EMDR Within a Phase Model of Trauma-Informed Treatment / Edition 1

by Ricky Greenwald

Overview

A practical guide to learning and using EMDR!  Trauma is a potential source of most types of emotional or behavioral problems. Extensive research has shown EMDR to be an effective and efficient trauma treatment. EMDR Within a Phase Model of Trauma-Informed Treatment offers mental health professionals an accessible plain-language guide to this popular and successful method. The book also introduces the “Fairy Tale Model” as a way to understand and remember the essential phases of treatment and the tasks in each phase.

This manual teaches a clear rationale and a systematic approach to trauma-informed treatment, including often-neglected elements of treatment that are essential to preparing clients for EMDR. The reader is led step by step through the treatment process, with scripted hands-on exercises to learn each skill. In addition to presenting the fundamental EMDR procedures, EMDR Within a Phase Model of Trauma-Informed Treatment teaches a treatment system that can be applied to a variety of cases. Using research-supported and proven-effective methods, this book takes you through the treatment process with easily-understood dialogues and examples. Explicitly guided exercises produce hands-on skills and familiarize you with ways to explain trauma to clients and prepare them for EMDR. You will also learn to problem-solve challenging cases using the trauma framework. 

Additional discussions address:
• why trauma matters
• posttraumatic symptoms
• the “trauma wall”
• the structure of trauma treatment
• the role of EMDR
• the eight phases of EMDR
• preparing clients for EMDR
• legal and medical issues in EMDR
• problem solving strategies in EMDR sessions
• treatment strategies for a variety of presenting problems
• using EMDR with children and adolescents
• use and application of the “fairy tale model”
• on-line and digital resources

Designed to be a comprehensive primer, companion/supplemental textbook, and valuable reference resource, EMDR Within a Phase Model of Trauma-Informed Treatment is ideal for clinicians already trained in EMDR, those actively learning EMDR, and mental health professionals interested in EMDR. Note that to practice EMDR requires formal supervised training.

Product Details

ISBN-13:	9780789032164
Publisher:	Taylor & Francis
Publication date:	08/08/2007
Series:	Maltreatment, Trauma, and Interpersonal Aggression Series
Edition description:	New Edition
Pages:	272
Product dimensions:	8.50(w) x 10.88(h) x (d)

About the Author

Dr. Ricky Greenwald is a practicing clinical psychologist who has been working with children, teens, adults, and families since 1985. He is the Trauma Institute & Child Trauma Institute‘s founder, executive director, and chair of faculty.

Table of Contents

• SECTION I: TRAUMA-INFORMED TREATMENT AND EMDR
• Chapter 1. Understanding Trauma
• Why Trauma Matters
• A Useful Definition of Trauma
• What Makes an Event Traumatic?
• The “Trauma Wall”
• Resiliency and Vulnerability
• Safety and Attachment
• Posttraumatic Symptoms
• Posttraumatic Symptoms over Time
• A Note on Exercises/Activities in this Book
• Exercise: Float-Back
• Chapter 2. The Structure of Trauma Treatment
• Meaning of Behavior
• Selecting a Trauma Treatment Structure
• Chapter 3. The Role of EMDR
• Exposure
• EMDR
• Adaptive Information Processing Theory
• The EMDR Protocol: The Eight Phases of Treatment
• EMDR and Other Therapy Approaches
• EMDR and the Fairy Tale Model
• SECTION II: PHASE 1—CLIENT HISTORY AND TREATMENT PLANNING
• Chapter 4. The Initial Interview: From “Hello” to History
• Acculturation
• Therapist Style
• Introducing Treatment
• The Rules
• Individual Interview Strategies
• How Much Should the Client Talk?
• Obtaining More History While Focusing on Strengths
• Chapter 5. Taking a Trauma History
• Exercise: Take a Trauma/Loss History
• Exercise Follow-Up Questions
• Chapter 6. Trauma-Informed Case Formulation
• Exercise: Do It Yourself
• Chapter 7. Making a Treatment Contract
• Motivation Enhancement
• Finding the Princess
• Treatment Planning and Contracting
• Presenting the Treatment Plan
• Obstacles to Following Through with the Contract
• SECTION III: PHASE 2—CLIENT PREPARATION
• Chapter 8. Safety and Stabilization
• Avoiding High Risk
• How Long Does Fence-Around Take?
• Clients in Perpetual Crisis
• Routines for Starting and Ending the Session
• Fence-Around in the Session
• Chapter 9. Resource Development and Installation
• Introducing Eye Movements
• Exercise: Practice Eye Movements
• The Safe Place Visualization
• Exercise: Safe Place
• Safe Place Script
• Problem Solving the Safe Place Intervention
• Resource Development and Installation
• Exercise: Resource Development and Installation
• Exercise: Using the Resource in a Positive Template
• Chapter 10. Self-Management Training
• Self-Management of Anxiety Symptoms
• Self-Control of Behavioral Choices
• Choices Have Consequences
• Exercise: Map Out a Problem
• Chapter 11. Precautions for EMDR
• Legal Issues
• Medical Issues
• Self-Control Issues
• Secondary Gain
• Timing
• Dissociation
• Dissociative Experiences Scale (DES) Information
• Chapter 12. Final Preparations for EMDR
• Reorient to the Treatment Plan
• Target Order
• Introducing EMDR
• Accessing Resources
• Exercise: Stop Means Stop and Safety Device
• Stop Means Stop
• Safety Device
• Discussion
• SECTION IV: PHASES 3-8—TRAUMA RESOLUTION
• Chapter 13. Phase 3: Assessment, or “Setting Up the Target”
• Exercise: Practice Target Setup
• Discussion
• Chapter 14. Phases 4 to 5: Desensitization and Installation
• Preparing the Client
• Doing the Eye Movements (EM)
• Some Tips and Reminders
• Exercise: Practice EMDR
• Discussion
• Chapter 15. Phases 6 to 7: Body Scan and Closure
• Body Scan
• Checks on Completion
• Closure
• Exercise: Container
• Discussion Questions
• Closure for All Sessions
• Exercise: Practice EMDR
• Chapter 16. Phase 8: Reevaluation and Consolidation of Gains
• Reevaluation
• Exercise: Reevaluation
• Using the Float-Back
• Exercise: Float Back and EMDR
• Consolidation of Gains
• Other Aspects of Daily Functioning
• Anticipating and Preparing for Future Challenges
• Ending Treatment
• SECTION V: ADVANCED EMDR APPLICATIONS
• Chapter 17. Problem Solving in an EMDR Session
• When the Client Is Stuck
• Other Challenges and Strategies

What People are Saying About This

Phyllis Klaus

Dr. Greenwald has created an OUSTANDING IN-DEPTH EMDR TRAINING MANUAL useful for both new and experienced EMDR clinicians. . . . Unusually accessible, easy to understand and utilize with well developed explanations, examples, and exercises on all aspects of treating trauma. Dr. Greenwald has addressed many aspects of treatment that are rarely taught, giving numerous ideas on how to handle common problems in explaining EMDR and in working clinically with clients, both children and adults. I WHOLEHEARTEDLY RECOMMEND THIS EXCELLENT MANUAL. (Phyllis Klaus, MFT, CSW, EMDR Instructor and Consultant; Author of Bonding; The Doula Book; Your Amazing Newborn; When Survivors Give Birth)

Judith Boel

This book is full of helpful content and interesting details both for experienced EMDR therapists as well as those in training. The exercises will help readers to really 'GET IT'. The many effective explanations, metaphors, and interventions will give every clinician some new and useful tools. One of the great strengths of the book is the way EMDR is embedded in a trauma-based treatment approach. The detailed guidance on how to implement this approach will help many of our colleagues to pursue a clear path in treatment and ACHIEVE BETTER OUTCOMES. (Judith Boel, MEd, RCC, HAP Trainer and Past President of EMDR-HAP)

Sandra Paulsen

PROVIDES READERS WITH A WEALTH OF INFORMATION that is comprehensive and true to the original EMDR methodology. Trainers and students alike will find this DOWN-TO-EARTH RESOURCE reveals how to formulate cases and EMDR targets safely and efficiently. (Sandra Paulsen, PhD, EMDR Consultant and Workshop Leader; Leading developer of EMDR applications for dissociative disorders and ego state therapy)

Nancy Smyth

Greenwald has managed to create one book that masterfully teaches trauma-informed treatment and the use of EMDR within this framework. This book is an indispensable guide to EMDR treatment with the wide range of clients who present in diverse clinical settings. In addition to teaching a comprehensive framework to inform treatment, it's A GOLDMINE OF PRACTICAL STRATEGIES AND TECHNIQUES for EMDR clinicians and trainers. Simply stated, THIS IS A 'MUST READ' BOOK FOR ANYONE DOING OR TEACHING EMDR. (Nancy Smyth, PhD, LCSW, EMDR Instructor, Dean and Professor, University of Buffalo School of Social Work)

Editorial Reviews

Reviewer: Nicholas Greco IV, MS, BCETS, CATSM, FAAETS (C3 Education and Research, Inc.)
Description: Finally, an in-depth primer on eye movement desensitization and reprocessing (EMDR) that actually makes sense and is a pleasure to read. This manual provides clear guidance and a systematic approach to using trauma-informed treatment.
Purpose: The purpose is to present (EMDR) at a basic level but also in a manner that can be implemented by clinicians. The main goal is to present the basics of EMDR, clearly and well.
Audience: The book is intended for both those who have had formal training in EMDR who want to extend their skills and fill in the gaps and for those just learning EMDR who need a valid and reliable guide and training manual. The author is a well respected and well known clinician and researcher. He is a leading authority in EMDR treatment and training, and this guide more than demonstrates that.
Features: Although this is a basic guide and manual, the author presents a substantial amount of information which clearly leaves readers more confident in their understanding of EMDR after reading this book. He aptly presents the how and why of trauma and trauma treatment and then delves into the role that EMDR plays. Readers are walked through the initial meeting with the client to closure, with appropriate discussions of how to handle the bumps in the road. Many clinicians will appreciate the chapter on EMDR for children and adolescents as well as the chapter on challenging cases.
Assessment: This is the essential guide for learning and mastering the basics of EMDR. It is required reading for all clinicians who use EMDR in their practice.

Doody's Review Service

"Dr. Greenwald has created an OUSTANDING IN-DEPTH EMDR TRAINING MANUAL useful for both new and experienced EMDR clinicians. . . . Unusually accessible, easy to understand and utilize with well developed explanations, examples, and exercises on all aspects of treating trauma. Dr. Greenwald has addressed many aspects of treatment that are rarely taught, giving numerous ideas on how to handle common problems in explaining EMDR and in working clinically with clients, both children and adults. I WHOLEHEARTEDLY RECOMMEND THIS EXCELLENT MANUAL."

Phyllis Klaus, MFT, CSW, EMDR Instructor and Consultant; Author of Bonding; The Doula Book; Your Amazing Newborn; When Survivors Give Birth

"Greenwald has managed to create one book that masterfully teaches trauma-informed treatment and the use of EMDR within this framework. This book is an indispensable guide to EMDR treatment with the wide range of clients who present in diverse clinical settings. In addition to teaching a comprehensive framework to inform treatment, it's a goldmine of practical strategies and techniques for EMDR clinicians and trainers. Simply stated, this is a 'must read' book for anyone doing or teaching EMDR."

Nancy Smyth, PhD, LCSW, EMDR Instructor, Dean and Professor, University of Buffalo School of Social Work

"PROVIDES READERS WITH A WEALTH OF INFORMATION that is comprehensive and true to the original EMDR methodology. Trainers and students alike will find this DOWN-TO-EARTH RESOURCE reveals how to formulate cases and EMDR targets safely and efficiently."

Sandra Paulsen, PhD, EMDR Consultant and Workshop Leader; Leading developer of EMDR applications for dissociative disorders and ego state therapy

"This book is full of helpful content and interesting details both for experienced EMDR therapists as well as those in training. The exercises will help readers to really 'get it'. The many effective explanations, metaphors, and interventions will give every clinician some new and useful tools. One of the great strengths of the book is the way EMDR is embedded in a trauma-based treatment approach. The detailed guidance on how to implement this approach will help many of our colleagues to pursue a clear path in treatment and achieve better outcomes."

Judith Bo l, MEd, RCC, HAP Trainer and Past President of EMDR-HAP

From the Publisher