The clinical adherence to and combination of methods with EMDR to
treat PTSD has not been explored. This is of some concern as 27 000
clinicians are trained in EMDR globally. This exploratory study gained
information on Australian trained EMDR clinicians' adherence to EMDR,
and the methods they combined with EMDR to treat PTSD. Survey
responses from 126 clinicians were analysed using predominantly
descriptive statistics.
The findings of this study showed that the majority of respondents
perceived that they closely adhered to the standard EMDR treatment.
However, respondents reported adhering more closely to the phases than
the steps of EMDR. Statistically significant findings showed that more
experienced EMDR level 1 clinicians were more likely to add steps and
phases to EMDR, and to change the standard sequence of steps. Clinicians
with greater years of experience were also more likely to change the
standard sequence of steps. In addition, more experienced EMDR level 2
clinicians, were less likely to educate their clients about PTSD. Almost all
respondents combined EMDR with other methods to treat PTSD. Combined
methods included CBT, hypnosis / relaxation, system / solution focused
methods and exposure.
This research has contributed to theory and practice by uncovering
that clinicians appear to use EMDR differently to researchers, by changing
EMDR to meet client needs, combining EMDR with other methods and
Holly Byron 16/9/99 vi
therapies, and introducing EMDR in the mid stage of treatment. These
findings are vital to reduce the scientist-practitioner divide by accurately
testing EMDR's efficacy and enabling future controlled trials to reflect the
clinical use of EMDR.
| Identifer | oai:union.ndltd.org:ADTP/218826 |
| Date | January 1999 |
| Creators | Byron, Holly, n/a |
| Publisher | University of Canberra. Professional & Community Education |
| Source Sets | Australiasian Digital Theses Program |
| Language | English |
| Detected Language | English |
| Rights | ), Copyright Holly Byron |
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