EMDR EYE MOVEMENT DESENSITIZATION AND REPROCESSING

LORI SETZER & PATRIK STRIDH

EMDR
ORIGINATOR AND DEVELOPER
FRANCINE SHAPIRO, Ph.D

EMDR
Dr. Shapiro has been an invited speaker on EMDR at numerous psychology

conferences, including the American Psychological Association and the American Psychological Society Presidential Symposium on PTSD.
She has written and co-authored more than 50 articles and three books. Dr. Shapiro received the Distinguished Scientific Achievement in Psychology Award

presented by the California Psychological Association and the 2002 Sigmund Freud Award for Psychotherapy presented by the City of Vienna in conjunction with the World Council for Psychotherapy.

DEVELOPMENT OF EMDR
In 1987, Dr. Shapiro was taking a stroll in the park and had

some disturbing thoughts flash through her mind. After moving her eyes from side to side she noticed the negative feelings immediately dissipate. She assumed that the eye movements had a desensitizing effect.
Eye Movement Desensitization (EMD) was introduced in

1989, later called (EMDR) Eye Movement Desensitization and Reprocessing (1991) to reflect the cognitive changes that occur during treatment and to identify the information processing theory.

 When an individual becomes upset or in distress, the brain cannot

process the information as it would normally. Some traumatic event or recurring situation provokes intense emotions that become frozen in time and stuck in the information processing system. Dr. Shapiro claims EMDR has a direct effect on the way the brain processes upsetting material.
Brom conducted a control study in 1989 and found no significant

differences between conditions of psychodynamic therapy, hypnotherapy, and desensitization. Another study conducted by Cooper and Clum reported a moderate clinical effect with a 30% dropout rate.

 Over 40,000 clinicians worldwide have been trained in EMDR. EMDR is the most extensively researched treatment for

Posttraumatic Stress Disorder (PTSD).

EMDR use in treating depression, phobias and other complex

psychological illnesses such as general anxiety, paranoid schizophrenia, learning disabilities, eating disorders, substance abuse, and pathological jealousy.

How it Works
No one can explain how it works You concentrate on a problem and move eyes by following a stick,

a light, or a finger Some say it unblocks the information processing system

Others say it works by the restructuring of memory by a ping-

pong effect between the right and left side of the brain
Effects how the brain interprets upsetting material

The Eight Phases of EMDR

1. -Clients readiness for EMDR is assessed

-Treatment plan is laid out 2. -Make sure client has coping skills and is in a relatively stable state -Stress-reducing techniques taught and mastered

Phase 3 through 6
-Target is identified and processed using EMDR -Client identifies positive beliefs and rates it from 0-10 -Client focuses on the image, negative thought, and body sensations while moving eyes back and fourth following the therapists finger -Client instructed to notice whatever happens and let their mind go blank and then notice thoughts, feelings, images, memories, or sensations that come to mind -When client reports no distress related to the targeted memory clinician asks them to think of preferred positive beliefs -Therapist checks with client regarding body sensations

Phases 7 and 8
7. -Closure -Client keeps a journal
-The Next Session -Re-evaluation of work done and inquire about progress made

8.

Goal of EMDR Therapy

Produce the most comprehensive treatment effects in the shortest period of time, while simultaneously maintaining a stable client with in a balanced system.

EMOTIONAL FREEDOM TECHNIQUES

EFT The cause of all negative emotions is a disruption in the bodys energy system Gary H. Craig The set up Even though I have this ____________ I deeply and completely accept myself. Affirmation-acknowledging problem while tapping. Works even if you do not believe it, just keep saying the phrase continually but is better if emphasized. Tapping process Use dominant hand with two fingers. Tap seven times to get energy straightened out. Reminder phrase The accident etc. Sore spot (Lymphatic Congestion) Three inches down from where the tie knot of a tie is and three inches to left and say affirmation three times. Karate chop Tapping point while saying reminder phrase.

The Sequence

Each point below the last on the body.

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. Beginning of the Eye Brow (EB) Side of the Eye (SE) Under the Eye (UE) Under the Nose (UN) Chin (Ch) Beginning of the Collar Bone (CB) Under the Arm (UA) Below the Nipple (BN) Thumb (Th) Index Finger (IF) Middle Finger (MF) Baby Finger (BF) Karate Chop (KC)

The 9 Gamut Procedure

1. 2. 3. 4. 5. 6. 7. 8. 9.

Eyes closed Eyes open Eyes hard down to the right Eyes hard down to the left Roll eyes in a circle clockwise Roll eyes in a circle counterclockwise Hum for 2 seconds Count rapidly from 1 to 5 Hum for 2 seconds

Persisting in the Belief

Third Variable Problem Social Influence Conformity Biased Sampling Confirmation Bias Fundamental Attribution Error Response to Uncertainty Pascals Wager Testimonials Not Falsifiable

Testing of Belief
EMDR relies on eye movement so you

would need to control for all other extraneous variables. If you can isolate the eye movement then you would be able to see if it is the essential part of the treatment The scales would have to be standardized to see how much you improved because a 0-10 scale is extremely subjective

The End