  ךוניח ישנא ,םיצעוי ,םילפטמל Full text םירמאמל תוינפהו םירמאמ יריצקת .תואירבה תכרעמ ישנאו |
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PTSD -ל ומשויש תוילופיט תוקינכט Counselling People Who Were Sexually Abused: An Approach based on Morita and Naikan Therapies Judy LeClair Introduction - In ten years of working with women who have experienced sexual abuse, I have used many different methods. Yet, since my introduction to Japanese Psychology (specifically Morita and Naikan therapy) my approach and the clients' results have changed dramatically.   Full TextThe Phoenix Club: A Programme for Adults Who Were Traumatized in Childhood David Straton, MB,ChB; DPM; FRANZCP Abstract The name of the Phoenix Club thus resonates with the myth; the idea of personal rebirth from the ashes of a tragedy, images of a fiery ordeal on a hot-seat, and support from a flock of other birds. The club operates on the Gold Coast of Queensland, Australia, a modern Heliopolis or City of the Sun. The word 'club' conveys equal membership, empowerment, and belonging. It connotes the possibility of political as well as therapeutic activities Full TextA Review of Visual/Kinesthetic Disassociation in the Treatment of Posttraumatic Disorders: Theory, Efficacy and Practice Recommendations Anne M. Dietrich, M.A. Abstract In this article, the literature on the Neurolinguistic Programming (NLP) technique of Visual/Kinesthetic Disassociation (V/KD) is reviewed in relation to the treatment of Posttraumatic sequelae. An overview of the V/KD technique is provided, along with postulated mechanisms of change, based on current theory and research in the field of PTSD. Three published reports -- two case studies and one, uncontrolled, small-n study - are reviewed in terms of treatment effectiveness for Posttraumatic sequelae. Currently, the V/KD technique is rated as an experimental approach, according to the American Psychological Association's Division 12 Task Force (1995) report and recommendations on empirically validated psychological treatments. Recommendations for use of exposure-based treatments with traumatized populations are provided Full TextPROMISING PTSD TREATMENT APPROACHES - A Systematic Clinical Demonstration of Promising PTSD Treatment Approaches Joyce L. Carbonell & Charles Figley Abstract Traumatic Incident Reduction, Visual-Kinesthetic Disassociation, Eye Movement Desensitization and Reprocessing, and Thought Field Therapy were investigated through a systematic clinical demonstration (SCD) methodology. This methodology guides the examination, but does not test the effectiveness of clinical approaches. Each approach was demonstrated by nationally recognized practitioners following a similar protocol, though their methods of treatment varied. A total of 39 research participants were treated and results showed that all four approaches had some immediate impact on clients and appear to also have some lasting impact. The paper also discusses the theoretical, clinical, and methodological implications of the study. Full TextTime-Limited Trauma Therapy In A Tri-Phasic Model For The Resolution Of Posttraumatic Stress Disorder: A Case Study Of Eight Sessions J. Eric Gentry, MA, CAC, CTS Abstract A case study of a victim of a violent assault in her home from which she developed florid posttraumatic stress symptoms. She was successfully treated in eight (8) sessions using a tri-phasic model of stabilization, resolution and reconnection. Time-Limited Trauma Therapy, a powerful and innovative protocol for the treatment of posttraumatic sequelae, was utilized as the centerpiece for the resolution phase of treatment with this client. Cognitive-Behavioral Therapy, Thought Field Therapy and Family Empowerment Therapy were also utilized successfully in the stabilization and reconnection phases of treatment. Self-report, post-treatment assessment and collateral interviews all support final and lasting (one year) resolution of her posttraumatic symptoms. Full TextPTSD And Chronic Suicidal Ideation: The Role Of Counter Suicidal Cognition Joseph Sivak, Jody L. Swartz & David X. Swenson Introduction - Post traumatic stress disorder is often associated with an increase in suicidal thoughts and behaviors. However, this link remains poorly understood; particularly unclear are the mechanisms victims use to help them persevere through periods of increased suicidal ideation. This pilot study of veterans examines the frequency and quantity of suicidal ideation as well as preventative cognitions the victim utilizes to prevent suicide. These cognitions are known as counter-suicidal cognitions. Full TextReflections on Active Ingredients in Efficient Treatments of PTSD, Part 1 Fred P. Gallo, Ph.D. Abstract This two-part essay summarizes the therapeutic procedures presented at The Active Ingredients in Efficient Treatments of PTSD Conference at Florida State University, May 12-13, 1995, and delineates some possible salient change-producing ingredients germane to these approaches. Full TextReflections on Active Ingredients in Efficient Treatments of PTSD, Part 2 Fred P. Gallo, Ph.D. Abstract Part 1 of this essay summarized data and summarized the methods studied in the 'Active Ingredients' Project. Part 2 explores possible change-producing ingredients germane to each as well as across the methods. Full TextDebriefing Debriefing Handout: Critical Incident Stress Information Sheet Defusing & Debriefing JOHN D. WEAVER, LCSW, BCD, ACSW, CBHE introduction Defusing is the term given to the process of talking it out - taking the fuse out of an emotional bomb (explosive situation). It involves allowing victims and workers the opportunity to ventilate about their disaster related memories, stresses, losses, and methods of coping, and be able to do so in a safe and supportive atmosphere. The defusing process usually involves informal and impromptu sessions. A DMH worker might witness an emotional interchange between a victim and another staff member and, soon afterward, approach one or both of them and open a dialogue. This will, in turn, help folks release thoughts and feelings that might not otherwise be expressed. Suppression or repression of this kind of highly charged material might lead to the development of any number of stress-related physical and/or mental illnesses. Full TextPsychological Debriefing - An Effective Method? Atle Dyregrov PhD Abstract Critical Incident Stress Debriefing (CISD) has come under considerable debate over the last few years. Several studies have failed to document any effect of the intervention, while other studies document a clear effect. Most studies, be that in favor of debriefing or not, have serious methodological flaws. These concern aspects such as researching interventions not qualifying as a PD; using self-selection to the groups; inadequate timing of the intervention; and interventions of dubious clinical value. It is concluded that the quality of the studies to date does not justify a discontinuation of its use. Full Textיתפורת לופיט About Medications For Combat PTSD Jonathan Shay, M.D., Ph.D. introduction This was prepared as educational material for combat veterans, but may be useful to others, such as veterans' spouses and non-physician mental health professionals. It is in the public domain and may be duplicated and distributed freely. Full TextThought Field Therapy A Review of Thought Field Therapy Wayne Hooke, M.A. introduction Methodological weaknesses, a lack of controls, or the failure to fully report data and methods in the few TFT studies that have been conducted limit their interpretability. Clinical reports are suggestive, but careful research has yet to confirm whether or not TFT interventions cause a rapid decrease in subjective distress. Research published to date provides neither sure conclusions nor insight into any of the many other questions surrounding TFT. Current TFT theory is highly elaborated, but too speculative to be helpful in understanding the potential therapeutic mechanisms of TFT. Full TextA Thought Field Therapy (TFT) Algorithm for Trauma Roger J. Callahan, PhD, TFT Training Center, Indian Wells, CA (1995) Abstract A generally successful -1- algorithm for traumas is presented in order to give the reader a brief introduction to the TFT treatment and an opportunity to test its efficacy. The algorithm has been used for fifteen years and the only harm known to come from it is that a very small number of individuals with apparent self-directed hostility may take the opportunity, when tapping on their body, to use too much pressure. Full Textהמוארטב לופיטל הביתכ Special Edition: Health benefits of the disclosure of emotions about traumatic experiences: What is the evidence and potential for therapeutic benefits? Christine Stephens introduction There is a body of work that provides empirical support for a relationship between talking or writing about traumatic events and health outcomes. Several studies, both correlational and experimental, have shown that the inhibition of traumatic experiences is detrimental to health and that talking or writing about a trauma has positive effects on psychological and physical health. Full TextWritten Emotional Expression and Well-Being: Result From a Home-Based Study David Sheffield, Elaine Duncan, Karen Thomson & Sarbjit S. Johal Abstract This study examined whether written emotional expression of personal and emotional events in a home-based setting might result in improved psychological and physical well-being. Following completion of a number of health and psychological well-being questionnaires, forty-seven men and ninety-nine women were assigned to one of three conditions. Participants in the emotional expression writing group were asked to write about previously undisclosed personal and emotional events for 3 days; participants in the unemotive writing group were asked to write about pre-assigned superficial topics for 3 days; and participants in the control group did not write. Participants were asked to complete the initial questionnaires three, seven and thirty weeks later. The emotional expression group experienced an increase in physical symptoms (p =.04) and self-reported number of days taken off college due to illness (p =.03) at three weeks, and less anxiety and insomnia (p =.04) at 30 weeks. Written emotional expression was associated with short-term detrimental physical health effects and less substantial long-term psychological health benefits, cautioning against the adoption of written emotional expression alone in the home environment. Full TextStructured writing about a natural disaster buffers the effect of intrusive thoughts on negative affect and physical symptoms Joshua M. Smyth, Jill Hockemeyer, Chris Anderson, Kim Strandberg, Michelle Koch, H. Katherine O'Neill & Susan McCammon introduction There is evidence that individuals experiencing natural disasters are at risk for long term physical and mental health problems, particularly if experiencing unbidden thoughts (intrusions) about the disaster. Interventions provided post-disaster, especially those that involve emotional expression, may help protect individuals from these negative effects. This study examined if a brief, easily administered, structured writing task (expressing thoughts and emotions about the natural disaster) would attenuate the relationship between intrusions about the disaster and both negative affect and physical symptoms. Individuals recently displaced by a hurricane and subsequent flooding were randomly assigned to the experimental (emotional writing) group (n=27) or to the control (neutral writing) group. A community reference group (n=56) was also obtained. In the control group, disaster-related intrusions more than three months post-disaster were associated with higher levels of negative affect and more physical symptoms (p's .01). In the experimental group, disaster-related intrusions were unrelated to both negative affect and physical symptoms (p's>.15). These data suggest that future research examine the clinical utility of structured writing interventions for individuals who have experienced natural disasters or other trauma. Full TextEMDR ישארה רתאה - EMDR Institute ילארשיה ףינסה Eye Movement Desensitiztion and Reprocessing Treatment of Internalized Shame Dennis Balcom, MSW. introduction Thirteen subjects were administered the Internalized Shame Scale (ISS) before and after EMDR therapy to determine whether Eye Movement Desensitization and Reprocessing (EMDR) significantly reduced internalized shame and increased self-esteem as measured by the ISS. While the study did not control for alternative treatment effects, age, diagnosis, SES, or ethnicity of subjects; statistical analysis indicated a significant decrease in internalized shame subscale scores and a significant increase in self-esteem subtest scores following treatment with EMDR. These results support the hypothesis that EMDR is an effective treatment for internalized shame, even when shame is not the identified target of treatment. These preliminary findings suggest that future research is warranted to explore the efficacy of EMDR in the treatment of internalized shame. Full TextEye Movement Desensitization and Reprocessing: A Review of the Efficacy of EMDR in the Treatment of PTSD Louise Maxfield, MA, RCC, CTS Abstract The level of evidence for EMDR is based upon twelve controlled studies that investigated the efficacy of EMDR treatment of participants with posttraumatic stress disorder (PTSD). The seven civilian studies, with one exception, all found EMDR to be efficacious in the treatment of PTSD: EMDR was equivalent to cognitive behavioral therapy, and superior to other control conditions. Four of the five studies with combat veterans addressed only one or two memories in this multiply traumatized population, and their findings were equivocal. The one combat veteran study which administered a longer course of treatment provides preliminary evidence that EMDR may be efficacious with that population. EMDR is a rapid treatment and appears to be well tolerated by clients, with effects being maintained at follow-up. Full TextSPECULATIONS ON THE NEUROBIOLOGY OF EMDR Uri Bergmann, L.C.S.W., B.C.D. introduction This discussion explores current neurobiological findings in the areas of the limbic system, REM-sleep and psychological trauma. The formation and consolidation of memory and emotion are discussed. Research regarding the mediating anatomy and physiology of REM-sleep is explicated, particularly the function of REM-sleep in memory processing. The pathways of trauma are outlined. Speculations are then offered, based on these findings, as to the underlying mechanisms of Eye Movement Desensitization and Reprocessing (EMDR). Presented at Harvard University-Cambridge Hospital, at an all-day Symposium on EMDR. Moderated by Judith Lewis Herman, M.D. October 18, 1996 Full TextA Single Session EMDR Study With Twenty Traumatized Children And Adolescents Marian K. Puffer, Ph.D. et al. introduction Twenty children and adolescents were treated for a single traumatic memory with a single session of eye movement desensitization and reprocessing (EMDR). Treatment was delayed 1 m for half the group. Over half of the 20 participants moved from Clinical to Normal levels on the Impact of Events Scale, and all but 3 showed at least partial symptom relief on several measures at 1-3 m following a single EMDR session. Results should be interpreted with caution, but were positive, and essentially consistent with analogous findings of EMDR with adults. Full TextA Four Activity Model of Psychotherapy and Its Relationship to Eye Movement Desensitization and Reprocessing (EMDR) and Other Methods of Psychotherapy Howard Lipke, PhD Abstract This paper presents a general, information processing, model of psychotherapy based on Shapiro's EMDR, that includes both recently developed and traditional psychotherapy methods. It is posited that methods of psychotherapy can be conceptualized as employing up to four categories of activity to promote adaptive functioning. These activities include: 1. accessing of information already acquired 2. introduction of new information 3. facilitation of the processing of information 4. inhibition of accessing. The third category, facilitation of processing, includes abstract activity, and represents a relatively new development in psychotherapy. Full TextAn Orienting Reflex/External Inhibition Model of EMDR and Thought Field Therapy Nathan R. Denny, Ph.D. (1995) Abstract The clinical phenomena of the conduct of EMDR and Thought Field Therapy were interpreted in light of concepts in the field of classical conditioning with emphasis on the orienting reflex and its external inhibiting effects on conditioned responses. A model was proposed using the temporary suppression through external inhibition of the fear and avoidance conditioned responses to disturbing memories. The clinically helpful effect proposed is the emergence of previously suppressed competing responses to the troublesome memories. Those newly emerged responses are responsible for spontaneous cognitive restructuring of the meaning attribution of the memories, thus lowering SUDS ratings. Full TextInternal Conference Room Ego-State Therapy and the Resolution of Double Binds: Preparing clients for EMDR trauma processing Shirley Jean Schmidt, MA, LPC, EMDRIA-Approved Consultant  Full TextCounting Method Promising Practice for Traumatic Memories: An Update on the Counting Method David Read Johnson, Ph.D., and Hadar Lubin, M.D. introduction The Counting Method is a new clinical technique for the treatment of the symptoms of PTSD, originated by Frank Ochberg (Ochberg, 1993; 1996). Specifically, the procedure aims to desensitize clients to their traumatic memories. Because traumatic memories are vivid and frightening, and they arise unexpectedly, they can cause significant secondary effects on the sufferer, including diminished self-confidence, decreased sense of security, and compromised beliefs about one's own sanity. With the goals of ameliorating the anxiety accompanying traumatic memories and enhancing the sense of mastery over intrusive recollections, the Counting Method can contribute to the overall therapeutic endeavor with PTSD clients (Ochberg, 1988). Full TextThe Counting Method for Ameliorating Traumatic Memories Frank M. Ochberg, M . D. Abstract The Counting Method is a technique for modulating and mastering traumatic memories in which the therapist counts out loud to 100 while the client silently remembers a traumatic event. Immediately afterward, the recollection is reported, discussed and reframed. This method is briefly described and its use within the context of ongoing therapy is explained. Journal of Traumatic Stress, Vol 9, No.4, l996 Full Text |
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