Browse Items (121 total)

  • Tags: Protocol

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When working with ambivalence, it is helpful to identify the two or more sides of the ambivalence, such as the client who wants to work on a disturbing memory but is too afraid, or the client who wants to have an important conversation with someone…

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This protocol was developed to help clients with childhood-onset complex PTSD who have difficulty moving from the Negative Cognition (NC) to the Positive Cognition (PC) and instead, experience persistent looping. This is most likely to occur with…

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This author conducted—as yet unpublished—research (Beere, 2009a, 2009b) on successful and unsuccessful EMDR with his DID clients. The following protocol is based on this work and is also applicable for complex post-traumatic stress disorder (C-PTSD)…

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This chapter describes key steps, with scripts, for the phases of therapy with a DID client, and for an EMDR session with a DID client. In brief, the method employs the artful use of EMDR and ego state therapy for association and acceleration, and of…

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Different experiential, psychophysiological, and neurobiological responses to traumatic symptom provocation in post-traumatic stress disorder (PTSD) have been reported in the literature. Two subtypes of trauma response have been hypothesized, one…

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The Wreathing Protocol has been designed as a thorough, planful, and parsimonious way to protect trauma patients from decompensation during the middle phase of trauma. This protocol helps trauma patients not only approach abreactive material with…

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Often in the treatment of complex post-traumatic stress disorder (C-PTSD), there is a situation where the affect tolerance of the client is compromised and the client is flooded by trauma-based symptoms at the same time. In one group of these…

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Clients are ready to begin preparation for working on traumatic material when they have some internal communication and cooperation and have developed coping skills, which they are able to use during their daily lives to manage symptoms. Preparation…

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The purpose of the constructive avoidance script is to assist clients in dealing with their anxiety or stress-provoking present day situations. Dissociative clients generally are phobic or avoidant of many activities such as medical procedures, going…

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The Resource Development Installation (RDI) intervention described here focuses on helping dissociative clients develop resources to address their issues. There are three steps to the intervention: Step 1. Introduces EMDR and the procedure. Step 2.…

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The Wedging or Strengthening Technique (Kiessling, 1999) has been modified in Germany and is called The Absorption Technique to create resources to deal with what the client is concerned about in the future, for example, a stressful partner, a…

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Clients with dissociative disorders (DD) or complex post-traumatic stress disorder (C-PTSD) often have issues concerning the "therapist's trustworthiness, inherent dangerousness and potential abusiveness" (Loewenstein, 1993, p. 66). Goals of this…

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Portions of this chapter taken from "EMDR For Clients with Dissociate Identity Disorder, DDNOS, and Ego States" by Joanne H. Twombly, from EMDR solutions: Pathways to healing, edited by Robin Shapiro, 2005.) Since people with dissociative disorders…

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Parts, alters, and ego states often believe they are living in the past and they are child sized. Orienting them to adult height can lessen anxiety and gives them more concrete proof that the past is different from the present. Child parts are often…

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Clients with dissociative identity disorder (DID) or dissociative disorder not otherwise specified (DDNOS) live with a multiple reality disorder (Kluft, 1989) where parts are often living in the past and are not aware of where they are, the current…

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The CIPOS method can be used to extend the healing power of EMDR to many clients who are potentially vulnerable to dissociative abreaction because of a dissociative personality structure, or because of the client's intense fear of their own memory…

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It appears that sets of bilateral stimulation (BLS; alternating eye movements, tones or hand taps) have the potential to invite unfinished traumatic experience into awareness. This can be a problem for many clients who are dissociative, or who are on…

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The purpose of the Orienting to Present Reality (OPR) exercise is to help clients with a dissociative disorder, or help dissociative symptoms work with their ego state system to begin to experience present time and place. This generally enhances…

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Clients who have experienced severe trauma often feel that there is a lack of safety in their lives. Therefore, it is helpful to have an uncontaminated place where it is possible for the client to meet and get acquainted with the ego states and a…

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There are a series of readiness activities that assist in helping dissociative clients access and work with ego states or parts of the self. The readiness activities are sequential steps that help clients and their ego state systems build safe and…

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This chapter presents EMDR protocol for clients facing infertility. Eight phases are discussed: (1) history taking; (2) preparation; (3) assessment; (4) desensitization; (5) installation; (6) body scan; (7) closure; and (8) reassessment.

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Sex therapists use different techniques to treat sexual dysfunction successfully. Often, however, they encounter clients who are able to understand rationally why they are suffering from a particular sexual dysfunction, and who are unable to overcome…

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This chapter examines ego state theory, EMDR, and contextual therapy. It looks specifically these three concepts in couples therapy. A case example is used to illustrate EMDR in couples therapy.

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This protocol connects a trauma model of relationships to Bowen’s concept of differentiation (D’Antonio, 1997). In addition to those couples where a traumatic episode, prior to or during the relationship, has had a clear impact on the relationship…

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This chapter describes the procedural steps of the Assessment Phase and Desensitization Phase of the EMDR Standard Protocol (Shapiro, 2001) with detailed scripts for steering a child through each phase. What is important for the therapist to…

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The Maze, as a metaphor for a place where problems live and are solved, was developed out of the necessity of working with children who were too anxious, embarrassed, or afraid to experience the uncomfortable feelings around their problem areas. Such…

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The Constant Installation of Present Orientation and Safety (CIPOS) method is helpful in assisting children to overcome their fear of their traumatic memories. With the help of a strong, basic feeling of security and stability, the child focuses on…

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The Absorption Technique for Children is a protocol that was derived from the work of Arne Hofmann (2003) who based his work on an adaptation of "The Wedging Technique" (Kiessling, 2009). The Absorption Technique for Children is a resource technique…

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The Resource Connection for Children is a search to support children in finding their own unique ways to feel the safety, confidence, and relief of making a solid connection with their therapists in the here and now of the therapeutic session. These…

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According to Korn and Leeds (2002), the main goal of developing and installing resources is to increase the client's capacity for self-regulation by enhancing their ability to access memory networks that contain adaptive and functional information.…

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The standard Safe Place Protocol uses a word for cuing and self-cuing. For many clients, using a cue word to elicit the Safe Place and its positive associations may be effective, however, this author has hypothesized that other forms of cuing may be…

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The Butterfly Hug was originated and developed by Lucina Artigas during her work performed with the survivors of Hurricane Pauline in Acapulco, Mexico, 1997. The Butterfly Hug had become standard practice for clinicians in the field while working…

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Whenever an EMDR treatment session becomes problematic, consider this self-administered instrument when reflecting on this session. EMDR consultants can also use this measure in their consulting groups to assist consultees in understanding when work…

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The EMDR Performance Enhancement Psychology Protocol (EMDR-PEP) addresses performance anxiety, self-defeating beliefs, behavioral inhibition, posttraumatic stress, and psychological recovery from injury for creative and performing artists, workplace…

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The scripts included in this chapter exemplify how an EMDR therapist might talk with a client when the focus is on positive psychology and performance enhancement: reaching for a goal not yet realized, looking for a way to strengthen a positive…

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The Imma Group Protocol is based on the Integrative Group Treatment Protocol (IGTP) by Jarero, Artigas, Alcala, and Lopez Cano (see record 2009-08399-029), the Four Elements Exercise by Elan Shapiro (see record 2009-08399-009), and the principles of…

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The Emergency Response Procedure (ERP) was initially developed to help victims within hours of a terrorist attack, but can be applied in the immediate aftermath of any trauma. Patients may present with "silent terror," shaking and inability to speak,…

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The question of how early to intervene with EMDR in the face of natural and manmade disasters has been an important part of the dialogue of those working in this field. Early EMDR intervention, before consolidation of the memory has taken place, may…

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The author has been providing EMDR to traumatized miners since 1993. As with other specialized client groups, the Single Trauma (STP) and Recent Trauma Protocol (RTP) have required modifications. The author has collated the modifications made, and…

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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. This is not a…

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This protocol 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. EMDR does not eliminate healthy appropriate emotions, including grief. It allows clients to…

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This chapter presents a summary of the Phobia Protocol scripted by Marilyn Luber (Shapiro, 2001, 2006). Shapiro distinguishes between two types of phobias: simple phobia (e.g., fear of an object), and process phobia (feature of a situation in which…

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This protocol is for clients with anxieties not related to major trauma. The focus here is the Standard EMDR Protocol. This is a summary of the Current Anxiety and Behavior Protocol scripted by Marilyn Luber (Shapiro, 2001, 2006). For current anxiety…

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This chapter presents a summary of the Single Traumatic Event Protocol scripted by Marilyn Luber (Shapiro, 2001, 2006). For single traumatic events, the Standard EMDR protocol should be applied to the following targets (assuming they are available):…

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The "Image Director Technique" was developed to target recurring nightmares or bad dreams and those targets that are directly related to a traumatic experience. Often, when patients are having nightmares or when they feel overwhelmingly out of…

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At certain points in my clinical practice, after I began using EMDR consistently, I would have clients come in who could not describe a specific scene or image for us to use as the target, yet, they would usually have a clear negative cognition that…

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The rationale for creating the Resource Map consists of the following: (1) A structured format and record of the resources that have been identified and installed that can be collected and used again in the future; (2) Multiple resources that empower…

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The Resource Connection Envelope (RCE) derives from the assumption that the dialectical healing movement between negative stored memories or problems and positive stored memories or resources is crucial for adaptive processing. The dialectical…

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Some clients may be able to talk about their trauma; however, the thought of processing it with the Standard EMDR Protocol may seem too overwhelming. In cases such as these, having the client develop a resource to address the "fear of the fear" may…

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Some clients may be able to talk about their trauma; however, the thought of processing it with the Standard EMDR Protocol may seem too overwhelming. In cases such as these, having the client develop a resource to address the "fear of the fear" may…
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