RUNNING HEAD: Eye Movement Desensitization and Reprocessing
EMDR
Jose Martinez
Northern Arizona University
AHB495
Professor Dr. Nate Velez
April 18, 2021
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Assignment: Annotated Bibliography
Pre-Discussion
I chose to do my paper on EMDR. I work in a trauma agency alongside of 4 clinicians
who all have EMDR training and are certified. I took this time to fully understand what EMDR
is. I would like know when it’s appropriate to use, what it’s used for, if it is indeed a great way to
focus on a traumatic event and the origins of EMDR. I would also like to know how EMDR
affects kids.
Eye Movement Desensitization and Reprocessing or EMDR therapy is a phased, focused
approach to treating traumatic and other symptoms by reconnecting the client in a safe and
measured way to the images, self-thoughts, emotions, and body sensations associated with the
trauma. EMDR therapy involves attention to three time periods: the past, present, and future.
Focus is given to past disturbing memories and related events. Also, it is given to current
situations that cause distress, and to developing the skills and attitudes needed for positive future
actions. In our agency the approximate time they take for client to do EMDR is at least 2 hours.
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Bibliography
Valiente-Gómez, A., Moreno-Alcázar, A., Treen, D., Cedrón, C., Colom, F., Pérez, V., &
Amann, B. L. (2017). EMDR beyond PTSD: A systematic literature review. Frontiers in
Psychology, 8. doi:10.3389/fpsyg.2017.01668
In this article, the author introduces you to who came up with EMDR and what it
is used for. Where does EMDR come from? Eye Movement Desensitization and
Reprocessing (EMDR) is a psychotherapeutic approach developed in the late 1980s by
Francine Shapiro. The goal of eye movement desensitization reprocessing is to treat
traumatic memories and their associated stress symptoms. In this article they also
highlight the fact that EMDR is not only restricted to PTSD, it is currently expanding to
the treatment of other conditions and comorbid disorders to PTSD.
Softic, R., Becirovic, E., & Mirkovic Hajdukov, M. (2017). Why do i have to die twice? Emdr
treatment after experience of clinical death. European Psychiatry, 41(S1).
doi:10.1016/j.eurpsy.2017.01.1491
In this article, the writer gives a case of Male patient 55 y/o with no prior history
of psychiatric difficulties, who experienced clinical death after cardiac infarction. The
goal is for the therapist to help the client relive the moment. As hard as that may seem,
the therapist helped the patient to re-process the traumatic event, in this case it was the
moment when he was told, “he was dead”. The therapist had achieved complete
desensitization and reprocessing were accomplished. The client had reached pre-morbid
level of psychosocial functioning, doing his demanding job, and enjoying his social life.
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EMDR is thought to be effective because recalling distressing events is often less
emotionally upsetting when your attention is diverted. This allows you to be exposed to
the memories or thoughts without having a strong psychological response.
Matthijssen, S. J., & Van den Hout, M. (2016). The use of EMDR in positive verbal
MATERIAL: Results from a patient study. European Journal of Psychotraumatology,
7(1), 30119. doi:10.3402/ejpt.v7.30119
This article did a research on the positive verbal and positive closure which was practice
in the Dutch version of EMDR. In the Dutch version of the standard EMDR protocol, a
procedure Positive Closure is performed, which uses verbal imagery under dual task
condition. The value of Eye Movement in this procedure has not been established and
according to the WM account would be counterproductive. The research was on Thirty-six
patients rated the belief in possessing two positive personality traits and emotionality of
the traits. After they then had an EMDR session focusing on a negative memory and
recalled and re-rated the belief and emotionality of the traits afterward. At the end, the
results where that Eye Movement are not effective in enhancing the belief in possessing a
personality trait or the emotionality.
.
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Preparation phase. (2016). EMDR and the Art of Psychotherapy With Children.
doi:10.1891/9780826138040.0002
In this book, they explain the process on how treat a child, teen with EMDR. Studies
show that at least two thirds of children will experience at least one traumatic event by the
time they are 16 years old. Trauma can result from one event, or many different events as
well. These events can cause children to see the world as being scary and dangerous.
Traumatic events can also cause phobias. The author explains that there should be a special
emphasis on assessing the child or teen’s age, developmental level, and understanding of
the context of the child or teen’s life experiences in order to guide the treatment. The
therapist should also consider attending the child or teens non verbal communication,
change in breathing, mannerism, and skin tone. If the parents are in the office and the
target identification process begins, the therapist needs to ask either the child or teen to
wait in the waiting room or the parent. It’s important because the parent may have their
own issue affected by the particular incident.
Taylor, A., & McLachlan, N. H. (2019). Treating a 16 year old with a history of Severe Bullying:
Supplementing cognitive behavioural therapy with Emdr within the context of a case
Formulation approach. Journal of Child & Adolescent Trauma, 12(4), 561-570.
doi:10.1007/s40653-019-00258-0
As the title suggests, this article was about a case study involving a 16-year-old name Enid. Enid
was first referred in 2014 due to a medication overdose. The overdose was a triggered by her
boyfriends break up. She then was given some tools to help her with problem solving skills and
was discharged. The issue was when she first started to attend college, she began having panic
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attacks and was worried she would be a victim of being bullied again. Enid reported that she felt
responsible for preventing the separation of her parents, and further held the belief that she
always had to look her best in order to be accepted within a social context. The article
then goes and gives details of the progress of Enid. She starts to use CBT and is more
intact with her feelings. The importance of this article was to show the formulation-based
approach. A formula-based approach is a theoretically-based explanation or
conceptualization of the information obtained from a clinical assessment. It offers a
hypothesis about the cause and nature of the presenting problems and is considered an
adjunct or alternative approach to the more categorical approach of psychiatric diagnosis.
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Post Discussion
After completing my research on EMDR, I realize how much a clinician has to do. Its
amazing tool to have. The progression that you see the clients go through is like magic. The
client relives a traumatic moment and a positive cognition replaces the belief of the negative. I
read a lot of different articles with different case studies and it really puts you into prospective
of the clinician and the client. I do believe a great therapist should seek some EMDR on
themselves and learn about it.
So, is EMDR important and helpful? I believe it is. It is my goal to go on and seek help
before completing my Masters. There is a lot of therapist who for whatever reason will not seek
help, either because they run from it, don’t want to talk about it or will try and help themselves
through helping others. The dangerous part about a therapist needing help but not seeking it,
may miss certain things on their clients. We are just humans and we have feelings, and
depending on our up bringing, culture or religion, we may have issues that are unresolved, that
may just need to be addressed.
In conclusion, EMDR therapy can allow a therapist/clinician to determine what
degree and to which distressing experiences are a providing factor and to effectively
solve or point out the problem through memory processing that can help facilitate both
psychological and physical resolution. Just as effective as it is in an adult, EMDR on
young adults or children are as well. I never thought about EMDR in a child or teen
before but thanks to this research, I learned more. As you can imagine you must be very
aware of the child body language.