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Day 5 - November 13, 2021

EMDRIA | Virtual Conference 2021 EMDRIA 2021 Virtual Conference Banner

NOVEMBER 13

10:00am - 11:30am (1.5 Credit Hours)

Session 301

EMDR Treatment of Complex PTSD: Lessons Learned Over Three Decades

Speaker: Deborah Korn, Psy.D.

Topic Area: PTSD

Complex PTSD is associated with chronic or prolonged victimization, deprivation, and neglect. Many experts consider it to be a disorder of dysregulation—one that involves difficulties in regulating emotions, behaviors, relationships, attention and consciousness, self-perception, and somatic experience. This dysregulation leads to the development of affect phobias, insecure attachment styles, rigid defenses and avoidance patterns, high levels of dissociation, and the inability to access important internal resources. EMDR therapy adapted to meet the needs of Complex PTSD patients offers the promise of profound transformation and post-traumatic growth. In this plenary address, Dr. Korn offers relevant concepts and guiding principles from the field of traumatic stress studies to facilitate EMDR case conceptualization and effective intervention. She also reflects on the lessons she has learned over the past 30 years treating Complex PTSD patients across inpatient, partial hospitalization, and outpatient settings.

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12:00pm - 1:30pm (1.5 Credit Hours)

Session 311

LGBTQ+ EMDR Therapy Experiences: A Panel Discussion

Speakers: Jamie Marich, Ph.D., LPCC-S, LICDC-CS, REAT, RYT-500; Sue Genest, MSc., CCC; Lisa Hayes, MSW, LISW-S; Roshni Chabra, LMFT; Patrick Monette, LMHC, CASAC; Danielle Godfrey, LCSW-R

Topic Area: Diversity / Equity / Inclusion

Listening to the experiences of LGBTQ+ clients, therapists and consultants/trainers is an important part of becoming more culturally responsive and highly ethical as an EMDR therapist. This panel presentation brings together a group of long-term EMDR therapists and consultants/trainers who also identify in various ways under the broader LGBTQ+ umbrella. They offer their lived experience of discrimination and being impacted by microaggressions, in society at large and within clinical circles. They review literature-supported best practices for working with LGBTQ+ clients, with special attention paid to the nuance of each group's specific needs, and to the impact of oppressive cognitions across the lifespan. Intersectionality is also defined and discussed, as are issues around spiritual abuse and healing the legacy of so-called "conversion therapies."

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Session 312

The New Horizon – EMDR Research on Populations, Protocols, and the Brain

Speakers: Andrew Leeds, Ph.D.

Topic Area: Research

Discover at least three ways research on EMDR therapy can inspire, inform, and surprise you. This review of EMDR therapy research surveys peer-reviewed journal articles published primarily in 2020 and 2021 with a focus on clinically relevant treatment outcome research as well as laboratory results. Key findings from individual case reports, pilot studies and randomized controlled trials are summarized to assist practicing clinicians to be aware of research relevant to their current and future clients and encourage further research to advance our understanding of the full range of EMDR therapy applications. Broad trends include the growth in group treatment research, successful remote delivery of EMDR therapy, and the expansion of the delivery of EMDR therapy to disadvantaged communities, refugees and developing countries. Surprise hints: is EMDR therapy effective for mice and can EMDR therapy alter epigenetic tags in human DNA?

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Session 313

Increasing Access to EMDR Therapy in Community & Agency Settings

Speaker: Lori Pereira, LPC; Crystal Wildes, Ph.D.

Topic Area: Public Practice / Agencies

Community mental health centers (CMHCs) and larger mental health agencies have a significant role in the provision of behavioral healthcare. CMHCs and larger agencies provide services to underserved groups and are actively involved in advocacy related to behavioral healthcare. A goal of this presentation is to increase awareness of the importance of increasing accessibility of EMDR therapy to mental health professionals who work in CMHCs and larger agencies, as well the clients who receive services from them. This presentation will present a model to develop and maintain EMDR therapy treatment across multiple programs with a wide variety of diagnoses and multiple levels of care. Creating buy-in within a larger system will be addressed, as well as reflections on implementation challenges and future considerations. By doing this we have the potential to have a significant impact on healing, adding to research and data, and increasing inclusivity of EMDR therapy.

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Session 314

Not Just Preparation: Resourcing for Dissociation as a Focus of Treatment

Speaker: Sarah Dawson, MA, MSW

Topic Area: Case Conceptualization

Sandra Paulsen has written of the “ubiquity of dissociation” (2014) and also that “dissociation is the engine...not the caboose” of traumatic symptoms (emdrandbeyond.com/blog/2018/4/13/screening-for-did-and-more). If dissociation drives trauma symptoms, from simple to complex, and small-t to big-T, then EMDR practitioners should be prepared to treat dissociative processes in all clients. However, most training distinguishes between “standard” clients and “dissociative” clients. Dissociation treatment appears in the preparation phases of the EMDR protocol, which implies that dissociation need only be addressed if it interferes with reprocessing trauma, rather than considering dissociation as a focus of treatment. This presentation will discuss the benefits of using specific resourcing techniques from the dissociation and early childhood trauma literature with all clients. The techniques will be presented in the context of contemporary neurological theory, which provides a model for understanding how dissociative processes occur in standard clients. These processes are reversed through the associative nature of EMDR.

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Session 315

Carrera de Obstáculos: EMDR y Disociación en Población Infantil

Speakers: Sandra Baita, Psy.D.

Topic Area: Dissociation / Complex Trauma

Independientemente de los modelos teóricos explicativos, en la experiencia de nuestros pacientes la disociación cumple una función protectora. Ésta, sin embargo, se vuelve desadaptativa cuando la exposición al peligro terminó. El reprocesamiento de los recuerdos traumáticos -que constituye el objetivo principal del tratamiento EMDR- encuentra en algunas manifestaciones disociativas, obstáculos aparentemente insalvables. ¿Cómo accedemos a aquello que no se recuerda porque es demasiado doloroso? ¿Cómo accedemos a información que parece estar protegida de su develamiento por poderosos guardianes internos? ¿Cómo avanzamos en nuestro trabajo cuando nuestros pequeños pacientes – aún dependientes del mundo adulto- no pueden sentirse seguros en el contexto de sus relaciones primarias? En esta presentación trataremos de responder a estas preguntas mostrando estrategias que nos permitan el procesamiento de la información traumática en niños y niñas con disociación, de una manera contenida y segura. Se presentarán ejemplos clínicos en los que el juego y la creación de historias son usados para favorecer y potenciar los alcances de EMDR.

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2:30pm - 4:00pm (1.5 Credit Hours)

Session 321

Bound By Our Attachments: Race, Gender, and the Trauma of Violence

Speakers: David Archer, MSW, MFT

Topic Area: Intimate Partner Violence

Intimate partner violence (IPV) and femicides are prevalent in societies marked by patriarchy and misogyny. While women generally face a higher chance of victimization than men, one’s racial identity and social context can impact risks of victimization. Due to the COVID-19 pandemic, there have been increased rates of IPV due to chronic stressors and the restriction of movement. Even in isolation, survivors still suffer from the echoes of past abuse. Clinical observations have revealed, in some cases, the reemergence of PTSD symptoms during the pandemic for survivors of past abuse. This necessitates a discussion of EMDR therapy and methods of assisting survivors of gendered violence. This presentation will provide a review of attachment styles, betrayal trauma, and will explore how the adaptive information processing model can assist in reprocessing the trauma that survivors carry with them. Case examples will explore the AIP model, IPV, and anti-racist psychotherapy perspectives.

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Session 322

What To Do When "Go With That" Does Not Work: Clinical Choice Points

Speakers: Deborah Silveria, Ph.D.; Michell Gottlieb, Psy.D.

Topic Area: Techniques & Strategies

When we were all trained in EMDR therapy, we were told that all you have to do is say, "Go with that" and everything will change. While EMDR therapy is amazingly effective, it is often not quite that simple. Sometimes our clients' processing stops, and we do not understand why. The focus for this workshop will be on three specific issues that block reprocessing: blocking beliefs, feeder memories and ecological appropriateness. By the end of the workshop, you will understand what these concepts are and techniques and strategies to help your clients through these blocks.

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Session 323

Healing Sexual Issues Rape and Abuse Survivors

Speaker: Robin Shapiro, LICSW

Topic Area: Couples / Relationship Issues / Sexuality

A history of sexual abuse as a child or as an adult can deeply impact adult sexual relationships. This workshop includes using EMDR and Ego State therapies to heal past sexual trauma, reclaim the adult body, learn skills for assertive, safe communication in sexual situations, and be able to have safe, fun, connected sex with a good chosen partner. It will also explain how to talk to clients about sex in a sensitive, straightforward manner.

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Session 324

RESEARCH PAPER SYMPOSIUM

Topic Area: Research

  • Thematic Analysis of Therapists Integrating EFT and EMDR in Couple Therapy
    • Jason Linder, Psy.D.
  • EMDR Group Treatment Remote to Healthcare Professionals During COVID-19
    • Maria Cristina Pérez-Grados, XXXX; Maria Elena Estévez, XXXX
  • Cultural Adaptations and Use of the EMDR Protocol in Africa
    • Femke Bannink Mbassi, Ph.D.
  • Treating Endometriosis Pain with EMDR: A Pilot Qualitative Case Study
    • Peter W. Pruyn, MA, Ed.M., MS
  • Treating Suicidal Drivers with EMDR Therapy: A Randomized Controlled Trial
    • Joyce Baptist, Ph.D.; Natalia Kuzmina, MS
  • Safety Platform on Preparation Phase of EMDR: Heart Rate Variability
    • Maria Aparecida Junqueira Zampieri, Ph.D.; Marina Junqueira Zampieri, Ph.D.
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Session 325

EMDR y Procesamiento Emocional: Trabajando en Pacientes con Desregulación

Speakers: Anabel Gonzalez, M.D., Ph.D.

Topic Area: Dissociation / Complex Trauma

La regulación emocional es un elemento transdiagnóstico habitualmente presente en los trastornos derivados del trauma, en mayor o menor medida. Como otros síntomas postraumáticos, puede mejorar a raíz del tratamiento de los recuerdos asociados a su origen. Sin embargo, cuando la desregulación es grave, puede suponer un desafío para poder acceder al material traumático, para procesarlo adecuadamente y para el estado posterior del paciente. Además, la regulación emocional no es un fenómeno simple, sino un conjunto de estrategias y de elementos interrelacionados, que hemos de entender a profundidad. En este taller se hablará del trabajo con EMDR atendiendo al análisis de procesos en psicoterapia, incluyendo como aspecto central la regulación emocional y sus disfunciones. Más que un listado de técnicas, se hablará del análisis momento a momento de lo que ocurre en sesión, y de intervenciones dinámicas en función de los factores que se identifiquen.

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