Dissociation of the Personality and EMDR Therapy in Complex Trauma-Related Disorders: Applications in the Stabilization Phase

Hart, Onno van der; Groenendijk, Mariëtte; González, Anabel; Mosquera, Dolores; Solomon, Roger

doi:10.1891/1933-3196.7.2.81

Cited by 27 publications

(13 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In the same way, according to the results of the present study, the add-on EMDR has an important effect in reducing dissociative symptoms, probably due to the well-recognized effect of EMDR on the reintegration of previous dysfunctionally stored memories (Nardo et al, 2013 ; van der Hart et al, 2013 ).…”

Section: Discussionsupporting

confidence: 81%

EMDR as Add-On Treatment for Psychiatric and Traumatic Symptoms in Patients with Substance Use Disorder

Carletto

Oliva

Barnato³

et al. 2018

Front. Psychol.

View full text Add to dashboard Cite

Background: Substance use disorders (SUD) are patterns of substance use leading to severe impairment on social, working and economic levels. In vivo and clinical findings have enhanced the role of the brain's stress-related system in maintaining SUD behaviors. Several studies have also revealed a high prevalence of post-traumatic symptoms among SUD patients, suggesting that a trauma-informed treatment approach could lead to better treatment outcomes. However, only few studies have evaluated the use of eye movement desensitization and reprocessing (EMDR) in SUD without consistent results. The aim of the present pilot study was to assess the efficacy of a combined trauma-focused (TF) and addiction-focused (AF) EMDR intervention in treating post-traumatic and stress-related symptoms of patients with SUD.Methods: Forty patients with different SUD were enrolled in the study. Twenty patients underwent treatment as usual (TAU), the other 20 patients were treated with TAU plus 24 weekly sessions of EMDR. All patients were assessed before and after intervention for several psychological dimensions using specific tools (i.e., BDI-II, DES, IES-R, STAI, and SCL-90-GSI). A repeated measure MANOVA was performed to evaluate both between groups (TAU + EMDR vs. TAU) and within group (pre- vs. post-intervention) effects and interactions. A secondary outcome was the dichotomous variable yielded by the urine drug testing immunoassay (yes/no).Results: The RM-MANOVA revealed both a significant pre–post main effect (p < 0.001), and a significant group-by-time main effect (p < 0.001). Significant improvements on IES-R, DES, and SCL-90-GSI scales were shown in both groups according to time effects (p < 0.05). However, significant greater effects were found for TAU + EMDR group than TAU group. No differences were found between TAU and TAU + EMDR groups in terms of urine drug immunoassay results before and after the interventions.Conclusions: The TAU + EMDR group showed a significant improvement of post-traumatic and dissociative symptoms, accompanied by a reduction in anxiety and overall psychopathology levels, whereas TAU group showed a significant reduction only in post-traumatic symptoms. Although our results can only be considered preliminary, this study suggests that a combined TF- and AF- EMDR protocol is an effective and well-accepted add-on treatment for patients with SUD.

show abstract

Section: Discussionsupporting

confidence: 81%

EMDR as Add-On Treatment for Psychiatric and Traumatic Symptoms in Patients with Substance Use Disorder

Carletto

Oliva

Barnato³

et al. 2018

Front. Psychol.

View full text Add to dashboard Cite

show abstract

“…y trabajo de estabilización. No es infrecuente que la evitación defensiva y fóbica que rodea a ciertos recuerdos (van der Hart et al, 2013) tenga que ser la diana inicial para el reprocesamiento, hasta que se resuelvan suficientes miedos concretos y se desarrolle suficiente tolerancia afectiva.…”

Section: Distintas Vías En El Plan De Tratamiento Para Elunclassified

La aplicación de la terapia EMDR en el trastorno límite de la personalidad

Mosquera¹,

Leeds²,

GonzalezM³

2016

J EMDR Prac Res

Self Cite

View full text Add to dashboard Cite

Existe un interés creciente en usar la terapia de desensibilización y reprocesamiento mediante movimientos oculares (EMDR) más allá del trastorno por estrés postraumático; para el cual dicha aplicación está bien consolidada. Con el fuerte consenso académico de que las experiencias vitales adversas y traumáticas contribuyen al desarrollo del trastorno límite de la personalidad (TLP), parecería que EMDR podría aportar mucho al tratamiento de las personas con TLP. Sin embargo, dadas las características específicas de estos pacientes, la aplicación de la terapia EMDR a su tratamiento puede ser todo un reto y son necesarias pequeñas adaptaciones de los procedimientos estándar de EMDR para el TEPT. Este artículo proporciona una orientación a los principios y estrategias para preparar de manera segura y eficaz a los pacientes con TLP para la terapia EMDR, y para acceder a los orígenes traumáticos del TLP y reprocesarlos. Se ofrecen ejemplos clínicos a lo largo del artículo.

show abstract

“…Instead, more preparation, psychoeducation, and stabilization work may need to be done. Not infrequently, the defensive, phobic avoidance surrounding certain memories (van der Hart et al, 2013) need to be the initial targets for reprocessing until sufficient specific fears are resolved and sufficient affect tolerance is developed.…”

Section: Selecting Targetsmentioning

confidence: 99%

Application of EMDR Therapy for Borderline Personality Disorder

Mosquera¹,

Leeds²,

González

2014

J EMDR Prac Res

Self Cite

View full text Add to dashboard Cite

There is a growing interest in the use of eye movement desensitization and reprocessing (EMDR) therapy beyond posttraumatic stress disorder (PTSD) where its application is well established. With strong scholarly consensus that early traumatic and adverse life experiences contribute to the development of borderline personality disorder (BPD), EMDR would appear to offer much to the treatment of persons with BPD. However, given the specific characteristics of these clients, the application of EMDR therapy to their treatment can be challenging and necessitates several minor adaptations of the standard EMDR procedures for PTSD. This article provides an orientation to principles and strategies for safely and effectively preparing clients with BPD for EMDR therapy and for accessing and reprocessing the traumatic origins of BPD. Clinical examples are provided throughout.

show abstract

Dissociation of the Personality and EMDR Therapy in Complex Trauma-Related Disorders: Applications in the Stabilization Phase

Cited by 27 publications

References 20 publications

EMDR as Add-On Treatment for Psychiatric and Traumatic Symptoms in Patients with Substance Use Disorder

EMDR as Add-On Treatment for Psychiatric and Traumatic Symptoms in Patients with Substance Use Disorder

La aplicación de la terapia EMDR en el trastorno límite de la personalidad

Application of EMDR Therapy for Borderline Personality Disorder

Contact Info

Product

Resources

About