Eye Movement Desensitization and Reprocessing, EMDR, har i psykoterapiforskning visats vara en effektiv behandlingsmetod av posttraumatiskt stressyndrom, PTSD. Däremot är ögonrörelsestimuleringen, som är ett centralt moment i metoden, kontroversiell och dess funktion inte klarlagd. I föreliggande undersökning randomiserades trettiosex friska försökspersoner till en av tre stimuleringsbetingelser: ögonrörelsestimulering, taktil stimulering eller orörligt visuellt stimuli (kontrollgrupp). Stimuleringen kombinerades med imaginär exponering, negativ och positiv. Utfallet av experimentet mättes i olika fysiologiska mätparametrar, samt självskattningar av obehagsnivån (SUD). Resultaten visade signifikant högre hudkonduktansnivå vid ögonrörelsestimulering jämfört med kontrollgruppen, relaterat till aktivering av det sympatiska nervsystemet. Inga signifikanta gruppskillnader fanns i de övriga mätningarna. Mönstret av autonom aktivering kan tyda på att ögonrörelsestimuleringen utlöser eller förstärker en orienteringsrespons, vilket vissa teoretiker föreslagit är den verksamma mekanismen i EMDR. Dock behövs fortsatt forskning för att förstå denna verkan, samt koppling till terapeutisk effekt.

Purpose: The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria for post-traumatic stress disorder (PTSD), acknowledged repeated or extreme indirect exposure to aversive details of traumatic event(s) in the course of professional duties, can lead to symptoms of PTSD. This has led to discussions around impact and prevalence of vicarious trauma in psychological therapists treating trauma clients. This study considers how therapists delivering trauma-focused cognitive behavioural therapy (CBT) and eye movement desensitisation and reprocessing (EMDR) make sense of their experiences and protect themselves from any negative effects of the work. Furthermore, it considers if there is a distinction in therapist experience between the two modalities. Methodology/Method: An Interpretative Phenomenological Analysis (IPA) was conducted to explore how trauma-focused CBT and EMDR therapists engaged in trauma work, interpreted and made sense of their experiences; with a view to identifying any protective practice that informed clinical practice and helped ameliorate vicarious trauma. Recorded, semi-structured interviews were conducted with CBT and EMDR therapists (N=11). Before analysis, interviews were transcribed verbatim and sent to individual participants for validation of their authenticity. Data was analysed using descriptive, linguistic and conceptual comments to identify an initial seventy nine emergent themes. When refined, four master themes of ‘Nature of Trauma’, ‘Participant sense of self and managing the process of hearing trauma narrative’, ‘Participant experience of delivering the trauma models’ and ‘Protecting and sustaining the participant sense of self’ were identified to answer the research question and are discussed herein. Findings: This study forms part of the growing body of evidence towards understanding therapist vicarious traumatisation. It both supports and challenges findings of previous studies. It also introduces new concepts in relation to the vicarious trauma phenomenon. Whilst there are clear limitations associated with making generalisations from an IPA study, the findings from the study suggest EMDR may be a protective factor against the negative effects of hearing repeated trauma narrative. Furthermore, certain strategies such as time management, comprehensive trauma training and specific trauma supervision, may also reduce the negative effects of hearing trauma narrative. Finally, regardless of the difficulties faced, therapists enjoy their trauma work and feel a great sense of professional satisfaction. Implications/Recommendations: Indications from the findings of the study are that therapists working within primary care in particular, are becoming increasingly pressurised by cuts to funding within mental health services. Recommendations are that those components of trauma work which promote therapist wellbeing should be supported. In particular, realistic timeframes within which to work, good quality training and supervisors, ideally external to the workplace, who can provide trauma-specific supervision.

Social workers are increasingly using eye movement, desensitization, and reprocessing (EMDR) to help clients recover from trauma. Little is known about how social workers who work with traumatic client material while using EMDR as their main psychotherapeutic modality experience vicarious trauma. The purpose of this phenomenological study was to explore the experience of vicarious trauma among social workers in Eastern Canada who used EMDR in their practice with clients. Constructivist self-development theory was the framework that informed this study. Data were collected using semistructured interviews with 7 EMDR social work participants who were selected using purposive sampling. Participants were required to have a masters level social work designation, EMDR training, and practice with trauma material at least 40% of the time they see clients. Findings from the narrative analysis showed that participants' concepts of 'self' changed over time, with the changes becoming less acute. Understanding how EMDR social workers experience vicarious trauma has implications for policy, practice, future research, and for social change related to trauma. Social workers who are less likely to become traumatized may fit a prototype that may be more appealing to organizational stability. Clinicians may be able to see the signs and symptoms of vicarious trauma and take more time for education and self-care. Finally, study findings may further research on vicarious trauma and EMDR.

Child sexual abuse is prevalent worldwide and can result in adverse psychological effects that persist into adulthood. Therapists must identify therapeutic treatments for adult survivors of child sexual abuse who continue to experience psychological difficulties, such as anxiety, depression, and PTSD. The purpose of this phenomenological qualitative study was to explore the perceptions of therapists about eye movement desensitization and reprocessing (EMDR) as a tool to assist adult women survivors of child sexual abuse through the healing process and to regain their abilities to function and behave appropriately. Data were collected through the Moustakas Theory (1994) with 10 therapists who provided therapeutic or counseling services (or both) through EMDR to women with a history of repeated sexual abuse as children. The therapists perceived EMDR as more effective in treating child sexual abuse trauma than other treatment options because it involved the body and worked rapidly, although the treatment may involve a danger of dysregulating the patient. Results indicated the perceived role of EMDR in a treatment program is to allow patients to remember traumatic events without reliving them and to free patients from shame and prepare them to learn more effective coping skills. The therapists implemented EMDR by building rapport, conducting a thorough assessment, focusing treatment on the most distressing elements of past traumas and present triggers, and teaching the client skills for coping with distress. This study contributes to social change by adding more knowledge and awareness about women survivors of child sexual abuse and the various available treatments, thereby helping the long-term impact of women's health with histories of childhood sexual abuse.

No description available.

Dieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG-geförderten) Allianz- bzw. Nationallizenz frei zugänglich.

Theophostic Prayer Ministry (TPM) is an unparalleled method of inner healing which was developed in 1996 by Dr. Ed Smith of Campbellsville, Kentucky. The term Theophostic is formed by a combination of two Greek words, namely Theos (God) and phos (light). God's light refers to the central aspect of the ministry during which God gives his light to the counselee in order to expose the emotional wounds from the person's past and to heal it. TPM became known as a method which is exceptionally effective in treating trauma and experience-based problems. Several evaluators of TPM, however, raise questions concerning the doctrinal and philosophical soundness of the base of TPM's theory and practice. Exponents of the anti-psychology movement, like Martin and Deidre Bobgan, are exceedingly condemning in their critique of TPM, and particularly the fact that Smith probably had used insights, concepts and techniques from psychology. In researching the literature on the subject, it was found that the reformed pastoral ministry is relatively lacking in theoretical reflection on and practical implementation of the ministry of inner healing, TPM included. The first main purpose of the research was to scientifically determine whether the doctrinal and philosophical points of departure as well as practice of TPM were sound according to the reformative Scriptural standard. Should the research data indicate that TPM is acceptable in this respect, then the reformed pastoral practice have found at least one method of inner healing to make use of. Should the research data point to the contrary, then the necessary corrections can be done accordingly. The second main purpose of the research was to determine how the theory, practice and even context of TPM can possibly be served by the new light which the research may shed upon it. In the research methodology it is decided to firstly summarize the practical theory of TPM. This was followed on a meta-theoretical level by a qualitative empirical research on TPM, as well as a comparative study on Eye Movement Desensitization and Reprocessing (EMDR), an evenly highly successful psychotherapeutic treatment method for trauma and experience-based problems. In a third meta-theoretical chapter TPM and some of its critics are evaluated in accordance with the Philosophy of the Cosmonomic Idea. Following that, the data of the meta-theoretical chapters were compared in a hermeneutical way with the first practical theory of TPM and all its critique, as well as the reformative theological tradition. The final conclusions of the research indicate that TPM can be recommended to the reformed pastoral ministry as a reformative Scripturally sound method for inner healing and that the TPM theory, practice and context can be improved on several points as has been suggested in the study. / Thesis (Ph.D. (Pastoral))--North-West University, Potchefstroom Campus, 2009.

Theophostic Prayer Ministry (TPM) is an unparalleled method of inner healing which was developed in 1996 by Dr. Ed Smith of Campbellsville, Kentucky. The term Theophostic is formed by a combination of two Greek words, namely Theos (God) and phos (light). God's light refers to the central aspect of the ministry during which God gives his light to the counselee in order to expose the emotional wounds from the person's past and to heal it. TPM became known as a method which is exceptionally effective in treating trauma and experience-based problems. Several evaluators of TPM, however, raise questions concerning the doctrinal and philosophical soundness of the base of TPM's theory and practice. Exponents of the anti-psychology movement, like Martin and Deidre Bobgan, are exceedingly condemning in their critique of TPM, and particularly the fact that Smith probably had used insights, concepts and techniques from psychology. In researching the literature on the subject, it was found that the reformed pastoral ministry is relatively lacking in theoretical reflection on and practical implementation of the ministry of inner healing, TPM included. The first main purpose of the research was to scientifically determine whether the doctrinal and philosophical points of departure as well as practice of TPM were sound according to the reformative Scriptural standard. Should the research data indicate that TPM is acceptable in this respect, then the reformed pastoral practice have found at least one method of inner healing to make use of. Should the research data point to the contrary, then the necessary corrections can be done accordingly. The second main purpose of the research was to determine how the theory, practice and even context of TPM can possibly be served by the new light which the research may shed upon it. In the research methodology it is decided to firstly summarize the practical theory of TPM. This was followed on a meta-theoretical level by a qualitative empirical research on TPM, as well as a comparative study on Eye Movement Desensitization and Reprocessing (EMDR), an evenly highly successful psychotherapeutic treatment method for trauma and experience-based problems. In a third meta-theoretical chapter TPM and some of its critics are evaluated in accordance with the Philosophy of the Cosmonomic Idea. Following that, the data of the meta-theoretical chapters were compared in a hermeneutical way with the first practical theory of TPM and all its critique, as well as the reformative theological tradition. The final conclusions of the research indicate that TPM can be recommended to the reformed pastoral ministry as a reformative Scripturally sound method for inner healing and that the TPM theory, practice and context can be improved on several points as has been suggested in the study. / Thesis (Ph.D. (Pastoral))--North-West University, Potchefstroom Campus, 2009.

No description available.

Introduction: Recent developments in the study of trauma responses have shown how some people may experience positive and life altering changes following traumatic life events which have been described as posttraumatic growth. Research is beginning to examine the role of trauma treatments in the facilitation of posttraumatic growth. Aim: This study sets out to explore participants’ experiences of posttraumatic growth during Eye Movement Desensitization and Reprocessing therapy, and the role of the therapeutic relationship in facilitating posttraumatic growth. Method: Semi-structured interviews were carried out with participants to examine their phenomenological experiences. Methodology: Interpretative Phenomenological Analysis was employed to consider emergent meanings and themes within a hermeneutic circle of interpretation. Participants: Seven participants were interviewed who had received Eye Movement Desensitization and Reprocessing therapy within National Health Service primary care psychological therapy services for posttraumatic stress disorder. Findings: Four superordinate themes emerged from the analysis of the participant accounts including: (i) Safe and secure; (ii) Taking back control; (iii) Reconstructing the self; and (iv) Journeying beyond trauma to the future. Conclusions: Person-centred conditions and client-therapist attachment were important elements of the therapeutic relationship which provided participants with the safety, trust, and relational depth necessary for the facilitation of experiences of posttraumatic growth during Eye Movement Desensitization and Reprocessing therapy. Implications: The findings emphasise the importance of a clinical focus on the quality of the therapeutic relationship as a facilitative therapeutic environment allowing affective-cognitive processing and the emergence of posttraumatic growth.