Therapist's Gde To Emdr Cl

by Parnell,Laurel

• ISBN13: 9780393704815
• ISBN10: 0393704815
• Edition: 00
• Format: Hardcover
• Copyright: 2006-12-17
• Publisher: W. W. Norton & Company

Summary

Practice essentials from a leading EMDR trainer and practitioner. With an emphasis on clinical usefulness rather than research, this book provides practitioners of eye movement desensitization and reprocessesing (EMDR) with a hands-on guide to this essential therapy. Reviewing basic concepts (such as interviewing and case formulation) as well as providing advanced strategies (such as closing incomplete sessions), this is a book for all EMDR clinicians.

Table of Contents

Acknowledgments	xiii
Preface	xv
Introduction	3
What EMDR Does and How it Works	3
Neurobiology of Trauma and Recent Brain Research	14
The Discovery of EMDR and its Development	18
Organization of Book	22
Conventions Used Throughout the Book	23
PART I: EMDR THEORETICAL OVERVIEW
1. EMDR Refresher	27
Review of Basic EMDR Protocol and Procedure	27
Rationale and Application of Interweaves	33
EMDR Resource Development and Installation (RDI)	34
Three-Phase Trauma Therapy Model	34
EMDR as a Stand-Alone Therapy vs. EMDR as a Therapeutic Method That Is Integrated into a Treatment	35
2. Essential EMDR Protocol	36
Modifications of the Standard Procedural Steps	36
How to Modify the Standard Procedural Steps	39
When to Modify the Standard Procedural Steps	42
Modifying the Procedural Steps for Clients with Complex Trauma	43
PART II: USING EMDR WITH CLIENTS
3. Evaluation and Preparation for EMDR	47
Take a History of the Presenting Problems	47
Assessing Readiness for EMDR	57
Integrating EMDR into Clinical Treatment: How to Introduce EMDR to Clients	65
Explanation of Theories	66
Informed Consent for EMDR	67
Set Up Signals for "Stop" and "Keep Going"	68
Types of BLS	68
Establishing a Metaphor to Use	70
Treatment Issues	71
4. Tools and Techniques for Ego Strengthening	79
Identification, Development, and Installation of Inner and Outer Resources	80
Other Coping Skills	110
Techniques for Creating Distance and/or Containment	116
5. Case Formulation	119
Using the Standard Protocol for Current Anxiety and Behavior	121
How to Determine a Target from a Current Issue or Problem	123
Longer-Term Therapy with Multiple Complex Issues	135
6. Reevaluating the Therapy	140
Functioning	143
Check the Log or Journal	143
Symptoms	145
Behavioral Shifts	145
Dreams	146
Insights	146
New Memories	146
System Changes	146
The Target	147
7. Target Development	148
Targeting Single-Incident Traumas	148
Targeting for Clients with Multiple Traumas	149
Tips for Target Development	151
Targeting Triggers and Flashbacks	153
The Bridging Technique for Target Development	154
Using Art for Targets	184
Dreams as Targets	187
PART III: THE EMDR SESSION
8. The Procedural Steps	193
Installing or Evoking Resources	193
Identifying the Presenting Issue or Memory	193
Creating an Image	193
NC (Negative Cognition)	197
PC (Positive Cognition)	198
VoC (Validity of Cognition) Scale	200
Emotions/Feelings	201
SUDS	201
Location of Body Sensations	202
Desensitization	203
Installation of the PC	211
Body Scan	211
Close and Debrief the Session	212
Suggestions for Helping Clients Manage Between Sessions	222
9. Tools and Techniques for Processing Difficulties	224
Working with Abreactions	224
Dissociation During EMDR Processing	229
Client Sleepiness	231
Client Numbness	233
Clients with Body Memories without Visual Memories	233
Memory Chaining	235
Using Interweaves and Other Strategies to Release Blocked Processing	236
Implementing Non interweave Strategies	248
Implementing Interweave Strategies	251
PART IV: CLINICAL APPLICATIONS
10. Working with Phobias	293
11. Recent Traumas and Critical Incidents	309
Protocol for Recent Traumatic Events	309
Modified Protocol for Recent Traumatic Events	314
Using the Recent Traumatic Events Protocol with Critical Incidents	317
12. Care for the Caregiver	320
Suggestions for Therapist Self-Care	320
How to Be the Best EMDR Therapist	323
Appendix 1: EMDR Procedures and Checklists	325
EMDR Procedural Steps Checklist	325
Sample Vignette of the Procedural Steps	326
Modified EMDR Procedural Steps Checklist	328
Sample Vignette of the Moded Procedural Steps	329
Clinical Signs of Dissociative Disorders	330
Quick Assessment for EMDR Readiness in an Outpatient Setting	332
Summary of Resources, Coping Skills, and Techniques for Creating Distance and/or Containment	333
Protocol for Development of the Positive, Conflict free Image	334
List of Negative and Positive Cognitions	335
Summary of What to Do If the Processing Is Looping or Stuck	336
Summary of Noninterweave Strategies	336
Important Concepts for Adaptive Information Processing	337
Summary of Interweave Categories and Subcategories	337
Appendix 2: Trauma Exposure and Crisis Intervention with CIPBS	339
References	345
Index	353