A Model of Clinical Intervention in the Maternity Ward: The Breastfeeding and Bonding EMDR Protocol

Chiorino, Valentina; Roveraro, Sara; Cattaneo, M. Caterina; Salerno, Roberta; Macchi, E.; Bertolucci, Giorgia G.; Mosca, Fabio; Fernández, Isabel

doi:10.1891/1933-3196.10.4.275

Cited by 4 publications

(3 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Many of these brief EMDR interventions were developed as early interventions to provide rapid relief from symptoms of a recent trauma (see E. Shapiro & Maxfield, 2019). Other brief treatments were used for new mothers following a difficult birth (Chiorino et al, 2016), for acute pain (Maroufi et al, 2016), in an emergency room setting (Gil-Jardine et al, 2018), and for test anxiety (Maxfield & Melnyk, 2000).…”

Section: Brief Emdr Therapymentioning

confidence: 99%

Low-Intensity Interventions and EMDR Therapy

Maxfield¹

2021

J EMDR Prac Res

View full text Add to dashboard Cite

Unlike high intensity treatment, in which clients have face-to-face contact with a mental health specialist, clients in low-intensity treatment have limited or no contact with a specialist. Instead, their treatment is usually provided through self-help procedures, which are delivered via (guided) computer programs, books, or mHealth apps. Other treatments sometimes considered low intensity are brief treatments, group therapy, and interventions delivered by nonspecialists. Advantages include effectiveness, accessibility, efficiency, and affordability. Concerns related to safety, engagement, and adherence in self-help programs may be addressed by (asynchronous) therapist guidance. This article describes low-intensity treatments, and their relevance for eye movement desensitization and reprocessing (EMDR) therapy. Hundreds of randomized controlled trials (RCTs) have found self-help interventions to be efficacious, with many producing the same level of results as the traditional face-to-face procedure. Guided self-help cognitive behavioral therapy is recommended for the treatment of posttraumatic stress disorder in the guidelines of both the National Institute for Health and Care Excellence and International Society of Traumatic Stress Studies. Only three self-help-EMDR RCTs have been conducted. This author advocates for reconceptualizing EMDR group therapy as “guided EMDR-self-help therapy,” because it is a highly manualized, heavily scripted treatment, in which the client works independently on their own material. In this respect, it offers an excellent template for the future development of efficacious low-intensity EMDR interventions. Developing safe, easy-to-use, affordable, and readily available low-intensity interventions will make effective EMDR treatment available to many millions of people around the world.

show abstract

Section: Brief Emdr Therapymentioning

confidence: 99%

Low-Intensity Interventions and EMDR Therapy

Maxfield¹

2021

J EMDR Prac Res

View full text Add to dashboard Cite

show abstract

“…Leeds (2015) explains that "the target was always viewed as a memory of a specific past incident, current cue, or future occurrence in the first decade of EMDR's development," but many alternative EMDR protocols of which the targets are intrapsychic experience, emotion, urge, and defense have been developed. Some of these include RDI (Resource Development and Installation) (Leeds, 2001); Affect Tolerance Protocols (Leeds, 2013); the Early Trauma approach, which targets attachment experience by time frame, (O'Shea & Paulsen, 2007;Paulsen, 2014;2017); DeTUR (Desensitization of Triggers and Urge Reprocessing) (Popky, 2005); Ambivalent (conflicted) avoidance (Knipe, 2010); and the Breastfeeding and Bonding EMDR Protocol (Chiorino et al, 2016).…”

Section: Target For Emdr Therapymentioning

confidence: 99%

“…If the biological mother has distress related to breastfeeding, the therapist can use the Breastfeeding and Bonding EMDR Protocol (Chiorino et al, 2016). The Breastfeeding and Bonding EMDR Protocol focuses on the moments of greatest difficulty/distress related to breastfeeding to rehabilitate the bonding between the biological mother and her baby.…”

Section: Scope Of Targeting Maternal Emotional Dysregulation With Emdr Therapymentioning

confidence: 99%

Intervening in the Intergenerational Transmission of Trauma by Targeting Maternal Emotional Dysregulation With EMDR Therapy

Mii¹,

Paulsen²

2018

J EMDR Prac Res

View full text Add to dashboard Cite

Many studies have shown that the relationship between child and caregivers is critical for healthy development of the child’s brain function, and for intergenerational transmission of attachment. Here, we propose a useful eye movement desensitization and reprocessing (EMDR) target for treatment of maternal emotional dysregulation that can cause maltreatment of the child, with the goal of interrupting intergenerational transmission of attachment trauma. First, we use schematics to demonstrate a hypothetical model of the interaction between a child’s attachment behavior and a mother’s bonding behavior. This schematic shows that the child’s physiologic reaction activates or triggers the mother’s negative affect and somatic sensations in her limbic system and brain stem and that, in turn, evokes the mother’s maltreatment behavior. The negative affect and somatic sensation (maternal emotional dysregulation) are Dysfunctionally Stored Information (DSI) that was produced in the mother’s past experience. We propose that the mother’s negative affect and somatic sensations activated by the child’s behaviors can be useful targets for EMDR therapy based on this hypothetical model. Two Japanese case reports (mothers with 4-year-old daughters) are described to illustrate this application. Further discussion highlights the feature of Japanese cultural relationship and the dissociation, and the meaning and scope of targeting maternal emotional dysregulation with EMDR therapy.

show abstract