Berg van den, David (NL) & Vleugel van der, Berber (NL)

David van den Berg
Berber van der Vleugel

Trauma, Psychosis and EMDR

Saturday, June 4th, 2011, 11.00am – 12.30am
Campus of the University of Vienna, Room B

Quarter Day Workshop 10 (90 min, in English)

 

Biographical Sketch:
David van den Berg is clinical psychologist and works at Parnassia in The Hague, partly in an Early Detection and Intervention Team, a team that focuses on prevention of serious mental illness in people who are at an increased risk, and partly in an outpatient clinic for PTSD. From 2005 until 2010 he worked in a closed ward for people with psychotic disorders and in an outpatient clinic for people with psychotic disorders. As a PhD candidate he is conducting a RCT into the treatment of comorbid PTSD in patients with psychotic disorders. 

Email: d.vandenberg@parnassia.nl

Berber van der Vleugel is a mental health psychologist and cognitive behavioral therapist, working in a Flexible Assertive Community Treatment Team for people with severe mental illnesses in the Netherlands. She has a special interest in psychological treatment of psychotic symptoms like hearing voices and paranoia, and in comorbid PTSD.

Email: b.vandervleugel@ggz-nhn.nl


Abstract:
The associations between trauma and psychosis are diverse and complex. The majority of people suffering from psychosis have been traumatized as a child and trauma appears to be an important causal factor in becoming psychotic later in life. About 35 percent of the people with psychosis suffer from a comorbid Post Traumatic Stress Disorder (PTSD). The psychotic experience itself and the sometimes horrific experiences in psychiatric treatment (e.g., solitary confinement) are traumatizing experiences for many patients. The presence of a comorbid PTSD leads to negative vicious cycles in which the patient can become stuck if effective treatment is not provided. Despite all this, comorbid PTSD is rarely diagnosed, and if so, application of EBP is not common practice.

Learning objectives:
During this workshop these different interactions between trauma, psychosis and PTSD will shortly be discussed. Evidence from research and practice showing that trauma in psychosis can be treated effectively and safely, will be presented. Further, the workshop will focus on the practical application of EMDR within a general cognitive behavioural treatment plan for psychosis. Moreover, the following questions will be addressed. How is trauma history conceptualized within a case formulation? When can EMDR be used? And how can this be done? General problems one may encounter when using EMDR in patients with psychosis will be discussed.
Recommended reading before the workshop:

  • W. Larkin and A. Morrison (eds.) Trauma and Psychosis: New directions for theory and therapy. 2006 London: Brunner-Routledge.

After this workshop attendees will be aware of the great importance of assessing the life histories of patients with psychosis, how to incorporate this in a case formulation and how to use EMDR with these patients.

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Bertino, Gabriella (I) & Luca Ostacoli (I)

Gabriella Bertino
Luca Ostacoli

EMDR-Drawing Integration in the Treatment of Complex PTSD and Severe Organic Diseases

Saturday, June 4th, 02.00pm – 04.45pm
Campus of the University of Vienna, Room A

Half Day Workshop 6 (150 min, in English)

Biographical Sketch:
Bertino, Gabriella: Born in Ivrea (Turin) on 30/06/56. Clinical psychologist and psychotherapist specialized in Systemic Family Therapy, private practice in Turin, Italy. Master in psychotraumatology; Consultant and Supervisor EMDR Italian Association. Master in Tibetan Medicine and Psychology, Karuna Institue of Devon (GB). Completed training with masters of meditation. Regular Member of the following associations: AIM: Italian Society of Mindfulness; ESTSS: European Society for Traumatic Stress Studies. Teacher of seminars on the Management of Stress, Anxiety and Depressive Disorders and integrating mindfulness and body psychotherapy into them. Lecturer at the II Faculty of Medicine of Turin, S. Luigi’s Hospital, Orbassano, Post-degree Master in Psycho-oncology. He is author of a book on the Clinical Practice of Meditation, in press. Areas of research: EMDR and body-mediated psychotherapy, Treatment of posttraumatic and mood disorders, EMDR and attachment styles.

Email: bertinog@fastwebnet.it


Luca Ostacoli:
Head of the University Service of Psychosomatics and Clinical Psychology at San Luigi Hospital, Orbassano (Turin). Coordinator of Psycho-Oncology for the Piedmont Oncological Network. Member of the Association of Psychoanalytical Studies affiliated to the International Federation of Psychoanalytic Societies (IFPS). Consultant and Supervisor of EMDR (Eyes Movement Desensitization and Reprocessing). Lecturer of Psychotherapy and Clinical Psychology at the St. Luigi Faculty of Medicine and Surgery, Turin. Areas of research: EMDR and body-mediated psychotherapy, liaison in medical/ surgical diseases, treatment of posttraumatic and mood disorders. 

Email: luca.ostacoli@unito.it


Abstract:
As a complement to the strategies already used in EMDR, drawing gives form to the inner representations of the trauma, objectivising it. Thus the person no longer relates only to something inside him/her, but rather to something he/she can see and can concretely represent and modify. In the act of drawing, the patient makes an initial reorganisation of the form of the trauma, and begins to differentiate the adaptive ego, which has the tools and the ability to restructure the experiences, and the traumatic emotional part that suffers those experiences in a condition of impotence and passivity. The person may rapidly access preverbal and motor-sensory language, activating inborn creative skills. The use of this tool enables us to access the traumatic material gently, limiting dissociative reactions, bypassing avoidance and flight behaviour and setting a distance from pain by objectivising it. A protective space is created between the self and the part that holds the suffering.
The patient is offered the possibility of drawing what is occurring in the self’s here and now, and given a choice of different graphic materials. At the end of the drawing and assessment phase the person is asked to note what has emerged, and a brief space of time may be allowed for description without interpretation. The represented image is treated as the inner image in the classic protocol. To start, the patient is asked to focus on the drawing, on the negative cognition and on the bodily location of the emotional disorder, while bilateral stimulation is applied. At the end of each set, the patient is asked what he/she has noticed and the therapist verifies where the person now is in the re-elaboration. If there is a change the person may either work on the drawing, modifying it, or, if the change of image is radical, may produce another drawing. After several sets, an adaptive drawing emerges that may be installed as a resource.
The workshop focuses on the treatment of two clinical conditions, complex PTSD and severe medical diseases, with the support of video and graphic materials. It includes a practical experience of the Technique

Learning objectives:

To learn the use of drawing as a supplementary tool, through graphic and video material of clinical cases.
To recognise the indications in which it provides added value to the classical protocol.
To learn its use in various psychopathological conditions, with particular emphasis on dissociative states and severe medical diseases.
The use of drawing as a supplementary tool within the EMDR protocol gives form to the inner representation of the trauma, objectivising it, and creates a bridge of communication between the self and the blocked parts, after which it will be possible to return to desensitising and re-elaboration with the standard protocol.

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Bisping, Vanessa (D)

Vanessa Bisping

EMDR in the Treatment of Dental Phobia

Friday, June 3rd, 2011, 04.00pm – 05.30pm
Campus of the University of Vienna, Room B

Quarter Day Workshop 4 (90 min, in English)


Biographical Sketch
:
Vanessa Bisping is a clinical psychologist and a cognitive behavioral psychotherapist. Currently she works in a private practice in Hamm (Germany). She specializes in anxiety disorders, trauma and personality disorders. Prior to this, she worked at the Department of Psychosomatics in Dental Health Care at the University Clinic of Muenster (Germany) where she conducted her PhD study on the efficacy of EMDR in the treatment of dental phobia.

E-Mail: vanessabisping@gmx.de

 


Abstract:
An appointment at the dentist’s is not what most people look forward to. For some people, however, even the mere thought of having to undergo dental treatment causes them to feel extreme fear and panic. Between 5 and 15% of the world population suffer from such a pathological form of dental fear, called dental phobia. Dentally anxious individuals commonly avoid necessary dental procedures for many years despite deteriorating oral health, agonizing pain and severe psychosocial problems. The majority of individuals with dental phobia recall a traumatic event as cause for the onset of their fear. Interestingly, nearly 50% of them even suffer from posttraumatic stress symptoms, such as intrusive memories, nightmares, hyperarousal and avoidance behavior. EMDR can be a very useful instrument to help dentally anxious people to cope with past traumatic experiences and to prepare them for future confrontations with phobic stimuli.
The 90-minute workshop will give background information to the problem of pathological dental fear and present evidence from research showing that EMDR is an effective treatment method for dentophobia. The main focus will be on the practical procedure, which will be illustrated using video sequences of patient sessions.

Learning objectives:

This workshop will provide you with the following information:

  • a short review of current research and literature
  • the use of the EMDR protocol in its specific application to dentally anxious patients, with special emphasis on preparing the patient for future confrontations
    by working with flashforwards, future template and video check
  • ways of combining EMDR with other cognitive, behavioral and imagery techniques in the treatment of dental phobia.
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Böhm, Karsten (D)

Karsten Böhm

EMDR in der Behandlung der Zwangsstörung

Friday, June 3rd, 2011, 02.00pm – 05.30pm
Campus of the University of Vienna, Aula

Half Day Workshop 3 (180 min, in German)

 

Biographical Sketch: 

Dr. Karsten Böhm arbeitet als leitender Psychologe an der Rhein-Jura Klinik in Bad Säckingen, und ist an der Universitätsklinik Freiburg, Abteilung für Psychiatrie und Psychotherapie tätig. Seit 2004 beschäftigt er sich, neben Studien zu PTSD, intensiv mit der Psychotherapieforschung im Bereich Zwangsstörungen. Die Freiburger Forschungsgruppe führt u.a. klinische Studien zum Einsatz von EMDR, Dissoziationsneigungen und Versorgungsforschung bei Zwängen durch [Leitung: Prof. U. Voderholzer]. Dr. Böhm ist Mitglied der Leitlinienkommission der DGPPN zu Zwangsstörungen, die gegenwärtig die erste deutsche S3-Leitlinie zur Behandlung von Zwängen ausarbeitet. Er leitet Workshops an verschiedenen Ausbildungsinstituten [Freiburg, Basel], der Ärztekammer und Kongressen (DGPPN).

Email: karsten.boehm@uniklinik-freiburg.de

 

Abstract:
In diesem praxisorientierten Workshop wird der Einsatz von EMDR bei Zwangsstörungen vorgestellt und eingeübt. Dabei wird auf Besonderheiten beim Einsatz von EMDR ebenso eingegangen wie auf die Kombination mit Reizkonfrontationen (Expositionsübungen). Ein verändertes Standartprotokoll wird eingeführt, das "Therapietiming“ von EMDR aufgezeigt und auf typische Probleme in der Emotionsregulation eingegangen.

Learning objectives:
Ein wichtiges Augenmerk richtet sich in der Therapie immer auf die Persönlichkeit und Lebensgeschichte des Patienten. Sie lernen EMDR auf die jeweilige Persönlichkeit zuzuschneiden und auch die Art des Zwanges zu berücksichtigen. Waschzwänge bedürfen zum Beispiel oft anderer Strategien als reine Zwangsgedanken.
Im Workshop werden Therapievideos gezeigt, das praktische Vorgehen eingeübt und die Theorie hierzu anschaulich vermittelt. Er richtet sich sowohl an verhaltenstherapeutisch als auch an tiefenpsychologisch arbeitende Kollegen.

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Eckers, Dagmar (D)

Dagmar Eckers

EMDR bei Kindern

Saturday, June 4th, 2011 02.00pm – 04.45pm
Campus of the University of Vienna, Aula

Half Day Workshop  5 (150 min, in German)

 

Biographical Sketch:
Dipl.-Psych. Dagmar Eckers ist Trainerin für EMDR bei Kindern und Jugendlichen. Sie arbeitet seit 30 Jahren als psychologische Psychotherapeutin mit Kindern, Jugendlichen und Erwachsenen, 16 Jahre in einem Kindertherapiezentrum, seit 1995 in eigener Praxis. Sie hat abgeschlossene Ausbildungen in Verhaltens-, Gesprächs-, Familien-, Hypno- und EMDR-Therapie, und ist Supervisorin für Verhaltenstherapie und EMDR, sowie Mitbegründerin des Traumaforums Berlin. Arbeitsschwerpunkte in den letzten 10 Jahren sind Traumatherapie bei Kindern, Jugendlichen und Erwachsenen, vor allem bei komplexen und dissoziativen Traumafolgestörungen, sowie Fortbildungen und Supervision (fallbezogen und in Institutionen) zu Traumathemen.

Email: info@traumaforum-berlin.de


Abstract:
In der Arbeit mit kleinen Kindern ist bei EMDR der Einsatz von therapeutischen Erzählgeschichten hilfreich um eine Traumabearbeitung zu ermöglichen, auch wenn die Kinder nur wenig sprechen können. Aber auch bei größeren Kindern und Erwachsenen bieten sich durch das Narrativ Möglichkeiten, die eigene Geschichte traumatherapeutisch zu bearbeiten, selbst wenn die frühe Entwicklungsgeschichte (wie bei Adoptiv- und Pflegefamilien) regulär wenig zugänglich ist oder die Kinder eine Bearbeitung mit dem Standardprotokoll phobisch vermeiden. Durch hypnotherapeutische Einbettung kann das Traumanarrativ dem Kind auch schonend vermittelt werden.

Learning objectives:
Im Workshop sollen anhand von vielen Fallbeispielen und Videoausschnitten die verschiedenen Einsatzmöglichkeiten von Traumanarrativen und EMDR illustriert werden.

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Hase, Michael (D)

Michael Hase

EMDR and Trauma: Somatic Disease and Medical Treatment

Saturday, June 4th, 2011 02.00pm – 04.45pm
Campus of the University of Vienna, Room B

Half Day Workshop 7 (150 min, in English)

 

Biographical Sketch:
Michael Hase, MD, studied medicine from 1979 – 1985 in Kiel. After military service as a physician and training in psychiatry Hase specialized in therapy of PTSD and EMDR. He does research on the efficacy of EMDR in the treatment of addiction, the treatment of depression and treatment of burnout. He is presenting at international conferences since 1999 at international conferences. Hase is head of the department of psychosomatic medicine at the Diana Klinik in Bad Bevensen, Germany.

Department of Psychosomatic Medicine and Psychotherapy
Diana Klinik, Lerchenweg 3, 29549 Bad Bevensen, Germany

www.michaelhase.eu
m.hase@diana-klinik.de


Abstract:
Severe somatic disorders and the subsequent medical treatment often signify serious threat and feelings of being helplessly exposed to them. This gets obvious as one regards the phenomenon of intraoperative awareness. About 8000 - 16000 of these incidents per year are to be expected for the Federal German Republic according to recent investigations. But even less dramatic incidents within the natural course of the disease or incidents evoked by the therapeutic approach may leave their marks. However, posttraumatic stress disorder is not always easy to be diagnosed and treated. A remarkable amount of patients in psychosomatic rehabilitation is afflicted with mental consequences of somatic disorders such as cerebral infarction, coronary heart disease or, respectively, the necessary somatic treatment of these disorders. The prevalence of PTSD and the effects on the course of the disease as well as on everyday functioning are not to be underestimated here. This workshop is supposed to demonstrate the specifics of the EMDR-treatment for this population of interest. Treatment of patients with underlying cardiological and neurological diseases is further illustrated by video documentation. Considerations about the selection of target memory lead to a treatment algorithm. The contact with body memory is going to be explored by the use of case studies.

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Hornsveld, Hellen (NL)

Hellen Hornsveld

Work mechanisms in EMDR

Marcel van de Hout

Friday, June 3rd, 2011, 02.00pm – 03.30pm
Campus of the University of Vienna, Room B

Quarter Day Workshop 2 (90 min, in English)

 

Biographical Sketch:
Hellen Hornsveld, PhD, is a psychologist at the Department of Clinical and Health Psychology, Utrecht University, Netherlands, where she is a teacher, researcher and therapist. She specializes in anxiety disorders, trauma and eating disorders. She holds publications in the area of anxiety disorders, eating disorders and EMDR working mechanisms. With Sjef Berendsen she co-edited the Dutch EMDR Casebook. Ms. Hornsveld is an EMDR Europe approved consultant and member of the board of the Dutch EMDR Association. 

Email: H.K.Hornsveld@uu.nl


Abstract:
Eye movements (EMs) during retrieval of negative memories reduce the vividness and emotionality of these memories when they are being recalled later. This is a robust phenomenon and is the basis of the EMDR method. Of the many explanations that have been put forward to explain the benefits of EMs, the working memory (WM) explanation has – by far - the most empirical support.
The WM hypothesis will be explained and a new series of experiments will be presented that give additional support for the WM account and have some large clinical implications.

  1. In over 50% of the EMDR treatments eye movements are replaced by other bilateral stimulation like auditory tones or tapping. These ‘variants’ lack empirical support. Several studies (in healthy subjects and patients) strongly suggest that that these alternatives are inferior to eye movements. This is in line with the working memory account.
  2. Eye movements are also used in (non-desensitization) procedures like the safe place and the RDI procedure. Again, there is no empirical support for the added value of eye movements. Our research indicates that – in line with the WM theory – EM’s seem counterproductive in RDI.
  3. EMs also reduce the vividness and emotionality of (disturbing) images of feared future events: “flashworwards”.


Learning objectives:

Research data in a non-clinical sample and some clinical cases will be presented.

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Emre Konuk (TR)

Emre Konuk

Hejan Epözdemir (TR) / Sirin Haciomeroglu (TR)


EMDR Treatment of Migraine and Chronic Daily Headache

Saturday, June 4th, 2011, 09.00am – 10.30am 

Campus University Vienna, Room A

Quarter Day Workshop 7 (90 Min, in English)

Biographical Sketch:

After completing an undergraduate degree in psychology at Istanbul University (İstanbul Üniversitesi) Emre Konuk received his graduate degree in clinical psychology at Bosphorus University (Boğaziçi Üniversitesi) in Turkey. He undertook family therapy training whilst working as a therapist at the Brief Therapy Center at the Mental Research Institute, in Palo Alto, California.

He founded the Institute for Behavioral Studies in Turkey (DBE Davranış Bilimleri Enstitüsü) in 1985, with the vision of providing psychological services to individuals, families and organizations. Konuk applies a solution oriented “Brief Therapy” on the basis of Cognitive Behavioral and Family Therapy Model as well as utilizing the EMDR approach mainly on Posttraumatic Stress Disorder, complex traumas, Personality Disorders, relationship problems and performance enhancement.

Emre Konuk has ed many social responsibility projects within the body of the Humanitarian Assistance Programs (HAP) including the “Trauma Intervention Training” for the 17th August 1999 Marmara Earthquake, Istanbul bombings and Turkish Airlines airplane crashes. 

Konuk served as the Executive Board Member of the Turkish Psychologists Association at the Istanbul division between 1993 and 2003. He took on the duty of the chair of the association between 1998 and 2001, and served as Projects Coordinator during 1999-2002.

He is currently training, supervising and serves as a psychotherapist in DBE.

Email: konuk@dbe.com.tr

 

Abstract:

The prevalence of chronic migraine headache in western societies ranges between 12-24% for women and 5-12% for men. In Turkey, about 21% of women and 11% of men suffer from migraine. It is one of the most disabling problems that a person can have.

Pharmacological treatment and behavioral interventions are the most widely used approaches for migraine. The term ‘chronic’ implies that the problem is not solvable. In this case it means that although pharmacological treatments and behavioral interventions meaningfully reduce the pain for some of the patients, there remains a population of headache sufferers who get large amounts of medicine, have to go to the emergency room frequently because of too much pain prolonged over many hours and at times days. Furthermore, some medications have moderate to severe adverse effects or contraindicate with clients’ existing conditions. 

Eye movement desensitization and reprocessing (EMDR) is an integrative psychotherapy approach that was developed to reduce or eliminate the symptoms resulting from unresolved traumatic memories. Recently EMDR treatment has provided promising results in alleviating chronic pain and increasing sufferers’ psychological wellbeing. Research pointing out the neurobiological similarities found in patients who suffers PTSD and chronic pain, encouraged many clinician and researcher to explore the utilization of EMDR in the treatment of chronic pain. 

We developed the EMDR Chronic Migraine Headache Protocol in order to obtain and maintain a high level of treatment fidelity and stick to scientific rigor and as a guide for future research. In collaboration with a public hospital in Turkey, we conducted a pilot study with chronic migraine patients diagnosed also as having chronic daily headache. The study continues with an enlarged sample and the present analyses revealed that there was a significant decrease in the frequency, the duration and the strength of the headaches of patients treated with the EMDR Chronic Headache Protocol. Besides, the number of the Emergency Care visits and the amount of medication taken were also decreased significantly in patients treated with EMDR.

Learning objectives:
The major aim of this workshop, is to present to the participants, how to use The EMDR Chronic Headache Protocol in the treatment of patients diagnosed as having both Chronic Migraine and Chronic Daily Headache (CDH). Participants will gain detailed information about how to use EMDR Chronic Migraine Headache Protocol in emergency cases too. There will be DVD recordings of sessions demonstrating how to intervene a migraine attack during a session and also how the EMDR Chronic Headache Protocol is used for the treatment of chronic migraine headache. 

 

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Meignant, Isabelle (F)

Isabelle Meignant

EMDR Systemic Approach: Application in Couples’ Therapy

Friday, June 3rd, 2011, 02.00pm – 05.30pm
Campus of the University of Vienna, Room C2

Half Day Workshop 2 (180 min)
(English with German Translation)

 

Biographical Sketch:
Psychologist, psychotherapist and systemic family therapist, she works in private practice. Born in the psychoanalytic and humanist psychotherapy model, she was trained in Gestalt Therapy at the Esalen Institute, in psychodrama with both Moreno and psychoanalytic, and began herself a personal psychoanalysis at the age of 16. Her work, with patients ranging from 0 to 99 years, with individuals, couples and families guides her, in the EMDR approach and in the use of the systemic model in the target plan. As facilitator and consultant, she is strongly engaged in the EMDR France Association. She wrote the book “Buddy the dog’s EMDR” illustrated by her sister Cécile. 

Email: meignant@gmail.com

 

Abstract:
The workshop will illustrate how the systemic model created by Mony Elkaïm for understanding couple's crisis can be useful in the EMDR treatment of couples, EMDR case conceptualization and EMDR targeting plan. This model focuses on the double bind in which each member of the couple is torn between his/her Official Program and his/her World View. For example: "I want to be loved" (O.P.) and "if someone loves me he will leave me" (W.V.). These world views are creating repetitive cycles which are trapping the members of the couple or any person involved in the interaction. The aim of the EMDR practitioner is to treat the dysfunctional stored memories connected with these world views and give them flexibility to free the members of the couple from the vicious cycle in which they are caught. In this workshop we show how to make hypothesis about the World View of each member of the couple and verifying them which will guide us to find the EMDR targets. These targets will be the Gordian knot of the present problem the couple is dealing with, hence processing them will help the system evolve from a situation of crisis to a situation of equilibrium. Following each phase of the EMDR model, eight phase protocols, we will show how it will be applied on to couple therapy with case studies and practice examples. We will see how this target plan can apply to any dyad or system of crisis in family therapy, couple therapy and individual therapy.

Learning objectives:

  • Understanding of how to use the systemic model, reciprocal double bind, to find the individual targets that are involved in the couple or any relational present problem in an EMDR target plan.
  • Being able to do the installation of EMDR in a safe place as a resource for the couple.
  • Evaluating more clearly whether and when to use EMDR in the couple therapy session.
  • Knowing specifications of each of the 8 phases of the EMDR protocol with couples.
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Mevissen, Liesbeth (NL))

Liesbeth Mevissen

Treatment of People with Developmental Disabilities.
How far can we go?

Saturday, June 4th, 2011, 11.00am – 12.30am
Campus of the University of Vienna, Room A

Quarter Day Workshop 9 (90 min, in English)

 

Biographical Sketch:
Liesbeth Mevissen is EMDR practitioner. As an educationalist and clinical psychologist she works at Accare in Deventer, a centre for child and adolescent psychiatry. She has more than 30 years experience with regard to adults as well as children with developmental disabilities. Liesbeth specialised in assessment and treatment of serious emotional and behavioral problems in this population. As a PhD candidate she is doing research on PTSD and its treatment (EMDR) in people with intellectual disabilities. 

Email: l.mevissen@accare.nl


Abstract:
There is evidence to suggest that people with developmental disabilities are at greater risk to suffer from the disruptive effects of traumatic events. However, parents, teachers, caregivers and even clinicians who offer specialized outpatient treatments often lack awareness of this. In general, emotional and behavioural problems are attributed to other diagnosed disorders such as genetic syndromes, cognitive impairments, ADHD or autism. Taking history with regard to behavioural changes following overwhelming events appears not to be a common practice at all. Moreover, the expression of trauma symptoms as well as the interpretation of distressing experiences often differs in comparison with the general population. Furthermore, because of their limited communication skills, common treatment methods are not appropriate. As a result, this patient category seldom receives treatment for exposure to disturbing events, including apparent symptoms of PTSD.
Preliminary research findings illustrate that EMDR, because of its strongly non-verbal character, seems to be an applicable, effective and efficient treatment method for this patient category. But how far can we go? During this workshop these findings will be presented, illustrated by many video clips of treatments of patients carried out in a centre for child and adolescent psychiatry and an outpatient treatment of adults with mental health problems. Special attention is given to creative adaptations of the EMDR protocol and the cooperation with parents, who are often traumatized themselves and have to be treated as well, either to make them able to function as a co-therapist or to strengthen their skills in educating a child with special needs.

Learning objectives:
After this workshop attendees will be aware of the specific expression of PTSD symptoms in people with various serious developmental disabilities and the various possibilities of EMDR treatment in this population.

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Mosquera, Dolores (E) & Gonzalez, Anabel (E)

Dolores Mosquera & Anabel Gonzalez

Personality Disorders and EMDR

Saturday, June 4th 2011, 9.00am – 04.45pm
Campus oft he University of Vienna, Room C2

Full Day Workshop 2 (330 min)
(English with German Translation)

 

Biographical Sketch:
Dolores Mosquera is psychologist and psychotherapist. She is the director of several private practice and clinics, specialized in the field of Personality Disorders. She has been trained in different psychotherapeutic approaches and is an EMDR Supervisor and Facilitator. She has extensive academic experience, teaching seminars, workshops and lectures across Spain. She is member of EMDR, IIPD, and ISST-D, ESTD and member of a Suicide Prevention Program. She has published 11 books and many articles on borderline personality disorder and complex trauma and is a recognized expertise on this field. She has worked with EMDR on personality disorders, complex trauma and dissociation for many years.

Email: doloresmosquera@gmail.com

 

Anabel Gonzalez works as psychiatrist and psychotherapist in the Public Mental Health System and in private practice. She coordinates a Trauma and Dissociation Program and has a broad clinical experience with Dissociative Disorders and Complex Trauma. Trained in different psychotherapeutic approaches, she is EMDR Supervisor, Facilitator and Board Member of the EMDR Spanish Association. She gives regular complementary training to the EMDR Spanish Association, and has presented several workshops and courses about EMDR interventions, mainly in complex cases. Both, she is an ESTD and ISST-D Member. She is author of several articles, presentations, book chapters and a book about Dissociative Disorders.

Email: anabel_gonzalezv@hotmail.com

 

Abstract:
Patients with personality disorders have many difficulties in their daily functioning; many have histories of traumatic events and insecure attachment. In this workshop we will focus on cluster B personality disorders, and especially on borderlines. We will try to explain the interrelation of the DSM criteria (how they “feed” on each other) and how they are fed on these early events. To understand these aspects is basic for an adequate case-conceptualization in Phase 1. Early relational trauma impacts the developmental trajectory of the future adult and this will have a deep effect on how this adult relates to others. People with personality disorders and complex trauma have many difficulties when it comes to relating to others. One of the aspects that makes personality disorders difficult to manage is the intense emotional reactions that arise in the therapist during EMDR sessions. The management of relational difficulties is a core aspect in the treatment of personality disorders, and the solid basis where EMDR should develop.
The stabilization phase has been remarked as essential prior to trauma work with EMDR. But being true this assumption, two aspects need further development. The first is to establish when a patient is ready for trauma processing since frequently the stabilization phase is unnecessarily prolonged by therapists who don´t feel secure enough working with EMDR in this clinic group. The second is the development of specific interventions from EMDR, and not just the “importation” of foreign techniques, without an adequate theoretical framework. In this workshop we will go deeper into this topic.
Trauma processing in personality disorders implies many specificities that we should have in mind. Knowing these specific aspects, trauma processing with EMDR can be safely implemented in these patients. Borderline patients can get better with different therapies but only EMDR is able to get to symptoms such as “emptiness”. The effect of EMDR therapy is evident in clinic experience, even when specific research is still under development.

Learning objectives:
One interesting aspect of this workshop is the integration of theoretical exposition and the presentation of videos cases, in order to understand how to manage relational problems with this clinical group (a group with important patient-therapist relationship problems) and specific aspects of EMDR therapy in these patients. The general structure of EMDR therapy in personality disorders, interventions for the preparation phase and considerations for trauma EMDR work will be showed and explained.

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Pagani, Marco (I)

Marco Pagani

Neuroimaging and Novel Neurobiological Findings in EMDR Research

Di Lorenzo G.2, Verardo A.3, Lauretti G.3, Russo R.3, Monaco L. 2, Cogolo P. 4, Nicolais G.4
(1ISTC-CNR, Rom, Italien, 2Universität Rom 'Tor Vergata', Fakultät für Psychiatrie, Rom, Italien, 3EMDR Fachgesellschaft Italien, 4Universität Rom 'La Sapienza', Psychologie, Rom, Italien)


Friday, June 3rd, 2011, 02.00pm – 05.30pm
Campus oft he University of Vienna, Room C1

Half Day Workshop 1 (180 Min)
(English with German Translation)
 

Biographical Sketch:
Marco Pagani, MD, PhD in Brain Neurophysiology 2000, Karolinska Institute of Stockholm, Senior Researcher at the Italian National Research Council (ISTC-CNR). His work focuses on the physiopathology of cerebral haemodynamic and metabolism by functional and structural imaging techniques applied to neurodegenerative and psychiatric disorders. In the recent years he has been tutoring PhD students investigating posttraumatic stress disorder and has acquired experience in neuropsychological and neuropsychiatric research. Hence, his results have been published in high impact journals (two of the few experimental evidences of the functional and anatomical neurobiological effects of EMDR as well as four more papers on the clinical effect of EMDR and 9 abstract with EMDR-related results at international conferences). He is reviewer for the most relevant journals in the field of functional neuroimaging and has got published 44 papers in international peer-reviewed journals and 81 abstracts in conference books of peer-reviewed international conferences.

Email: marco.pagani@istc.cnr.it

 

Abstract:
In the recent years the number of neuroimaging studies evaluating neural correlates of psychotherapy has steadily increased revealing its clear neurobiological effects on brain function across a wide range of psychiatric disorders. Functional studies by single photon emission computed tomography (SPECT) and positron emission tomography (PET) detect changes in cerebral blood flow and metabolism patterns, identifying the brain areas processing the various components of emotional processing and/or affected by the disorders. Investigations by magnetic resonance imaging (MRI) have also revealed psychiatry disease-related structural changes.
The first part of the workshop (20 minutes) will describe the neuroimaging methodologies and findings in PTSD/EMDR research with and extensive review of previous literature on the neurobiological effects of EMDR. The second part of the workshop (20 minutes) will deal with the description and implementation in research and clinic of neuropsychological testing with brief comments and discussion about their use in the recent experiments performed by our group. In the third part the EEG monitoring of a complete set of EMDR therapies in 10 patients suffering of major trauma will be presented. The relative results are the first report ever on the neurobiological changes occurring before, during and after EMDR therapy sheding light on the neuronal processes underlying its clinical efficacy.

Learning objectives:
The description and the discussion about the contents of the workshop will provide the audience (1) the necessary information to understand the methodological principles behind the neuroimaging techniques (PET, SPECT and MRI) and their possible applications in research and clinic; (2) the critical knowledge of the limited number of published papers in the field of EMDR-related functional and anatomical studies; (3) the basic research principles and examples to be motivated to begin, take part and/or collaborate to EMDR research in order to better understand the neural basis of this fascinating psychotherapeutic technique.

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Quinn, Gary (IL)

Gary Quinn

EMDR Emergency Treatment for Manmade and Natural Disasters

Friday, June 3rd, 2011, 02.00pm – 05.30pm
Campus of the University of Vienna, Alte Kapelle

Half Day Workshop 4 (180 min, in English)

 

Biographical Sketch:
Gary Quinn, MD, is a psychiatrist and director of the Jerusalem Stress and Trauma Institute. He specializes in crisis intervention, the treatment of Anxiety and Depressive Disorders, and the treatment of Posttraumatic Stress Disorders. He is the co-founder and co-chairman of EMDR-Israel and has conducted trainings in Israel, Asia and Europe. Professor Quinn Developed the Emergency Response Protocol (ERP) to treat victims of trauma using EMDR within hours of the incident. Professor Quinn is in the faculty of Ohio State University and is a consultant in the Ohio State University Stress, Trauma and Resilience (STAR) Program. 

Email: gmquinn@netvision.net.il

 

Abstract:
EMDR is a well-established therapy for the treatment of Post Traumatic Stress Disorder (PTSD). PTSD can be reduced or prevented if treated during the first month after a trauma when a person displays Acute Stress Disorder (ASD). Although usually used later, EMDR has also been used effectively in the immediate period following trauma. Victims of immediate trauma often exhibit “silent terror” or extreme stress .The Emergency Response Procedure (ERP), described in the Humanitarian Assistance Program’s (HAP) Disaster Manual and Marilyn Luber’s: EMDR Scripted Protocols: Basic and Special Situations (2009) was developed to deal with victims of natural and manmade disaster within hours of exposure to trauma.
Learning objectives: Participants in this workshop will learn how to respond to clients in the immediate aftermath of trauma, utilizing ERP. This will be understood within the overall context of the principles of Psychological First Aid. This same basic approach can be applied in the event of strong abreaction during the initial phase of History-taking, and prior to the Preparation Phase of EMDR or at other times of treatment when patients exhibit strong emotional reactions. Similarly, treatment with ERP may also be considered for patients exhibiting this “silent terror” or extreme stress during initial treatment by first responders at the scene of an accident or in ambulances en route to medical facilities.
Case examples will be presented to illustrate the successful treatment of Acute Stress Disorder (ASD) with survivors the Tsunami in Thailand, and with victims of terror and war. In this presentation the Recent Events Protocol will be examined, with particular emphasis on modifying the Positive Cognitions (PC) in the face of continuing ongoing danger. EMD (Eye Movement Desensitization), the original protocol developed by Dr. Francine Shapiro in 1989, will be described and compared to the standard EMDR protocol with emphasis as used in emergency settings where multiple patients need rapid treatment. The EMDR Group Protocol will be presented as utilized in the Tsunami of 2004 and during war. A practicum will follow.

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Sautai, Guy (F)

Guy Sautai

Intensive Therapy EMDR (ITE)

Friday, June 3rd, 2011, 04.00pm – 05.30pm
Campus of the University of Vienna, Room A

Quarter Day Workshop 3 (90 min, in English)

Biographical Sketch:

  • Medical Doctor from Necker Hospital, "Enfants Malades" in Paris.
  • Emergency doctor at SAMU, Service Aide Medicale Urgence, Paris and France within a period of 10 years. Specialized in natural disasters (earthquakes, floods, landslides, etc.) happening all over the world. Also he intervened at times of terrorist attacks in France.
  • Humanitarian and Development Doctor (Doctors without Borders, French doctor, MDM, care…) for 8 years. Mission of support systems of health of countries in civil war and under extreme conditions (Mozambique, Kampuchea, Haiti…)
  • Public Health Doctor (WHO, World Bank) for 2 years. Prevention and clinical research on the behaviour of the groups at the risk of AIDS (Haiti, Mozambique, Vietnam, Kampuchea). Human Rights Observer in Haiti.
  • General MD and Psychotherapist since 10 years. Installed in the south of France. Trained in EMDR by David Servan-Schreiber, supervisor and facilitator EMDR, specialist in intensive EMDR therapy for complex traumas.
  • Coordinator of the French clinical research group on the intensive EMDR therapy.
  • Previous presentation at the European EMDR conference in Paris 2007: Immersion therapy for psychic poisoning - 24 patients.

Email: g.sautai@orange.fr


Abstract:

With ITE, we take care of patients with developmental trauma disorders (Bessel A. van der Kolk) and / or disorganized attachment disorders profile (Bowlby) when the classic therapeutic intervention fails or is getting blocked. Those patients usually do not have a basic structure strong enough to build an adaptive approach.
The ITE gives the patients a framework that allows them to experience the legitimacy and validity of self-knowledge (I can accept, validate and express my feelings) and significant relationships with others (I can trust and ask for assistance to others)
The ITE take place during 8 consecutive days at the rate of 8 hours per day out of the patient usual environment.

The four stages of the ITE:

  • Active Prospective Anamneses (APA), which helps to establish and strengthen the therapeutic relationship, to assess and install the resources and stability of the patient, to assess needs and provide, adapted psychoeducation, to identify adaptive, defensive and dysfunctional memory networks.
  • Conceptualization of cases (Andrews Leeds) based on the Adaptive Information Processing (AIP) System (Francine Shapiro), the Attachment Theory (Bowlbly, J.), the affective neuroscience (Panksepp, J.), the developing mind (Siegel, DJ.), the Polyvagal Theory (Porges, SW.), the necessary and useful renouncement (Judith Viosrt)
  • Treatment plan with targeted plans
  • Chronological desensitization treatment started with early traumas (Kathie O'Shea) then continues with targeted plans until scenarios of the future.

We experienced ITE already with 72 patients (at 01 January 2011) with promising results that have evidenced advantages and disadvantages.

Advantages: it gives the patient a supportive, safe, protective and respectful environment as a unique experience that allows a fundamental adaptive restructuration.
Disadvantage: time and the availability of patient and therapist.
Myth: it is emotionally stressful and disruptive for the patient and the therapist.

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Schubbe, Oliver (D)

Oliver Schubbe

Self Care during the EMDR Session: The Application of the Standard Protocol for working with Counter-Transference

Saturday, June 4th, 2011, 09.00am – 10.30am
Campus of the University of Vienna, Room B

Quarter Day Workshop 7 (90 min, in English)

Biographical Sketch
:
Oliver Schubbe, Dipl.-Psych., M.A. is a German-Latvian EMDR trainer and a behavioral and family therapist in private practice in Berlin. In 1996, he learned EMDR with Francine Shapiro. Since then, he has trained over 3000 psychotherapists in EMDR. He is a founding member of EMDRIA Deutschland e.V., the Network of EMDR Trainers (NOET), and the Association for Psychotraumatology, Traumatherapy and Violence Research (APTVR). Since 1990, he is director of the Institute for Trauma Therapy in Berlin.

Email: schubbe@traumatherapie.de


Abstract:
Secondary traumatization and appropriate self care are relevant current topics for psychotherapists, especially when working with complex trauma. During the application of the standard protocol, EMDR therapists are often confronted with reports of severe traumatic incidents, strong emotions, and different forms of transference. In reaction, they experience post-traumatic counter-transference, and sometimes even secondary trauma. The EMDR standard protocol provides the opportunity for dual application - parallel for client and therapist. Through processing of the initial counter-transference, the therapist experiences a unique EMDR process. This process resolves any disturbance that might occur through counter-transference issues.

Learning objectives:
The therapist can better support the EMDR process of the client, e.g. through more creative ideas for cognitive interweaves. The indication and contra-indications for this procedure will be discussed.

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Shapiro, Elan (IL) & Laub, Brurit (IL)

Elan Shapiro
Brurit Laub

The Recent-Traumatic Episode Protocol (R-TEP): A Comprehensive Approach for Early EMDR Intervention (EEI)


Saturday, June 4th, 2011, 9.00am – 04.45pm
Campus of the University of Vienna, Room C1

Full Day Workshop 1 (330 min)
(English with German translation)

 

Biographical Sketch:
Elan Shapiro is a psychologist in private practice with over 30 years of experience having worked in a community psychological service in upper Nazareth. Originally specializing in Adlerian psychology he came to EMDR in 1989 after attending one of the first trainings Francine Shapiro ever gave. In 1994 he became an EMDR Institute Facilitator. One of the founding members of the EMDR Europe Association he is currently member of the executive board as secretary of EMDR Europe.

Email: elanshapiro@gmail.com

Brurit Laub is a clinical psychologist in private practice in Israel with over 30 years of experience working in a community mental health center and supervising family and marriage therapy community centers. In the mid 1990's she became an EMDR Institute Facilitator. She has presented her Resource Connection Envelope (RCE) in EMDR conferences in London, Vancouver, Istanbul, Kristiansand and Tel-Aviv.

Email: brurit@zahav.net.il


Abstract:

Early EMDR Intervention (EEI), while trauma memories are still consolidating, is perceived as a window of opportunity for adaptive processing of trauma memories.  It may be used not only to treat acute distress but also to prevent complications by checking for sub-clinical sticking points which can obstruct the Adaptive Information Processing (AIP) and don’t necessarily show up on the DSM radar, thereby reducing the sensitization and accumulation of trauma memories.

Learning objectives:
As part of a comprehensive approach to EEI, this workshop presents the Recent Traumatic Episode Protocol (R-TEP) which is an integrative protocol that incorporates and extends existing protocols together with additional measures for containment and safety. The R-TEP will be taught with video case illustrations, live demonstration and a practicum.

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Spierings, Joany (NL)

Joany Spierings

Interweaves

Saturday, June 4th, 2011, 9.00am – 04.45pm
Campus of the University of Vienna, Alte Kapelle

Full Day Workshop 3 (330 min, in English)

 

Biographical Sketch:
Dr. Joany Spierings (1954) is a psychologist and a psychotherapist, working in the Mental Health Service for over 30 years, specializing in complex trauma and complicated grief.

She is working with severely traumatized clients, developing stabilization techniques and adaptations of EMDR, to fit the specific needs of these clients. She works as senior supervisor for Riagg Rijnmond, Rotterdam. She is a teacher in post-academic training, and a presenter at many national and European EMDR conferences.

She is involved in EMDR since 1974 and is a senior supervisor, supervisor trainer and trainer in training. She is a founding member of EMDR Europe, a founding member of the Dutch EMDR Association and vice-President of the Humanitarian Assistance Program, HAP-Europe and part of several HAP-projects. She is also famous for her stand-up comedy acts on EMDR.

Email: joany.spierings@gmail.com

 

Abstract:
Working with severely damaged clients we can hardly expect EMDR-processing to go smoothly by itself. ‘Just staying out of the way’ is not enough to help these clients process their traumatic material. A more active approach is called for to bring trauma resolution. In EMDR this type of intervening is called ‘(cognitive) interweaving’. The therapist may need to intervene on the process level with process interweaves, in order to keep the client within his window of (affect) tolerance. Or the therapist has to intervene on the content level with content interweaves, when the client gets stuck in a specific problem is unable to solve with the information he has available. interweaves to get round resistance, and interweaves to bring reconciliation and forgiveness.


Learning objectives:
In this workshop the participant learns to use process interweaves to modulate the arousal level of the client. In addition to this a toolkit of useful content interweaves is presented, cognitive and non-cognitive, e.g. sensory, physical, humorous, symbolic and spiritual interweaves. The presentation includes metaphors for all kinds of blocks, bits and pieces of psycho-education for specific stuck points, unorthodox, creative or hilarious interweaves to get round resistance, and interweaves to bring reconciliation and forgiveness.

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Torres, Jorge Robredo (E)

Jorge Robredo Torres

EMDR and Gender Violence. Brief and Intensive Treatment for Children exposed to Gender Violence.

Friday, June 3rd, 2011, 02.00pm – 03.30pm
Campus of the University of Vienna, Room A

Quarter Day Workshop 1 (90 min, in English)

 

Biographical Sketch:

Jorge Robredo is a licensed psychologist, expert in PTSD and with 10 years practice in treating victims of gender violence, both in the private practice and in social services. He completed EMDR training in 2010. He is accredited practitioner in EMDR, member of EMDR Association Spain, and Coordinator of the Gender Violence Commission of the Psychologists Professional Association in Alicante.
He created and directs the Instituto de Psicotrauma in Alicante (www.inpsitra.com), where he conducts research on psychological trauma and designs treatment protocols for particular target populations, such as emergency staff, or children exposed to gender violence within their families. His work on the latest has opened the collaboration with Save the Children Spain in its last awareness campaign about the children being the invisible victims of gender violence.

Email: jorge@inpsitra.com


Abstract:
The Instituto de Psicotrauma de Alicante and the Social Services of San Juan use, since 2008, a brief intervention protocol for minors exposed to gender violence. This protocol is based on the therapeutic paradigm of EMDR©.
First results on a sample of 28 children from 4 to 12 years old were the disappearance of posttraumatic stress disorder and depression, the remission of concomitant behavior disorders (disobedience, aggression), and the improvement of the affective link with their mother.
In our last study, the sample was bigger and the treatment protocol evolved to be an intensive one, lasting three weeks.

Learning objectives:
This workshop’s aim is to show such protocol and our last study. We will present to the participants:

  1. Characteristics of gender violence in mothers and symptoms in their children.
  2. Relevance of the EMDR paradigm and the Structural Dissociation of Personality Theory by Onno van der Hart.
  3. Assessment instruments.
  4. Evidences of the structural dissociation in the children.
  5. Treatment protocol.
  6. Handling of sessions with mother and child.
  7. Work with the dysfunctional beliefs of mothers.
  8. Techniques to work with the cognitive interweaves of the child.
  9. Techniques to identify and work the dissociation in the child.
  10. Data and conclusions of the study

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Tumani, Visal (D)

EMDR in interkulturellen Therapien

Saturday, June 4th, 2011, 09.00am – 10.30am
Campus of the University of Vienna, Aula

Quarter Day Workshop 5 (90 min, in German)

Biological Sketch:
Studium der Humanmedizin an der Georg-August-Universität Göttingen, Ärztin im Praktikum im Fach Dermatologie, Universität Göttingen, danach Assistenzärztin im Niedersächsischen Landeskrankenhaus Göttingen, Weiterbildung in Psychiatrie und Psychotherapie bei Dr. med. M. Koller, seit 2000 Fachärztin, Aufbau und Leitung der Ethnopsychiatrischen Ambulanz im LKH Göttingen, Aufbau und spätere funktionsoberärztliche Leitung der Trauma-Therapie- Station unter der Leitung von Prof. Dr. med. U. Sachsse, EMDR-Supervisorin und Facilitator seit 2000 (EMDR-Institut, Arne Hofmann) zur Zeit EMDR-Trainerin in Ausbildung. Vorstandsarbeit von 1997-1999 in der Deutsch-Türkischen Gesellschaft für Psychiatrie und Psychotherapie, sowie im Arbeitskreis türkischsprechender Psychotherapeuten in Deutschland.

Email: visal.tumani@uni-ulm.de

Abstract:
Currently migration has reached extensive proportions. Globally, we assume a hundred to two hundred million migrants (WHO). Due to civil wars, natural disasters, political and economic circumstances the true figure is likely even higher.
So it increasingly occurs that psychiatrists and psychotherapists encounter in their treatment individuals from other cultures, presenting with various psychiatric symptoms. The treatment of these people will sometimes face major difficulties. Not only because of language but also because of the relative importance of certain symptoms in a cultural context, it is essential to consider culture background, working milieu and disorder specific psychiatric/psychotherapy. But what does cultural and milieu sensitive psychiatry or psychotherapy mean? Based on the existing studies about people with immigrant backgrounds and the investigations of the Socio-Vision-Institute, and our own experiences we will elucidate how an intercultural meeting and a milieu sensitive psychotherapy can be successfully applied.

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Wöller, Wolfgang (D)

Wolfgang Wöller

Integration von EMDR in tiefenpsychologische Therapien

Saturday, June 4th, 2011, 11.00am – 12.30am
Campus of the University of Vienna, Aula

Quarter Day Workshop 8 (90 min, in German)

 

Biographical Sketch:
Priv.-Doz. Dr. med., Facharzt für Psychosomatische Medizin und Psychotherapie, Neurologie und Psychiatrie, Psychoanalytiker (DGPT, DPG) und Lehranalytiker, EMDR-Supervisor. Lehrtätigkeit an der Heinrich-Heine-Universität Düsseldorf. Ärztlicher Direktor der Rhein-Klinik, Klinik für Psychosomatische Medizin und Psychotherapie in Bad Honnef. 

Email: wolfgang.woeller@johanneswerk.de

 

Abstract:
Der Workshop beschäftigt sich mit Fragen der Integration von EMDR in ein psychodynamisches Therapiesetting. Zum einen kann EMDR sinnvoll mit psychodynamischer Therapie kombiniert werden, wenn bei komplexen posttraumatischen Belastungsstörungen Symptome einer PTSD zusammen mit depressiven, dissoziativen, somatoformen und anderen Symptomen auftreten. Daneben finden sich verschiedene andere Anwendungsmöglichkeiten von EMDR im Rahmen psychodynamischer Therapien, bspw. wenn dysfunktionale Erinnerungsnetzwerke die Wirkungsweise klarifizierender, konfrontierender und deutender Interventionen blockieren. Dies gilt für Anpassungsstörungen ebenso wie fixierte, aber verhaltenssteuernde negative Selbstkognitionen und für psychosomatisch abgewehrte implizite Emotionen im Rahmen somatoformer Störungen. Schließlich können ressourcenaktivierende Interventionen im Rahmen des EMDR den Aufbau von Ich-Funktionen bei Strukturpathologien unterstützen.

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