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Current research on Eye Movement Desensitisation & Reprocessing (EMDR ) Robin Logie

Current research on Eye Movement Desensitisation & Reprocessing (EMDR ) Robin Logie Derek Farrell Melanie Temple David van den Berg DCP Oxford 7 th Dec 2013. History of EMDR. Francine Shapiro 1987 – walk in the park 1989 – Journal of Traumatic Stress RCT PTSD. Trauma based therapy.

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Current research on Eye Movement Desensitisation & Reprocessing (EMDR ) Robin Logie

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  1. Current research on • Eye Movement Desensitisation & Reprocessing (EMDR) • Robin Logie • Derek Farrell • Melanie Temple • David van den Berg • DCP Oxford 7th Dec 2013

  2. History of EMDR • Francine Shapiro • 1987 – walk in the park • 1989 – Journal of Traumatic Stress • RCT PTSD

  3. Trauma based therapy • trauma or other unresolved life events that cause psychological disorders • addresses trauma/life event directly • PTSD obvious starting point – specifically relates to trauma • Most psychological disorders relate to trauma/life event

  4. Differs from other trauma based therapies • Integrates • memory/image of ‘worst moment’ • current negative cognition eg ‘I’m not safe’ • bodily sensation • Combined with bilateral stimulation

  5. Procedure: The 8 phases of EMDR • History-taking • Preparation (eg relaxation, ‘safe place’) • Assessment

  6. Assessment • Specific image • Current negative belief (Negative Cognition) • e.g. ‘I am helpless’ • Desired positive belief (Positive Cognition) • e.g. ‘I am in control’ • Validity of Cognition (VOC) • Emotion • Current level of disturbance (SUD) • Location of emotion

  7. Procedure: The 8 phases of EMDR • History-taking • Preparation (relaxation, ‘safe place’) • Assessment • Desensitisation • Installation • Body scan • Closure • Re-evaluation

  8. Theoretical rationale • Adaptive Information Processing (Solomon & Shapiro 2008) • Inadequate processing of info re distressing experiences • EMDR achieves integration

  9. Training & accreditatation • Europe EMDR Association • Standardises training courses (7 days) • Accreditation

  10. Further information • EMDR Association UK & Ireland • www.emdrassociation.org.uk • Humanitarian Assistance Programme • www.hapuk.org • Robin Logie • www.robinlogie.com • info@robinlogie.com

  11. Active ingredients of EMDR • Eye movements: • interfere with working memory processes (van den Hout et al, 2011) • Makes memory less vivid, less emotional • Enhances processing because less overwhelmed • link into the same processes that occur during REM sleep (Stickgold, 2002) • EMs induced relaxation and/or orienting response

  12. Which disorders? • EMDR focuses on trauma • Post Traumatic Stress Disorder (PTSD) • Any disorder related to trauma • Accident • Bereavement • Survivor of abuse • Trauma may not be initially apparent • Not neuro/organic disorders eg psychosis, manic depression

  13. EMDR with children • Simpler than other forms of therapy • Less abreaction • Involves parents • Same as adult protocol • ‘minimal creativity’ • Simplified as necessary for child • eg omit cognitions (child < 5) • Alternatives to eye movements • eg auditory ‘clicks’, hand taps, drumming • Narrative approach

  14. Training • Need to be fully trained & experienced therapist before EMDR training • Basic, Part 1: 3 days • Intermediate, Part 2: 1 day • Advanced, Part 3: 3 days • Children: Levels 1 and 2 • Accreditation • Consultant - supervision

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