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File: Emdr Pdf 108278 | 13 08 Emdr Carolina House Durham Handouts 1
emdr where did it come from carolina house symposium what is it where is it going workshop with gary peterson m d emdr where did it come from objectives what ...

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    EMDR: Where did it come from?                                                                                                                                                                     Carolina House Symposium 
    What is it? Where is it going?                                                                                                                                              Workshop with Gary Peterson, M.D. 
                              EMDR: Where did it come from?                                                                                                                              Objectives 
                                  What is it? Where is it going?                                                                                       
                                                                                                                                                        
                                                       Gary Peterson, M.D.                                                                                     •     Explain the origins of EMDR 
                                                             Chapel Hill, NC                                                                                   •     Describe the eight phases of EMDR 
                                                                               
                                                  Carolina House Symposium                                                                                     •     Name the three prongs of the basic 
                                                    The Washington Duke Inn                                                                                          treatment protocol 
                                                                 Durham, NC                                                                                           
                                                                                                                                                                       
                                                              August 23, 2013                                                                                         
                                        
                                  Orientation towards EMDR                                                                                                    Active Ingredients Project 
                                                                                                                                                              Efficient Therapies of PTSD (Figley, 1995) 
                               EMDR is one of a wide variety of methods under                                                                                 •     Eye Movement Desensitization and 
                               the rubric of “Power Therapies” that target 
                               specific issues and problems, aimed at rapid                                                                                              Reprocessing (EMDR)  
                               resolution.                                                                                                                    •     Thought  Field Therapy (TFT) 
                               These methods generally employ attunement to                                                                                   •     Visual/Kinesthetic Dissociation (V/KD) 
                               a problem including the  emotions and somatic                                                                                  •     Traumatic Incident Reduction (TIR) 
                               component, and apply a dual attention task                                                                                            
                               with a physical sensation that supports 
                               resolution of the client's negative emotional 
                               attachment to the target issue. 
                                  Active Ingredients Project 
                                                                     Data                                                                                                             Epigenetics 
                                 Method  Subjects Treatment  Follow-up                                                                                        •     Environmental influences affect the 
                                                                         time (min.)  SUD                                                                           genetic expression of DNA 
                                 EMDR                       6                    172                      2.64                                                       
                                 TFT                       14                     63                      3.60                                                •     Epigenetic modifications can be 
                                                                                                                                                                    inherited from one generation to the 
                                 V/DK                      11                    113                      3.30                                                      next. 
                                 TIR                        9                    254                      5.67                                                       
    The Washington Duke Inn 
    Durham, NC                                                                                                                                                                                                 August 23, 2013     Pg 1 
   EMDR: Where did it come from?                                                                                      Carolina House Symposium 
   What is it? Where is it going?                                                                        Workshop with Gary Peterson, M.D. 
                       Epigenetic Mechanisms                                                     Epigenetic Modification 
                        
                    •  DNA methylation and histone 
                       modification can regulate gene 
                       expression without altering the 
                       underlying DNA gene sequence. 
                              Epigenetics and 
                         Environmental Stress                                                         Epigenetic effects 
                   •  The genome dynamically responds to the                                  •   As environmental influences affect the 
                      environment. Stress, diet, behavior, toxins                                 genetic expression of individual traits, many 
                      and other factors activate chemical switches                                effects can occur. 
                      that regulate gene expression.                                          •   In additional to emotional and behavioral 
                   •  The lousy childhoods or excellent adventures                                issues, altered gene expression can affect 
                      of our ancestors might change personality,                                  cardiovascular status and can be associated 
                      bequeathing anxiety or resilience by altering                               with risk of cancer. 
                      epigenetic expressions of genes in the brain.                                
                                                                                                        Epigenetics and 
                        Epigenetic Inheritance                                                            psychotherapy 
                   •  DNA sequencing of genes is                                            •   “Successful psychotherapy may activate 
                      unchanged.                                                                epigenetic mechanisms in brain circuits to 
                   •  Some epigenetic tags remain in place                                      reduce psychiatric symptoms by improving 
                      from generation to generation.                                            the efficiency of information processing in 
                   •  The new embryo's epigenome is not                                         these circuits, just like effective drug 
                      completely erased and rebuilt from                                        therapy is thought to do.” 
                      scratch.                                                                   
                                                                                                J Clin Pharm Ther 2012  p253 
                                                                                             
                                                                                             
                                                                                                 
   The Washington Duke Inn 
   Durham, NC                                                                                                               August 23, 2013     Pg 2 
  EMDR: Where did it come from?                                                                          Carolina House Symposium 
  What is it? Where is it going?                                                             Workshop with Gary Peterson, M.D. 
                 Intergenerational effects of 
                                 smoking                                          Autonomic Nervous System 
                    Stress and the HPA Axis                                       Polyvagal Theory Sequence 
                  Trauma Treatment Overview                                        Trauma Treatment Overview 
                    Phase or Stage Oriented Approach                                      1. Stabilization Phase 
                                                                                 •  Safety from self injury, drugs, promiscuity, 
                1. Safety, stabilization, and symptom                               destructive relationships 
                   reduction                                                     •  Stabilization of mood, affect tolerance,  
                2. Processing traumatic experiences                                 functioning in daily life, relationships 
                3. Integration or fusion, and rehabilitation                     •  Symptom reduction, learning to self-
                                                                                    soothe, containment of re-experienced 
                                                                                    traumas 
  The Washington Duke Inn 
  Durham, NC                                                                                                  August 23, 2013     Pg 3 
  EMDR: Where did it come from?                                                                        Carolina House Symposium 
  What is it? Where is it going?                                                            Workshop with Gary Peterson, M.D. 
                   Trauma Treatment Overview                                       Trauma Treatment Overview 
                      2. Trauma-Processing Phase                                 3. Integration, Fusion, Rehab Phase 
               •  Re-experiencing, abreacting, desensitizing,                    • Grapple with loss, grief, mourning, 
                  and detoxifying traumatic events                                 loneliness 
               •  Reframing context of the abuse                                 • Practice new skills 
               •  Tolerating feelings of helplessness, grief                     • Tolerate not relying on dissociation 
                  confusion, shame, horror, terror, anger and 
                  rage                                                           • Deal effectively with everyday problems 
                                                                                    
                   The Adaptive Information                                        EMDR Historical Highlights 
                         Processing System 
                   Healing is the usual human response to untoward              1987  Shapiro develops Eye Movement 
                    events                                                            Desensitization (EMD) 
                      •  Physical - cut heals                                    1989  Shapiro publishes 2 EMD articles 
                      •  Psychological - problems resolve                        1991  EMDR renamed EMDR 
                   Learning occurs based upon constant ‘updating’ in            1992  First EMDR Conference 
                    response to changing environment, perceptions,               1995  Shapiro’s EMDR published 
                    and knowledge.                                               1995  EMDR International Association established 
                   Disturbing events that are not metabolized or                              nd
                    “bled off” are stored in a manner that precludes             2001  EMDR, 2  Ed., published 
                    the usual integration that occurs with life events.          2002  Resource Development and Installation 
                                                                                 2007  Journal of EMDR Practice and Research begins 
                                                                                  
                   EMDR Research Highlights                                   More EMDR Research Highlights 
              1989  Treatment of somatoform disorder (Brown)                  2004  As effective as CBT for sexually abused girls 
              1998  Treatment of military veterans (Carlson)                       (Jaberghaderi) 
              1998  EMDR equivalent to exposure therapy (Van Etten)           2006  Effective treatment after 9/11 (Silver) 
              1999  Superior to routine Tx for adults with CSA                2007  EMDR Reduces PTSD sx better than SSRI  
                    (Edmond)                                                       (van der Kolk) 
              2002  Positive results with children with PTSD                  2008  Effective vs. CBT for child behavior problems 
                    (Chemtob)                                                      (Wanders) 
              2002  Equivalent to CBT for adult PTSD (Several articles)       2012  EMDR and B/SIT significantly reduced test 
                                                                                   anxiety (Cook-Vienot) 
              2004  Group protocol for children (Fernandez)                   2012  Traumatized C&A -15 EMDR studies (Cook-Vienot) 
                                                                               
               
  The Washington Duke Inn 
  Durham, NC                                                                                                 August 23, 2013     Pg 4 
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...Emdr where did it come from carolina house symposium what is going workshop with gary peterson m d objectives explain the origins of chapel hill nc describe eight phases name three prongs basic washington duke inn treatment protocol durham august orientation towards active ingredients project efficient therapies ptsd figley one a wide variety methods under eye movement desensitization and rubric power that target specific issues problems aimed at rapid reprocessing resolution thought field therapy tft these generally employ attunement to visual kinesthetic dissociation v kd problem including emotions somatic traumatic incident reduction tir component apply dual attention task physical sensation supports client s negative emotional attachment issue data epigenetics method subjects follow up environmental influences affect time min sud genetic expression dna epigenetic modifications can be inherited generation dk next pg mechanisms modification methylation histone regulate gene without a...

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