Work on Internet child exploitation (ICE) teams require individuals to perform a number of investigative tasks, including viewing graphic images and videos of young children being sexually assaulted and tortured, to identify victims and locate perpetrators. Individuals involved in this work may be at higher risk for experiencing secondary traumatic stress because of the graphic images and sounds to which they are exposed. The impact of ICE investigations and what helps and hinders coping with the work was explored using the Critical Incident Technique with 14 members of a Royal Canadian Mounted Police integrated ICE team. Results suggest that there are a number of organizational and personal strategies that can assist those who work in this field to cope more effectively.
Psychotherapy integration leaders have recently asserted that the future of psychotherapy will involve incorporation of neuroscience. In the past 18 years, techniques have been discovered and developed to treat trauma and dissociation at all three neurobiological levels of Porges' (2001, 2007) polyvagal theory. This approach is known as Observed & Experiential Integration (OEI). The originator incorporated elements of Focusing, Eye Movement Desensitization and Reprocessing, and Educational Kinesiology. OEI theory emerged from experiential psychotherapy, and relational psychoanalytic and behavioral concepts were assimilated during 45,000 hours of psychotherapy. Five sets of OEI techniques are used for titration of affective and somatic intensity, reduction of negative transference, and deepening of social connection. OEI involves neuro-activation & microattunement (NAMA). It has been applied with body therapies and neurotherapy and used with children, couples, and families. OEI has also been applied to addictive and self-destructive urges, panic attacks, and eating disorders. Case examples illustrate applications of this treatment.
Since 1994 an innovative treatment has been in development for psychological trauma, known as Observed & Experiential Integration (OEI; Bradshaw, Cook, & McDonald, 2011;Cook & Bradshaw, 1999. In this small pilot RCT, OEI outperformed a delayed treatment control condition for reduction of PTSD symptoms on the Clinician-Administered PTSD Scale (CAPS) and the Impact of Event Scale-Revised (IES-R). A script-driven symptom provocation protocol was employed. Ten mixed trauma survivors (3 male, 7 female) received three 1-hour sessions of OEI "Switching". After the delayed treatment group received the same intervention, all but one participant no longer met the criteria for PTSD. In this report, the RCT is supplemented by a qualitative 2-year follow up. OEI Switching can be easily taught to clients for affect regulation during, and between, sessions.
This study was the first to explore the treatment effects of observed and experiential integration (OEI) therapy for the salient psychological barriers to performance experienced by athletes. The hermeneutic single case efficacy design was used to explore the relationship between OEI therapy and athlete psychological functioning. The participant was a student-athlete who met the criteria for the performance dysfunction (multilevel classification system of Sport psychology) category, which indicates that subclinical issues were present. After five phases of data collection, a rich case record was compiled and referenced to develop skeptic and affirmative briefs and corresponding rebuttals by two research teams of three experts (OEI clinician, non-OEI clinician, and sport expert). Three independent judges adjudicated the cases and unanimously concluded that the client changed considerably to substantially and that OEI, the therapeutic relationship, and client expectancy were active variables in the change process.
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