Integrating EMDR Into Your Practice

Contents......Page 8
Foreword......Page 14
Preface—Stepping Up to the Plate......Page 20
Acknowledgments......Page 24
The Therapeutic Relationship—Back to Basics......Page 26
What Does the Client Need?......Page 28
Dissociative Disorders......Page 30
Legal Issues......Page 31
Pre-EMDR Questionnaire......Page 33
Case Study: Introducing Emma......Page 35
The Top Ten......Page 38
Creative Exploration......Page 39
Assessment Tools......Page 42
Goals for the Future......Page 44
Treatment Plan......Page 47
Frequently Asked Questions......Page 48
1.1: Carl Roger’s Core Conditions......Page 50
1.2: Suicide Ideation and Intent......Page 51
1.3: Brief Suicide Counseling Process......Page 53
1.4: Mapping Exercise......Page 54
1.5: Identifying Symptomatology Using the Film Script......Page 55
Identifying and Practicing Appropriate Coping Mechanisms......Page 58
Hypervigilance......Page 60
Staying Grounded......Page 63
Explaining EMDR Theory......Page 64
EMDR in Simple Terms......Page 67
How Much Preparation Is Enough?......Page 70
Frequently Asked Questions......Page 76
2.1: Mental Mobilization......Page 77
2.2: Levels of Arousal......Page 78
2.3: Informed Consent Form......Page 79
3 Complex Trauma and the Need for Extended Preparation......Page 82
Complex Trauma......Page 83
Challenges to the Therapeutic Alliance......Page 85
Alterations in Self-Perception......Page 86
Alterations in Relations With Others......Page 87
Methods......Page 88
Resource Building......Page 91
Manipulating Images and Movies......Page 92
Working With Clients Who Dissociate......Page 94
Dissociative Disorders......Page 95
Identifying Dissociative Disorders......Page 97
Frequently Asked Questions......Page 98
3.1: Script for a Guided Visualization......Page 99
3.2: The Rewind Technique......Page 101
4 From the General to the Specific—Selecting the Target Memory......Page 104
A Belief by Any Other Name......Page 105
Finding the Root of the Problem......Page 107
Pyramid......Page 108
Choice of Dual Attention Stimulus......Page 109
Stop Signal......Page 111
Providing Clear Instructions......Page 112
Metaphors for Managing High Affect......Page 115
Negative Cognitions and the Target Memory......Page 116
Floatback......Page 118
Image......Page 121
Positive Cognition......Page 123
Validity of Cognition Self-Report Scale......Page 125
Subjective Units of Disturbance Scale......Page 126
Does It All Fit Together?......Page 128
Working With Different Levels of Awareness and Articulation......Page 129
Frequently Asked Questions......Page 131
4.1: Example Script......Page 132
Therapist Anxiety......Page 134
Desensitization......Page 136
Abreactions......Page 138
Blocked Processing......Page 142
Cognitive Interweaves......Page 145
Frequently Asked Questions......Page 149
5.1: Working With Guilt......Page 151
Installation......Page 154
Body scan......Page 155
Closure......Page 157
Symptoms......Page 162
Changes......Page 163
Treatment Plan......Page 164
Frequently Asked Questions......Page 169
6.1: Information Sheet for Clients: What You MAY Experience After an EMDR Session......Page 170
6.2: Example Log......Page 172
7 You Matter Too!......Page 174
Helper’s Response to Working With Trauma......Page 175
The Nature and Intensity of Workload......Page 179
Supervision Access and Appropriateness......Page 180
Compassion Fatigue and Secondary Traumatic Stress Disorder......Page 182
Burnout......Page 183
Personal Interventions......Page 184
Professional Interventions......Page 185
Catherine’s Story (Part 2)......Page 187
7.2: Secondary Trauma Scales and Inventories......Page 188
7.3: Healing Activities......Page 189
Client Presentations......Page 190
Memory Networks......Page 192
Adaptive Information Processing......Page 193
Case Conceptualization......Page 194
The Three-Pronged Approach......Page 195
Phase Three: Assessment......Page 198
Phase Eight: Reevaluation......Page 199
Appendix C: Further Information and Advice......Page 202
Goals and Expectations......Page 204
Client Anxiety......Page 205
Making Connections and Insights......Page 206
Moving Forward......Page 207
The Outcome of EMDR......Page 208
C......Page 210
D......Page 211
N......Page 212
T......Page 213
V......Page 214
References......Page 216
C......Page 222
I......Page 223
S......Page 224
W......Page 225