act quickly when facing ethical dilemmas. It helps professionals to reconcile personal and professional values.