1st Edition

EMDR Within a Phase Model of Trauma-Informed Treatment

ISBN 9780789032164
Published August 8, 2007 by Routledge
272 Pages

USD $52.95

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Book Description

A practical guide to learning and using EMDR

Trauma is a potential source of most types of emotional or behavioral problems. Extensive research has shown EMDR to be an effective and efficient trauma treatment. EMDR Within a Phase Model of Trauma-Informed Treatment offers mental health professionals an accessible plain-language guide to this popular and successful method. The book also introduces the “Fairy Tale Model” as a way to understand and remember the essential phases of treatment and the tasks in each phase.

This manual teaches a clear rationale and a systematic approach to trauma-informed treatment, including often-neglected elements of treatment that are essential to preparing clients for EMDR. The reader is led step by step through the treatment process, with scripted hands-on exercises to learn each skill.

In addition to presenting the fundamental EMDR procedures, EMDR Within a Phase Model of Trauma-Informed Treatment teaches a treatment system that can be applied to a variety of cases. Using research-supported and proven-effective methods, this book takes you through the treatment process with easily-understood dialogues and examples. Explicitly guided exercises produce hands-on skills and familiarize you with ways to explain trauma to clients and prepare them for EMDR. You will also learn to problem-solve challenging cases using the trauma framework.

EMDR Within a Phase Model of Trauma-Informed Treatment also includes an Instructor’s Manual with:

    • sample syllabus
    • teaching tips
    • PowerPoint slides
    • test bank.

    Additional discussions address:
  • why trauma matters
  • posttraumatic symptoms
  • the “trauma wall”
  • the structure of trauma treatment
  • the role of EMDR
  • the eight phases of EMDR
  • preparing clients for EMDR
  • legal and medical issues in EMDR
  • problem solving strategies in EMDR sessions
  • treatment strategies for a variety of presenting problems
  • using EMDR with children and adolescents
  • use and application of the “fairy tale model”
  • on-line and digital resources
Designed to be a comprehensive primer, companion/supplemental textbook, and valuable reference resource, EMDR Within a Phase Model of Trauma-Informed Treatment is ideal for clinicians already trained in EMDR, those actively learning EMDR, and mental health professionals interested in EMDR. Note that to practice EMDR requires formal supervised training.

Table of Contents

  • Acknowledgments
  • Introduction
  • Chapter 1. Understanding Trauma
  • Why Trauma Matters
  • A Useful Definition of Trauma
  • What Makes an Event Traumatic?
  • The “Trauma Wall”
  • Resiliency and Vulnerability
  • Safety and Attachment
  • Posttraumatic Symptoms
  • Posttraumatic Symptoms over Time
  • A Note on Exercises/Activities in this Book
  • Exercise: Float-Back
  • Chapter 2. The Structure of Trauma Treatment
  • Meaning of Behavior
  • Selecting a Trauma Treatment Structure
  • Chapter 3. The Role of EMDR
  • Exposure
  • EMDR
  • Adaptive Information Processing Theory
  • The EMDR Protocol: The Eight Phases of Treatment
  • EMDR and Other Therapy Approaches
  • EMDR and the Fairy Tale Model
  • Chapter 4. The Initial Interview: From “Hello” to History
  • Acculturation
  • Therapist Style
  • Introducing Treatment
  • The Rules
  • Individual Interview Strategies
  • How Much Should the Client Talk?
  • Obtaining More History While Focusing on Strengths
  • Chapter 5. Taking a Trauma History
  • Exercise: Take a Trauma/Loss History
  • Exercise Follow-Up Questions
  • Chapter 6. Trauma-Informed Case Formulation
  • Exercise: Do It Yourself
  • Chapter 7. Making a Treatment Contract
  • Motivation Enhancement
  • Finding the Princess
  • Treatment Planning and Contracting
  • Presenting the Treatment Plan
  • Obstacles to Following Through with the Contract
  • Chapter 8. Safety and Stabilization
  • Avoiding High Risk
  • How Long Does Fence-Around Take?
  • Clients in Perpetual Crisis
  • Routines for Starting and Ending the Session
  • Fence-Around in the Session
  • Chapter 9. Resource Development and Installation
  • Introducing Eye Movements
  • Exercise: Practice Eye Movements
  • The Safe Place Visualization
  • Exercise: Safe Place
  • Safe Place Script
  • Problem Solving the Safe Place Intervention
  • Resource Development and Installation
  • Exercise: Resource Development and Installation
  • Exercise: Using the Resource in a Positive Template
  • Chapter 10. Self-Management Training
  • Self-Management of Anxiety Symptoms
  • Self-Control of Behavioral Choices
  • Choices Have Consequences
  • Exercise: Map Out a Problem
  • Chapter 11. Precautions for EMDR
  • Legal Issues
  • Medical Issues
  • Self-Control Issues
  • Secondary Gain
  • Timing
  • Dissociation
  • Dissociative Experiences Scale (DES) Information
  • Chapter 12. Final Preparations for EMDR
  • Reorient to the Treatment Plan
  • Target Order
  • Introducing EMDR
  • Accessing Resources
  • Exercise: Stop Means Stop and Safety Device
  • Stop Means Stop
  • Safety Device
  • Discussion
  • Chapter 13. Phase 3: Assessment, or “Setting Up the Target”
  • Exercise: Practice Target Setup
  • Discussion
  • Chapter 14. Phases 4 to 5: Desensitization and Installation
  • Preparing the Client
  • Doing the Eye Movements (EM)
  • Some Tips and Reminders
  • Exercise: Practice EMDR
  • Discussion
  • Chapter 15. Phases 6 to 7: Body Scan and Closure
  • Body Scan
  • Checks on Completion
  • Closure
  • Exercise: Container
  • Discussion Questions
  • Closure for All Sessions
  • Exercise: Practice EMDR
  • Chapter 16. Phase 8: Reevaluation and Consolidation of Gains
  • Reevaluation
  • Exercise: Reevaluation
  • Using the Float-Back
  • Exercise: Float Back and EMDR
  • Consolidation of Gains
  • Other Aspects of Daily Functioning
  • Anticipating and Preparing for Future Challenges
  • Ending Treatment
  • Chapter 17. Problem Solving in an EMDR Session
  • When the Client Is Stuck
  • Other Challenges and Strategies

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