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EMDR as an Integrative Psychotherapy Approach - Shapiro PDF

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E M D R A s AN INTEGRATIVE PSYCHOTHERAPY APPROACH Experts of Diverse Orientations Explore the Paradigm Prism Edited by Francine Shapiro, PhD AMERI C AN PSYCHo LOG ICAL As s oc IATION WASHINGTODNC. CONTENTS Contributors .................................................. ix Preface ....................................................... xvii Acknowledgments ............................................. xix Chapter 1. Introduction: Paradigms, Processing, and Personality Development .................................... 3 Francine Shapiro Chapter 2. EMDR Treatment: Overview and Integration ....... 27 Francine Shapiro Chapter 3. Beyond the Talking Cure: Somatic Experience and Subcortical Imprints in the Treatment of Trauma ... 57 Bessel A. wan der Kok Chapter The Developing Mind and the Resolution of Trauma: 4. Some Ideas About Information Processing and an Interpersonal Neurobiology of Psychotherapy ....... 85 Daniel 1. Siegel Chapter 5. EMDR and Psychoanalysis ........................ 123 Paul L. Wachtel Chapter 6. EMDR and Cognitive-Behavior Therapy: Exploring Convergence and Divergence ..................... 151 Nancy j. Srnyth and A. Desmond Poole wii Chapter 7. Combining EMDR and Schema-Focused Therapy: The Whole May Be Greater Than the Sum of the Parts ............................................ 181 jeffrey E. Young, William M. Zangwill, and Wendy E. Behary Chapter 8. EMDR: An Elegantly Concentrated Multimodal Procedure? ...................................... 209 Clifford N. Lazarus and Arnold Lazarus A. Chapter 9. EMDR and Hypnosis ............................. 225 Stephen Gilligan Chapter 10. EMDR and Experiential Psychotherapy ............. 239 Arthur C. Bohart and Leslie Greenberg Chapter 11. Feminist Therapy and EMDR Theory Meets Practice ......................................... 263 Laura S. Brown Chapter 12. EMDR in Conjunction With Family Systems Therapy ......................................... 289 Florence W. Kaslow, Rodney Nurse, and A. Peggy Thompson Chapter 13. Transpersonal Psychology, Eastern Nondual Philosophy, and EMDR ........................... 3 19 Sheila Krystal, John J. Prendergast, Phyllis Krystal, Peter Fenner, Isaac Shapiro, and KaEi Shapiro Chapter 14. Integration and EMDR ........................... 341 john C. Norcross and Francine Shapiro Appendix A: Evaluations of EMDR ............................. 357 Appendix B: EMDR Resources ................................. 389 Appendix C: Commonly Asked Questions About EMDR and Suggestions for Research Parameters ............................ 393 Louise Maxjield Author Index ................................................. 419 Subject Index ................................................. 429 About the Editor .............................................. 441 etiii CONTENTS CONTRIBUTORS CHAPTERS 1 AND 2: OVERVIEW, INFORMATION PROCESSING, AND EMDR Francine Shapiro, PhD, the originator and developer of eye movement desensitization and reprocessing (EMDR), is a senior research fellow at the Mental Research Institute in Palo Alto, CA. She is the founder and Pres- ident Emeritus of the EMDR Humanitarian Assistance Programs, a non- profit organization that coordinates disaster response and pro bono trainings worldwide. She has served as advisor to a wide variety of trauma treatment and outreach organizations and journals. Dr. Shapiro has been an invited speaker on EMDR at numerous major psychology conferences, including two divisions of the American Psychological Association (APA) and the American Psychological Society Presidential Symposium on posttraumatic stress disorder (PTSD). She has written and been the coauthor of numerous articles, chapters, and books about EMDR, including Eye Movement Desen- sitization and Reprocessing and EMDR. She is a recipient of the Distin- guished Scientific Achievement in Psychology Award presented by the Cal- ifornia Psychological Association. CHAPTER 3: EMDR AND PSYCHOPHYSIOLOGY Bessel A. van der Kolk, MD, is Professor of Psychiatry at Boston Uni- versity, where he teaches neuroscience and psychiatry. He is the Past Pres- ident of the International Society for Traumatic Stress Studies and was coinvestigator of the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders Field Trial for Posttraumatic Stress. He is the Medical Director of The Trauma Center in Boston and has been active as a clini- ix cian, researcher, and teacher in the area of posttraumatic stress for almost 25 years. His current research focuses on the effects of trauma on memory processes, the relative efficacy of psychological vs. biological interventions in PTSD treatment, and neuroimaging. He has taught at universities throughout the world and has published widely in the field as an author and editor, including the classic texts Psychobgical Trauma and Traumatic Stress: The Effects of Overwhelming Experience on Mind, Body, and Society. CHAPTER EMDR AND DEVELOPMENTAL NEUROBIOLOGY 4: Daniel J. Siegel, MD, received his medical degree from Harvard University and completed his postgraduate medical education at the University of California-Los Angeles (UCLA). An award-winning educator, he formerly directed the UCLA training program in child psychiatry and has served as a National Institute of Mental Health Research Fellow. He is currently an Associate Clinical Professor of Psychiatry at the UCLA School of Medicine and the Director of the Center for Human Development, an educational organization that focuses on how the development of individuals, families, and communities can be helped by examining the interface of human re- lationships and basic biological processes. Siegel is the author of The Dr. Developing Mind: Toward a Neurobiology of Interpersonal Experience, which has been used by many organizations, including the Sundance Institute, the U.S. Department of Justice, the Vatican, and academic departments worldwide. CHAPTER 5: EMDR AND PSYCHOANALYSIS Paul L. Wachtel, PhD, is CUNY Distinguished Professor in the doctoral program in clinical psychology at City College and the Graduate Center of the City University of New York. He did his undergraduate work at Columbia, received his PhD in clinical psychology from Yale, and is a graduate of the postdoctoral psychoanalytic training program at New York University, where he is also on the faculty. Wachtel is the author of, Dr. among other books, Action and Insight; The Poverty of Affluence; Family Dynamics in Individual Psychotherapy; Therapeutic Communication; Psycho- analysis, Behavior Therapy, and the Relational World; and most recently, Race in the Mind of America: Breaking the Vicious Circks Between Blacks and Whites. He is a cofounder of the Society for the Exploration of Psycho- therapy Integration and has been a member of its Steering Committee from its inception. X CONTRIBUTORS CHAPTER 6: EMDR AND COGNITIVE-BEHAVIOR THERAPY A. Desmond Poole, PhD, FBPsS, is Past President of both the British Association for Behavioural and Cognitive Psychotherapies and the Eur- opean Association for Behavioural Cognitive Psychotherapies. He is Head of the Department of Psychological Therapies, Police Rehabilitation, and Retraining Trust in Belfast, Northern Ireland, and is an Honorary Lecturer in the School of Psychology at Queen’s University of Belfast. Dr. Poole was previously an Associate Professor of Behavioural Science in Medicine in the Department of Psychiatry and Behavioural Science at the University of Western Australia and has also been on faculty in the Departments of Psychology and Psychiatry in Trinity College at Ireland’s Dublin University. He has published extensively on behavior therapy. Nancy J. Smyth, PhD, MSW, is Associate Professor and Associate Dean at the State University of New York at Buffalo School of Social Work. She has been active on numerous committees of the Association for the Ad- vancement of Behavior Therapy since 1994, including as Chairperson of Special Interest Groups and Affiliates. She is currently President of the organization’s EMDR Special Interest Group and has presented extensively on relevant research parameters. She has published behavioral clinical re- search on suicidal behavior, addictions, and dual disorders and is currently involved in federally funded research investigating links between addiction and trauma among addicted mothers and their children. CHAPTER 7: EMDR AND SCHEMA-FOCUSED THERAPY Jeffrey E. Young, PhD, is on the faculty in the Department of Psychiatry at Columbia University and is Director of the Cognitive Therapy Centers of New York and Connecticut. He is the founder of Schema Therapy and has published widely in the fields of both cognitive and schema therapies; two of his major books are Cognitive Therapy fur Personality Disorders: A Schema-Focused Approach and Reinventing Your Life. He has also served as a consultant on the editorial boards of journals, including Cognitive Therapy and Research and Cognitive and Behuvioral Practice. William M. Zangwill, PhD, is an associate at the Cognitive Therapy Cen- ter of New York. He is Adjunct Clinical Supervisor of Psychology at Yeshiva University and has written chapters on sexuality and on EMDR. Dr. Zangwill specializes in the treatment of PTSD, sexual, relationship, and family problems. CONTRIBUTORS xi Wendy E. Behary, LCSW, is the founder and director of the Cognitive Therapy Center of New Jersey. She specializes in the treatment of narcis- sism, couples, and social phobia and has given extensive lectures and train- ing on cognitive and schema therapy. CHAPTER 8: EMDR AND MULTIMODAL THERAPY Arnold A. Lazarus, PhD, ABPP, is the Distinguished Professor Emeritus of Psychology at Rutgers University and President of the Center for Mul- timodal Psychological Services. His many honors include two awards from the APA, the prestigious Cummings PSYCHE Award, the Distinguished Service Award from the American Board of Professional Psychology, and two Lifetime Achievement Awards. He has served as the president of sev- eral professional societies and authored well over 200 scientific articles and has authored, coauthored, or edited 16 books, including Brief but Compre- hensive Psychotherapy: The Multimodal Way and Marital Myths Revisited. Clifford N. Lazarus, PhD, is a licensed clinical psychologist and neuro- psychologist with a practice in Princeton, New Jersey, where he is the Director of Comprehensive Psychological Services. He has published nu- merous scientific articles, book chapters, and two popular books Don’t Be- lieve It for a Minute: 40 Toxic Idem That Are Driving You Crazy and The 60- Second Shrink. He was honored by the Prescribing Psychologists’ Register “For Outstanding Contributions to the Pioneering Efforts of Training in Psychopharmacology for Psychologists.” CHAPTER 9: EMDR AND HYPNOSIS Stephen Gilligan, PhD, is a licensed psychologist practicing in Encinitas, CA. Dr. Gilligan studied extensively with Milton Erickson and Gregory Bateson. After receiving his doctorate in psychology from Stanford Uni- versity, Dr. Gilligan became known as one of the premier teachers and practitioners of Ericksonian hypnosis and psychotherapy. Subsequently, he developed his own work of radical awakening, known as self-relations psy- chotherapy. His numerous publications include Therapeutic Trances: The Cooperation Principle in Ericksoniun Hypnotherapy, Brief Therapy (edited with J. Zeig), Therapeutic Conversations (edited with R. Price), The Courage to Love: Principles and Practices of Self-Relations Psychotherapy, and The Leg- acy of Erickson. xii CONTRIBUTORS CHAPTER 10: EMDR AND EXPERIENTIAL THERAPY Arthur C. Bohart, PhD, is Professor of Psychology at California State University-Dominguez Hills and is also affiliated with Saybrook Graduate School. Dr. Bohart coedited Empathy Reconsidered: New Directions in Psy- chotherapy with Leslie Greenberg. He is also the coauthor of How Clients Make Therapy Work: The Process of Active Self-Healing and the coeditor of Constructive and Destructive Behavior: Implications for Family, School, and Society. Leslie Greenberg, PhD, is Professor of Psychology at York University in Toronto, Ontario, and is the Director of the York University Psychotherapy Research Clinic. Dr. Greenberg is the coauthor of Emotion in Psychotherapy, Emotionally Focused Therapy for Couples, Facilitating Emotional Change, and Working With Emotions in Psychotherapy. He recently coedited the Handbook of Experiential Psychotherapy. Dr. Greenberg is a founding member of the Society of the Exploration of Psychotherapy Integration and a Past Presi- dent of the Society for Psychotherapy Research. He is on the editorial board of numerous psychotherapy journals, including the Journal of Psycho- therapy lntegration and the Journal of Marital and Family Therapy. CHAPTER 11: EMDR AND FEMINIST THERAPY Laura S. Brown, PhD, is a distinguished scholar and practitioner in the field of feminist therapy. Her book Subversive Dialogues: Theory in Feminist Therapy is considered the classic text on the topic, and in 1995 it won the Distinguished Publication Award from the Association for Women in Psy- chology. Dr. Brown has published four additional books and more than 100 journal articles and book chapters on feminist therapy theory, ethics, and practice, as well as on the topics of trauma treatment, psychotherapy with lesbians, and multiculturalism, In 1995, she was the recipient of the APA award for Distinguished Professional Contributions to Public Service and in 1997 was the recipient of the Sarah Haley Award for Clinical Excellence from the International Society for Traumatic Stress Studies. CHAPTER 12: EMDR AND FAMILY SYSTEMS Florence W. Kaslow, PhD, ABPP, is Past President of the Divisions of Family and Media Psychology of APA, the International Family Therapy Association, the Florida Association of Professional Family Mediators, and the American Board of Family Psychology. A member of many journal editorial boards who has authored or edited 20 books and over 160 articles CONTRIBUTORS xiii and book chapters, Dr. Kaslow is coauthor of Painful Partings: Divorce and its Aftermath, the Handbook of Relational Diagnosis and Dysfunctional Family Patterns, and the Handbook of Coupk and Family Forensics. Currently she is President of the International Academy of Family Psychologists and Chairperson of the Family Psychology Specialty Council. A. Rodney Nurse, PhD, ABPP, directs the family program at the Boyer Foundation (which treats people with serious mental illnesses) and was formerly the President and Dean of the California Graduate School of Family Psychology. Dr. Nurse edits the “Practice Enhancement” column for the Academy of Family Psychology and is Chair of Forensic Family Psychology for the APA Division of Family Psychology. He is the author of Family Assessment and Personality -Guided Couple Therapy. Peggy Thompson, PhD, is a founder and codirector (with Dr. Nurse) of the Collaborative Divorce and Family Psychological Services of Orinda and San Rafael, CA. She has been a licensed psychologist for 25 years and specializes in treating children and families. Dr. Thompson is a coauthor of Divorce: A Problem to Be Solved, Not a Battle to Be Fought. CHAPTER 13: EMDR AND TRANSPERSONAL PSYCHOLOGY Sheila Krystal, PhD, received her doctorate in Experimental Psychology at Columbia University and held a four-year Postdoctoral Fellowship at the University of California in the Human Development Program at Langley Porter Neuropsychiatric Institute. Since the early 1970s, Dr. Krystal has been a licensed clinical psychologist specializing in meditation and visu- alization techniques for psychospiritual education and healing. She has published articles in Maturim and the Journal of Substance Abuse Treatment and has contributed to numerous transpersonal psychology volumes. Peter Fenner, PhD, was a married monk in the Tibetan Buddhist Tradition for nine years. He lectures extensively in Australian and American uni- versities in East-West Psychology and is the author of the book Intrinsic Freedom. Phyllis Krystal has been an internationally known workshop leader since the early 1950s. She has developed a system of visualization techniques with archetypal symbols and is the author of eight books on transpersonal psychology, including Cutting the Xes That Bind. XiV CONTRIBUTORS

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