The Integrative Use of EMDR and Clinical Hypnosis in the Treatment of Adults Abused as Children

2010 ◽  
Vol 4 (2) ◽  
pp. 60-75 ◽  
Author(s):  
Philip M. Harford
Keyword(s):  
Eye Movement ◽  
Childhood Abuse ◽  
Resource Development ◽  
Trauma Treatment ◽  
Comparative Review ◽  
Case Vignettes ◽  
Potential Benefits ◽  
Clinical Hypnosis ◽  
Therapeutic Medium

The potential benefits of the use of a permissive style of clinical hypnosis as a therapeutic medium to enhance eye movement desensitization and reprocessing (EMDR) trauma treatment are explored. A comparative review of hypnosis and EMDR is provided, including putative psychophysiological mechanisms for both. A rationale for integrating clinical hypnosis with EMDR treatment is presented. It is suggested that hypnosis primarily enhances the accessibility of traumatic information while EMDR primarily enhances the reprocessing of traumatic information and that accessibility and reprocessing are reciprocal features. The relative and combined merits of hypnosis and EMDR for resource development are discussed. The author proposes that clinical hypnosis may be incorporated into EMDR without necessarily modifying the eight-stage EMDR protocol apart from modifications that are indicated for special conditions. Three case vignettes are used to illustrate the integrative use of clinical hypnosis and EMDR in the treatment of adults who experienced childhood abuse.

Human givens rewind trauma treatment: description and conceptualisation

2019 ◽  
Vol 24 (2) ◽  
pp. 98-111 ◽  
Author(s):  
Shona Adams ◽  
Steven Allan
Keyword(s):  
Controlled Trial ◽  
Cost Effective ◽  
Preliminary Evidence ◽  
Behavioural Therapy ◽  
Trauma Treatment ◽  
Treatment Technique ◽  
Post Traumatic Stress ◽  
Content Type ◽  
Potential Benefits ◽  
Randomised Controlled

Purpose Human Givens (HG) Rewind technique is a graded trauma-focused exposure treatment for post-traumatic stress disorder and trauma. The purpose of this paper is threefold: first, to describe the technique; second, to provide an outline of its potential benefits; and third, to present some preliminary evidence. Design/methodology/approach This paper provides an overview of HG therapy and describes the stages of HG Rewind trauma treatment and its potential benefits. Similarities and differences between Rewind and other Cognitive Behavioural Therapy techniques are explored. Possible underlying mechanisms are discussed. Findings Preliminary evidence suggests that Rewind could be a promising trauma treatment technique and that HG therapy might be cost effective. The findings highlight the need for further research and a randomised controlled trial (RCT) on Rewind is warranted. Practical implications During the rewind technique, the trauma does not need to be discussed in detail, making treatment potentially more accessible for shame-based traumas. Multiple traumas may be treated in one session, making it possible for treatment to potentially be completed in fewer sessions. Social implications This UK-based treatment may be cost effective and make treatment more accessible for people who do not want to discuss details of their trauma. Originality/value This is the first description of HG Rewind in the peer-reviewed literature. Alternative explanations for mechanisms underlying this trauma treatment are also presented.

Responding to Patients’ Provider Preferences

2019 ◽  
pp. 203-226
Author(s):  
Kimberly L. Reynolds ◽  
Kira Knight Rodriguez ◽  
Loucresie Rupert ◽  
Michaela Owusu
Keyword(s):  
General Framework ◽  
Organizational Factors ◽  
Historical Factors ◽  
Policies And Procedures ◽  
Decision Making Capacity ◽  
Case Vignettes ◽  
Diverse World ◽  
Potential Benefits ◽  
Race Concordance ◽  
Racial Ethnic

In today’s increasingly diverse world, patients will inevitably interact with physicians who are of very different racial, ethnic, religious, and/or geographical backgrounds from themselves. When a patient requests a physician of another race, religion, or gender, or one who speaks another language, the physician must take many factors into consideration when determining whether to accede to the request. These considerations include historical factors (e.g., bigotry vs. the potential benefits of race concordance), ethical considerations (e.g., autonomy, justice), patient factors (e.g., the patient’s decision-making capacity), and organizational factors (e.g., policies and procedures to respect both patients and providers). This chapter presents a general framework to help psychiatrists to make these sometimes difficult decisions. Case vignettes are provided and analyzed throughout the chapter.

Late Versus Early Myocardial Remodeling After Acute Myocardial Infarction: A Comparative Review on Mechanistic Insights and Clinical Implications

2019 ◽  
Vol 25 (1) ◽  
pp. 15-26 ◽  
Author(s):  
Kenan Yalta ◽  
Mehmet Birhan Yilmaz ◽  
Tulin Yalta ◽  
Orkide Palabiyik ◽  
Gokay Taylan ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Myocardial Injury ◽  
Morphological Changes ◽  
Time Frame ◽  
Clinical Implications ◽  
Myocardial Remodeling ◽  
Infarct Zone ◽  
Comparative Review ◽  
Potential Benefits

In the setting of acute myocardial infarction (AMI), adverse myocardial remodeling (AMR) has been universally regarded as an early-onset phenomenon generally arising within the first few weeks (usually within days in the infarct zone) following myocardial injury. On the other hand, onset of cardiac morphological changes in this setting may potentially extend far beyond this time frame (usually beyond several months after the index AMI), suggesting a prolonged latent period in certain cases. In clinical practice, this delayed form of post-AMI remodeling, namely late AMR, has emerged as an interesting and underrecognized phenomenon with poorly understood mechanisms. Notably, systemic inflammation and associated growth factors seem to play a pivotal role in this setting. Accordingly, the present article primarily aims to discuss potential mechanisms and clinical implications of late AMR (in a comparative manner with its classical early counterpart) among AMI survivors along with a particular emphasis on potential benefits of certain anti-inflammatory strategies in this setting.

scholarly journals From the General to the Specific— Selecting the Target Memory

2012 ◽  
Vol 6 (3) ◽  
pp. 101-109
Author(s):  
Liz Royle ◽  
Catherine Kerr
Keyword(s):  
Eye Movement ◽  
Belief System ◽  
Clustering Techniques ◽  
Hands On ◽  
Case Vignettes ◽  
Negative Cognition ◽  
The Right ◽  
Experience Difficulty ◽  
Target Memory ◽  
Successful Integration

This article is an excerpt from the book Integrating EMDR Into Your Practice (Royle & Kerr, 2010), which is a hands-on guide to facilitate the successful integration of eye movement desensitization and reprocessing (EMDR) training into therapists’ practice while recognizing that trainees come from a range of theoretical backgrounds. This excerpt focuses on identifying the appropriate target memory and its related negative cognition (NC) in preparation for desensitization. Clients and therapists need to understand the rationale for selecting a particular target utilizing prioritization and clustering techniques. The importance of the belief system is discussed and methods of identifying the initial targets are offered, including the floatback technique. Many practitioners experience difficulty in getting the right NC, and methods for drawing this out are illustrated. Final preparations prior to desensitization are considered as well as the importance of addressing client anxieties and expectations. Throughout the excerpt, case vignettes are used to outline cautions and common pitfalls encountered by the novice EMDR therapist.

scholarly journals Integrating Pediatric Hypnosis with Complementary Modalities: Clinical Perspectives on Personalized Treatment

Children ◽  
2018 ◽  
Vol 5 (8) ◽  
pp. 108 ◽  
Author(s):  
Pamela Kaiser ◽  
Daniel Kohen ◽  
Melanie Brown ◽  
Rebecca Kajander ◽  
Andrew Barnes
Keyword(s):  
Clinical Practice ◽  
Goodness Of Fit ◽  
Guided Imagery ◽  
Literature Report ◽  
Therapeutic Modalities ◽  
Literature Reviews ◽  
Case Vignettes ◽  
Clinical Hypnosis ◽  
The Individual ◽  
Selection Of

While pediatric integrative medicine (PIM) emphasizes an “evidence-based practice using multiple therapeutic modalities”; paradoxically, literature reviews examining the prevalence and/or efficacy of such mind–body approaches often address PIM modalities separately. Such contributions are relevant, yet documentation of how to deliver combined complementary approaches in children and youth are scarce. Nevertheless, integrative practitioners in clinical practice routinely mix approaches to meet the individual needs of each patient. Best practices are flexible, and include blending and augmenting services within the same session, and/or connecting modalities sequentially for an incremental effect, and/or referring to outside resources for additional interventions. Resonating with integrative medicine’s definition, this article’s goal is to demonstrate paradigms that “bring together complementary approaches in a coordinated way within clinical practice” by linking clinical hypnosis, the trail-blazer modality in PIM’s history, with mindfulness, biofeedback, acupuncture, and yoga. Following the consideration of the overlap of guided imagery with hypnosis and an abridged literature report, this clinical perspective considers the selection of modalities within a collaborative relationship with the child/teen and parents, emphasizing goodness-of-fit with patients’ contexts, e.g., symptoms, resources, interests, goals, and developmental stage. Case vignettes illustrate practical strategies for mixing approaches.

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