A Dialectical Perspective on the Adaptive Information Processing Model and EMDR Therapy

2017 ◽  
Vol 11 (2) ◽  
pp. 111-120 ◽  
Author(s):  
Brurit Laub ◽  
Nomi Weiner ◽  
Sheila S. Bender

This article proposes a dialectical perspective on the adaptive information processing (AIP) model (F. Shapiro, 1995, 2001) with application to eye movement desensitization and reprocessing (EMDR) therapy. Dialectical principles may contribute to a more detailed understanding of the way the AIP system works as well as adding new therapeutic guidelines. Our dialectical perspective is based on 2 propositions. The first is that the movement of the AIP system toward integration consists of 2 dialectical movements: horizontal and vertical. The horizontal movement is between various opposites of the individual such as danger versus safety, dependence versus independence, worthlessness versus self-worth. The vertical movement relates to whole/part shifts in which a whole becomes a part of the next higher whole. The synergetic flow of both dialectical movements is depicted as a spiral of the AIP system. The second proposition suggests that the AIP system operates through cycles of differentiation and linking. These cycles separate the condensed and fragmented memory network into parts, enabling new links to occur. Differentiation and linking are also discussed in relation to dialectical attunement and mindful dual awareness. Using clinical vignettes, we illustrate how this perspective can supply the EMDR therapist a map of the client’s associative processing, enhance attuned therapeutic presence, and promote effective dialectical interweaves when processing is stuck.

2019 ◽  
Vol 13 (3) ◽  
pp. 221-231
Author(s):  
Ines Santos

This article describes a diagrammatic clinical tool to be used when formulating cases in eye movement desensitization and reprocessing (EMDR) therapy. Based on the Adaptive Information Processing (AIP) model, the EMDR Case Formulation Tool is a way of illustrating psychological difficulties, mapping out the relationships between six key elements: unprocessed traumatic experiences, triggers, intrusions, negative beliefs, and symptoms, as well as resilience. From the diagrammatic formulation, a narrative formulation can be developed. The case formulation tool can be shared with the client, used to guide treatment planning, in supervision, and in case consultations. The use of the tool is explained and its clinical applications demonstrated with case examples.


2016 ◽  
Vol 10 (2) ◽  
pp. 104-118 ◽  
Author(s):  
Ronald J. Ricci ◽  
Cheryl A. Clayton

Evidence shows that sexual offenders have higher levels of adverse childhood experiences (ACE) than either the general population or other criminal populations. Historically, it was considered standard practice for sex offender therapists to dissuade their clients from addressing childhood trauma or adversity for fear of excuse making for his offending. The pathways model, which highlights etiology, made room for trauma treatment for offender’s ACE as a legitimate treatment intervention. The adaptive information processing model inherent in eye movement desensitization and reprocessing (EMDR) trauma therapy is theorized to reorganize the maladaptively stored clustering of cognitions and emotions related to overwhelming or traumatic experiences such as childhood sexual abuse. We suggest EMDR therapy as a means of restructuring distorted implicit cognitions and personal vulnerability factors which are theorized to drive offending behavior. Through a comprehensive literature review, the authors considered 5 extant models in the sex offender literature and developed the offense drivers model. This model is designed to guide and inform EMDR therapy with sex offenders. A case example illustrates the implementation of this treatment process. A checklist of offense drivers is provided to assist in case conceptualization and treatment.


2019 ◽  
Vol 76 (5) ◽  
pp. 247-251
Author(s):  
Oliver Schubbe

Zusammenfassung. Dysfunktional gespeicherte Gedächtnisinformationen sind eine mögliche Ursache psychosomatischer Störungen. EMDR (Eye-Movement Desensitization and Reprocessing) basiert auf dem «Adaptive Information Processing Model». Dieser psychotherapeutische Ansatz kann zur Behandlung psychosomatischer Störungen eingesetzt werden, um die pathogenen Informationen zu aktivieren und von einem dysfunktionalen in einen adaptiven Zustand zu überführen. EMDR hat sich wissenschaftlich für die Behandlung posttraumatischer Belastungsstörungen bewährt, während die Behandlung von psychosomatischen Störungen ein neueres Einsatzgebiet darstellt. Kürzlich haben Studien die Wirksamkeit von EMDR bei Migränekopfschmerzen, Hautkrankheiten, Magen-Darm-Erkrankungen, chronischem Fatique-Syndrom, chronischem Schmerzsyndrom und Phantomschmerzen dokumentiert.


2018 ◽  
Vol 12 (3) ◽  
pp. 158-172 ◽  
Author(s):  
Olivier Piedfort-Marin

Just like any other psychotherapy method, eye movement desensitization and reprocessing (EMDR) should conceptualize the intersubjective phenomena that are active during EMDR therapy, especially in the treatment of complex cases. This article describes the concepts of transference and countertransference and how to integrate them in the Adaptive Information Processing (AIP) model. In this article, research on mirror neurons, the concept of action systems, and recent considerations on attachment theory for patients with disorganized attachment are incorporated into the concepts of transference and countertransference. Input from each of these theories is illustrated with a clinical vignette that depicts how the client’s and the therapist’s conscious and unconscious processes are intertwined and how they may affect the efficacy of EMDR therapy. We propose the countertransference-based interweave to release the AIP when countertransference issues block the process. Integrating knowledge on transference and countertransference in EMDR therapy could increase the efficacy of EMDR, especially in complex cases.


2011 ◽  
Vol 5 (1) ◽  
pp. 25-28 ◽  
Author(s):  
Ricky Greenwald ◽  
Ricky Greenwald ◽  
Francine Shapiro ◽  
Francine Shapiro

This Point/Counterpoint concludes the interchange in Greenwald, R. and Shapiro, F. (2010) What is EMDR?: Commentary by Greenwald and Invited Response by Shapiro Journal of EMDR Practice and Research, 4, 170–179. Greenwald Rejoinder: In this rejoinder, I highlight areas of agreement between Shapiro and me that were obscured by Shapiro’s (2010) response to my (Greenwald, 2010) commentary. I also address some of the erroneous statements made by Shapiro (2010) in her arguments against my positions. Finally, I summarize our disagreements, and again assert that until we have an empirical basis for preferring a particular theoretical model of eye movement desensitization and reprocessing (EMDR), it is premature for professional organizations to endorse Shapiro’s model. Shapiro Response: In response to Greenwald, I again confine myself to addressing some of the errors and misconceptions in his arguments in relation to important aspects of EMDR therapy, theory, and research. Further, contrary to his assertion, there is already a sufficient empirical basis to support the preferential use of the adaptive information processing (AIP) model from which the EMDR procedures were formulated. His argument against this position is antithetical to the traditional process by which foundational models are challenged, refined, or replaced. Implications are salient to both training and practice.


2012 ◽  
Vol 6 (3) ◽  
pp. 92-100 ◽  
Author(s):  
Barbara J. Hensley

This article provides excerpts from each chapter of An EMDR Primer: From Practicum to Practice (Hensley, 2009) to assist novice eye movement desensitization and reprocessing (EMDR) clinicians who are learning how to use this approach and to serve as a refresher for therapists who have not used EMDR consistently in their practices. Actual cases are presented that demonstrate various strategies that the therapist can use to help clients reach adaptive resolution of trauma. Tables and figures highlight important features to explain the obvious and subtle nuances of EMDR. Focal points are the following: (a) the adaptive information processing model; (b) the types of targets accessed during the EMDR process; (c) the 8 phases of EMDR; (d) the components of the standard EMDR protocol used during the assessment phase; (e) past, present, and future in terms of appropriate targeting and successful outcomes; and (f) strategies and techniques for dealing with challenging clients, high levels of abreaction, and blocked processing.


2020 ◽  
Vol 14 (3) ◽  
pp. 162-174
Author(s):  
Roger M. Solomon ◽  
Barbara J. Hensley

Death of a loved one is universally distressing. The stressful conditions of COVID-19 can compound the trauma of a loss. Consequently, the mourner has to deal with: (a) the loss of a loved one; (b) potential complications of grief and mourning caused by COVID-19 (e.g., sudden and unexpected death, a loved one's suffering, inability to be physically present to offer comfort or say good-bye, social distancing interfering with funeral and religious ceremonies); and (c) personal disruption caused by COVID-19 (e.g., disruption of employment and daily living routines, fears related to safety and uncertainty). Further, grief can be complicated by prior unresolved losses and trauma, including attachment-based trauma, which would also need to be identified and treated. This article presents a framework for treatment of grief and mourning with eye movement desensitization and reprocessing (EMDR) therapy. EMDR treatment, guided by the Adaptive Information Processing model, can be informed by other frameworks, including attachment theory and the Dual Process Model, which are described. A case example is presented to illustrate treatment of a client whose father died due to COVID-19.


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