EMDR and the art of psychotherapy with childrent

"...[This book contains] invaluable material for the child therapist with varied theoretical backgrounds to more confidently apply EMDR to children." -- Frances Klaff, for Journal of EMDR Practice and Research, Volume 3, Number 3, 2009 In this book the authors present an overview of how therapists can get started in conceptualizing psychotherapy with Eye Movement Desensitization and Reprocessing (EMDR) methodology through Adaptive Information Processing (AIP) theory. The focus of the book is to teach therapists to effectively use the entire EMDR protocol with young children. The first chapter provides a comprehensive overview of how to get started with EMDR after completing basic training. The book continues with chapters that detail the basic skills in using EMDR with children and then transitions to more advanced skills in using EMDR with children with specific diagnosis and presenting issues. They follow with a chapter summarizing the published evidence to date supporting the practice of EMDR with children. Data is then incorporated into a chapter summarizing their research on EMDR with young children in order to provide evidence of therapists' ability to adhere to the EMDR protocol with children, and to document their research findings about training therapists to use EMDR with children. Finally, they conclude the book with goals for the future of EMDR with children while encouraging therapists to consider conducting research in order to compel the practice of EMDR with children into the mainstream of child psychotherapy. It is a major task of the book to inspire therapists to begin thinking about conducting research and how important research is to therapists in order to validate and advance the practice of psychotherapy. In the end, the most significant goal of this book is to provide best practice for children who are in need of expert psychotherapy in order to change the trajectory of their lives. The hope is to provide guidance and support to therapists in order to launch them in their practice of EMDR. This is the art of treating children with EMDR. Contents......Page 8 Foreword......Page 16 Preface......Page 20 Acknowledgments......Page 26 Basic Training in EMDR......Page 28 Adaptive Information Processing and EMDR in Child Psychotherapy......Page 29 Research on EMDR......Page 32 EMDR Individual Studies With Children......Page 33 EMDR Group Studies With Children......Page 39 Our First Research Study......Page 40 Summary......Page 44 2. GETTING STARTED WITH EMDR......Page 46 Books on EMDR......Page 47 Research on EMDR......Page 48 Client History and Treatment Planning Phase......Page 49 Preparation Phase......Page 52 Assessment Phase......Page 54 Desensitization Phase......Page 57 Installation Phase......Page 59 Closure Phase......Page 60 Reevaluation Phase......Page 63 First Client Considerations......Page 64 Setting Up the Office for EMDR, and Especially for Working With Children......Page 65 EMDR Progress Notes......Page 66 Study Groups......Page 67 Summary......Page 68 3. EMDR PHASE 1: CLIENT HISTORY AND TREATMENT PLANNING......Page 70 Client History......Page 71 Interviewing Parents and Children......Page 76 Procedural Considerations......Page 77 Psychosocial History......Page 79 Educational History......Page 80 Medical History......Page 81 Affect Tolerance......Page 82 Potential Targets......Page 83 Listening for Negative Cognitions......Page 84 Treatment Planning......Page 85 Therapist Script for Client History and Treatment Planning......Page 86 Establishing the Therapeutic Relationship and Engaging the Client in Therapy......Page 87 Ethical and Legal Issues......Page 88 Developmental Assessment......Page 89 Emotional Assessment......Page 90 Assessing Children’s Readiness for Therapy/Selection Criteria......Page 91 Providing Psychoeducational Information......Page 92 Initial EMDR Session Protocol......Page 93 Explaining EMDR to Parents......Page 96 Explaining EMDR to Children......Page 97 Assessing the Child’s Internal Resources and Skills......Page 98 Assessing the Child’s External Resources......Page 101 Bilateral Stimulation (BLS)......Page 104 Clinical Decision Making With BLS......Page 106 Differences Between Adults and Children Regarding BLS......Page 107 Demonstrating BLS to Clients......Page 108 Safe/Calm Place......Page 109 Safe/Calm Place Protocol for Children......Page 112 Stop Signal......Page 114 Metaphor for EMDR......Page 115 Procedural Considerations......Page 116 Containers and Types of Containers......Page 119 Skills for Dealing With Between Sessions and Incomplete Sessions......Page 123 Preparation Phase Session Protocol......Page 124 5. EMDR PHASE 3: ASSESSMENT PHASE......Page 126 Procedural Steps of the Assessment Phase of EMDR......Page 127 Target Identification......Page 128 Clinical Implications......Page 129 Touchstone Event......Page 133 Interviewing Children and Parents to Identify Targets......Page 135 Floatback Technique......Page 143 Mapping Targets for EMDR Processing......Page 147 Graphing EMDR Mastery Experiences, Targets, and Symptoms......Page 156 Additional Techniques for Target Identification of Children......Page 161 Negative (NC) and Positive Cognitions (PC)......Page 165 Identifying NCs and PCs With Children......Page 167 Cognitive Themes: Responsibility/Safety/Choices......Page 174 Assessing the Validity of Cognition (VoC)......Page 175 Measuring the VoC......Page 176 Measuring the Subjective Units of Disturbance......Page 178 Procedural Steps of the Assessment Phase......Page 180 The Goal of the Desensitization Phase......Page 184 Evidence of Reprocessing During Desensitization With Children......Page 185 Children Process Quickly......Page 186 Implication of Developmental Milestones on Reprocessing......Page 187 Eye Movements......Page 188 Children May Display Hesitancy and Avoidance Behavior......Page 189 Fluctuations in SUD Ratings......Page 190 Children May Process in Fantasy Before Processing in Reality......Page 191 Therapists' Skills, Tools, and Use of Self in Therapy With Children......Page 192 Flooding......Page 193 Techniques for Distancing and Titrating Intensity of Memory Reprocessing With Children......Page 194 Containers......Page 195 Cognitive Interweaves......Page 196 Procedural Considerations......Page 197 Themes for Cognitive Interweaves: Responsibility/Safety/Choices......Page 198 End of a Channel......Page 199 Procedure for Closing Incomplete Sessions......Page 200 Instructions to the Client and Therapist's Script for Desensitization Phase......Page 201 Case Presentation: EMDR Session With a 3-Year-Old Child......Page 203 Transcript of a Therapy Session......Page 204 Phase 5: Installation Phase......Page 220 Script for Installation of Positive Cognition (PC)......Page 222 Challenges to Installing the PC With Children......Page 223 Phase 6: Body Scan......Page 224 Procedural Considerations......Page 225 Future Template......Page 226 Future Template Script......Page 229 Phase 7: Closure......Page 230 Tools for Assisting a Child to Debrief and Regroup at the End of a Session......Page 231 Tools for Between Sessions, Including Coping Strategies if Additional Information Arises Between Sessions......Page 232 Summary......Page 233 8. EMDR PHASE 8: REEVALUATION......Page 234 Clinical Implications......Page 236 Reevaluate the Specific Target......Page 237 Procedural Considerations......Page 238 Reevaluation at the End of Treatment......Page 240 Treatment Reevaluation With Chronic Trauma......Page 241 Summary......Page 243 Goals of Resourcing, Coping, and Mastery......Page 246 Relaxation Skills......Page 247 Containers......Page 248 Get a Grip......Page 249 Calming and Soothing Skills and Techniques......Page 251 Mastery Skills for Children......Page 253 Procedural Considerations for Mastery Skills......Page 254 Procedural Considerations for RDI With Child Clients......Page 255 Scripts for RDI......Page 260 Procedural Considerations for RDI Protocols With Children......Page 261 Summary......Page 263 Abbreviated RDI Protocol for Children......Page 264 10. TOOLS FOR BLOCKED PROCESSING AND COGNITIVE INTERWEAVES......Page 266 Editing......Page 267 Numbing......Page 268 Avoidance/Reluctance......Page 269 Dissociation......Page 270 Abreactions......Page 271 Clinical Implications for Therapists Working With Blocked Processing......Page 272 Cognitive Interweaves......Page 273 Educational Interweaves......Page 274 Cognitive Interweaves With Children......Page 276 Examples of Cognitive Interweaves to Restart Processing With Children......Page 277 Cognitive Interweaves for Current or Future Issues......Page 281 Summary......Page 282 11. SPECIALTY TOPICS ON USING EMDR WITH CHILDREN......Page 284 Parents, Parenting Skills, and Active Parenting......Page 285 General Categories of Childhood Concerns......Page 286 Clinical Diagnoses of Childhood......Page 287 Clinical and Behavioral Issues......Page 308 Behavioral/Developmental Issues of Childhood......Page 310 Testifying in Court......Page 320 Dealing With Divorce......Page 321 Motor Vehicle Accidents......Page 322 Child Abuse......Page 323 Educational Issues......Page 326 Summary......Page 330 12. THE FUTURE OF EMDR WITH CHILDREN......Page 336 Adaptive Information Processing and EMDR in Child Psychotherapy......Page 337 How Children Learn......Page 338 The Therapist's Role in Psychotherapy With Children......Page 339 Theoretical Orientations of Psychotherapy......Page 340 Play Therapy......Page 341 Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)......Page 342 The EMDR Treatment Model as a Template for a Comprehensive Approach to Child Psychotherapy......Page 343 EMDR With Children as Evidence-Based Practice......Page 344 What Really Matters: The Children's Stories......Page 345 The End Is Just the Beginning......Page 346 Appendix I : Consent/Assent for Treatment Form......Page 350 Appendix II: EMDR Client History/Treatment Planning Form......Page 352 Appendix III: Child/Adolescent Symptom Monitoring Form......Page 354 Appendix IV: Safe/Calm Place Protocol for Children Worksheet......Page 356 Appendix V: Mapping Targets for EMDR Processing......Page 358 Appendix VI: Graphing EMDR Targets or Symptoms......Page 366 Appendix VII: Recent Event Protocol for Children......Page 372 Appendix VIII: Scripts for Assessment, Desensitization, Installation, Body Scan, Closure, and Reevaluation......Page 374 Appendix IX: Kids' List of Cognitions......Page 384 Appendix X: EMDR Fidelity Questionnaire......Page 386 References......Page 388 A......Page 394 B......Page 395 C......Page 396 E......Page 399 G......Page 401 L......Page 402 P......Page 403 R......Page 405 S......Page 406 T......Page 407 V......Page 408 Z......Page 409

...[this Book Contains] Invaluable Material For The Child Therapist With Varied Theoretical Backgrounds To More Confidently Apply Emdr To Children.

-- Frances Klaff, For journal Of Emdr Practice And Research, Volume 3, Number 3, 2009

in This Book The Authors Present An Overview Of How Therapists Can Get Started In Conceptualizing Psychotherapy With Eye Movement Desensitization And Reprocessing (emdr) Methodology Through Adaptive Information Processing (aip) Theory. The Focus Of The Book Is To Teach Therapists To Effectively Use The Entire Emdr Protocol With Young Children.

the First Chapter Provides A Comprehensive Overview Of How To Get Started With Emdr After Completing Basic Training. The Book Continues With Chapters That Detail The Basic Skills In Using Emdr With Children And Then Transitions To More Advanced Skills In Using Emdr With Children With Specific Diagnosis And Presenting Issues. They Follow With A Chapter Summarizing The Published Evidence To Date Supporting The Practice Of Emdr With Children. Data Is Then Incorporated Into A Chapter Summarizing Their Research On Emdr With Young Children In Order To Provide Evidence Of Therapists' Ability To Adhere To The Emdr Protocol With Children, And To Document Their Research Findings About Training Therapists To Use Emdr With Children.

finally, They Conclude The Book With Goals For The Future Of Emdr With Children While Encouraging Therapists To Consider Conducting Research In Order To Compel The Practice Of Emdr With Children Into The Mainstream Of Child Psychotherapy. It Is A Major Task Of The Book To Inspire Therapists To Begin Thinking About Conducting Research And How Important Research Is To Therapists In Order To Validate And Advance The Practice Of Psychotherapy.

in The End, The Most Significant Goal Of This Book Is To Provide Best Practice For Children Who Are In Need Of Expert Psychotherapy In Order To Change The Trajectory Of Their Lives. The Hope Is To Provide Guidance And Support To Therapists In Order To Launch Them In Their Practice Of Emdr. This Is The Art Of Treating Children With Emdr.

"...[This book contains] invaluable material for the child therapist with varied theoretical backgrounds to more confidently apply EMDR to children." — Frances Klaff, for Journal of EMDR Practice and Research, Volume 3, Number 3, 2009 In this book the authors present an overview of how therapists can get started in conceptualizing psychotherapy with Eye Movement Desensitization and Reprocessing (EMDR) methodology through Adaptive Information Processing (AIP) theory. The focus of the book is to teach therapists to effectively use the entire EMDR protocol with young children. The first chapter provides a comprehensive overview of how to get started with EMDR after completing basic training. The book continues with chapters that detail the basic skills in using EMDR with children and then transitions to more advanced skills in using EMDR with children with specific diagnosis and presenting issues. They follow with a chapter summarizing the published evidence to date supporting the practice of EMDR with children. Data is then incorporated into a chapter summarizing their research on EMDR with young children in order to provide evidence of therapists' ability to adhere to the EMDR protocol with children, and to document their research findings about training therapists to use EMDR with children. Finally, they conclude the book with goals for the future of EMDR with children while encouraging therapists to consider conducting research in order to compel the practice of EMDR with children into the mainstream of child psychotherapy. It is a major task of the book to inspire therapists to begin thinking about conducting research and how important research is to therapists in order to validate and advance the practice of psychotherapy. In the end, the most significant goal of this book is to provide best practice for children who are in need of expert psychotherapy in order to change the trajectory of their lives. The hope is to provide guidance and support to therapists in order to launch them in their practice of EMDR. This is the art of treating children with EMDR. "This book features: A standard EMDR protocol for treating children using the eight phases, including an overview of how to adjust the presentation of each phase to individual children; Goals for each phase of the protocol, including directions for each session, instructions for the therapist, and a script for therapists to use with child clients; Subheadings of procedural considerations and clinical implications where therapists are given options for deciding how to proceed with the EMDR protocol; Additional chapters describing advanced skills for using EMDR with special; populations; Case studies integrating the stories of children treated with EMDR; and A complete transcript of an EMDR session with a 3-year-old child (given with parental consent)."--BOOK JACKET Theoretical underpinnings and research on EMDR with children Getting started with EMDR EMDR phase 1: client history and treatment planning EMDR phase 2: preparation phase EMDR phase 3: assessment phase EMDR phase 4: desensitization EMDR phases 5, 6, and 7: installation, body scan, and closure EMDR phase 8: re-evaluation Emotional resources, coping skills, and strengthening mastery experience for children Tools for blocked processing and cognitive interweaves Specialty topics on using EMDR with children The future of EMDR with children.