Escolar Documentos
Profissional Documentos
Cultura Documentos
CJC 2004
An Introductory Video
Dr. Francine Shapiro
Dr. Bessel van der Kolk
David Grand, CSW
EMDR: An Accelerated Information
Processing Model
TRIGGERS
PICTURES EMOTIONS
TRAUMA
SENSATIONS BELIEFS
EMDR: An Accelerated Information
Processing Model (cont.)
www.emdr.com
www.emdria.org
www.emdrhap.org
www.andrewleeds.net
The Eight Phases of EMDR Treatment
Intergenerational Genogram
Establish Trust
Resource DevelopmentCognitive,
Affective, Self-Soothing (Safe Place)
The Core of EMDR Treatment
ASSESSMENT PHASE
DESENSITIZATI0N PHASE
INSTALLATI0N PHASE
SOMATIC
The Core of EMDR Treatment
ASSESSMENT PHASE
Presenting Issue
Picture
Negative Cognition (NC) and Positive Cognition (PC)
Validity of Cognition (VOC)
Emotions/Feelings
Subjective Units of Distress (SUDS)
Location of Body Sensation
DESENSITIZATI0N PHASE
Potential Responses: Pictorial Processing, Cognitive Processing, Emotional
Processing, Sensory Processing
Associative Links and Feeder Memories
Informational Plateaus: Responsibility, Safety, and Choices
INSTALLATI0N PHASE
Integration of Positive Cognition with Targeted Information and VOC Check
Assessment Components
Picture: Stepmother pulling him out of his bed and whipping himage 5
Negative Cognition: I'm weak.
Positive Cognition: I can get through anything.
VOC=4
Emotions/Feelings: Fear, sadness, anxiety, hopelessness
SUDS=8
Location of Body Sensation: Tension in the neck and shoulders, knots in
stomach, palpitations in chest.
Childhood Trauma Case Example (cont.)
TRIGGERS
Getting ready for school
Conflict
Female anger
PICTURES EMOTIONS
Stepmother pulling Fear, sadness, anxiety,
him out of his bed and Traumatic Memory hopelessness
whipping himage 5 Age 5
Physical Abuse by
Step-mother
SENSATIONS BELIEFS
I am weak. I need to get
Tension in neck and shoulders high to deal with the
Knots in stomach pressure.
Palpitations in chest
Childhood Trauma Case Example
Possible Information
Processing Shifts:
Responsibility
Safety
Choices
Childhood Trauma Case Example (cont.)
Possible Information Processing Shifts Related to Concepts of
Responsibility, Safety, and Choices:
Responsibility:
Safety:
Choices:
Assessment Components
Picture: Biological mother calling him asking for moneyfor drugs?
Negative Cognition: I need to get high to deal with the pressure.
Positive Cognition: I can deal with it without getting high.
VOC=5
Emotions/Feelings: Fear, sadness, anxiety, hopelessness
SUDS=6;
Urge to use=6
Location of Body Sensation: Pain in lower back
Substance Abuse Case Example (cont.)
TRIGGERS
Mother calling
Female need
PICTURES EMOTIONS
Mother calling him in Upsetting, disappointing,
AM, on way to borrow
Substance Abuse
Confusion, frustration,
money Trigger: Pressure, temptation
Role Reversal &
Substance Abuse by
Mother
SENSATIONS BELIEFS
I am weak. I need to get
Pain In Lower Back high to deal with the
pressure.
URGE TO USE
Substance Abuse Case Example (cont.)
Possible Information Processing Shifts Related to Concepts of
Responsibility, Safety, and Choices:
Responsibility:
Safety:
Choices:
Client
A 15 year old male struggling moderate family conflict, peer pressure.
Presenting Problems: Marijuana dependence, delinquent behavior,
truancy, poor peer choices, conflict avoidance, and a sense of
hopelessness and helplessness.
Negative Cognitions: I am easily tempted.
Positive Cognitions: I have self control.
Peer asks him to ditch class with him, says nofeels good,
shoulders relaxed
www.emdr.com
www.emdria.org
www.emdrhap.org
www.andrewleeds.net