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Eye Movement Desensitization and Reprocessing (EMDR) Therapy: Basic Principles, Protocols, and Procedures

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Scaer, R. (2005). The Trauma Spectrum: Hidden Wounds and Human Resiliency. New York: W. W. Norton & Company. Schwartz, A. (2017). The complex PTSD workbook: A mind-body approach to regaining emotional control and becoming whole. Berkeley, CA: Althea Press. Burke Harris, N. (2019). The deepest well: Healing the long-term effect of childhood adversity. London: Pan McMillan. Menakem, R. (2017). My grandmother’s hands: Racialized trauma and the path to mending our hearts and bodies. Las Vegas: Central Recovery Press.

Dworkin, M. (2005). EMDR and the Relational Imperative: The Therapeutic Relationship in EMDR Treatment. New York: Brunner-Routledge. Marich, J. (2014). Trauma Made Simple: Competencies in assessment, treatment, and working with survivors. PESI Publishing: Eau Claire, WI. Discusses additional applications, including the treatment of complex trauma, addictions, pain, depression, and moral injury, as well as post-disaster response.Two measures are used during EMDR therapy sessions to evaluate changes in emotion and cognition: the Subjective Units of Disturbance (SUD) scale and the Validity of Cognition (VOC) scale. Both measures are used again during the treatment process, in accordance with the standardized procedures: Validity of Cognition (VOC) scale An excellent resource on an important evidence-based treatment for traumatic stress. This book is relevant for all practitioners interested in EMDR therapy, including novices as well as those who already use the approach. The third edition offers a wealth of detail to guide the reader in applying EMDR across a range of clinical presentations. Highly recommended."--David Forbes, PhD, Professor, Department of Psychiatry, University of Melbourne; Director, Phoenix Australia--Centre for Posttraumatic Mental Health Marich, J. (2011). EMDR Made Simple: Four Approaches to Using EMDR with Every Client. Eau Claire, WI: PESI Publishing (Premiere) Appendices with session transcripts, clinical aids, and tools for assessing treatment fidelity and outcomes.

After the client has named the emotion he or she is feeling, the clinician asks, "On a scale of 0-10, where 0 is no disturbance or neutral and 10 is the highest disturbance you can imagine, how disturbing does it feel now?" Dr. Russell has authored more than 13 articles and 6 book chapters on EMDR. He was awarded the Distinguished Psychologist Award by the Washington State Psychological Association for his sustained effort to transform military mental healthcare including advocating for EMDR trainings and treatment access, as well as the 2018 Outstanding Service in the Field of Trauma Psychology by APA Division 56 Trauma Psychology. Dr. Russell is a retired Navy commander and military psychologist, who became the first certified military EMDR trainer in the Department of Defense, and organized a series of just-in-time EMDR trainings for more than 265 mental health providers in response to a growing military mental health crisis. The clinician asks, "When you think of the incident, how true do those words (repeat the positive cognition) feel to you now on a scale of 1-7, where 1 feels completely false and 7 feels totally true?" Baldwin, M. & Korn, D. (2021). Every memory deserves respect: EMDR, the proven trauma therapy with the power to heal. New York: Workman Publishing Company.

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The next session starts with phase eight, re-evaluation, during which the therapist evaluates the client's current psychological state, whether treatment effects have maintained, what memories may have emerged since the last session, and works with the client to identify targets for the current session. EMDR therapy emphasizes working with imagery, cognitions, emotions, somatic sensations, and behavior linked to a disturbing memory, as well as attending to past, current, and future-oriented experiential contributors. Unlike many psychotherapeutic treatments, EMDR does not require prolonged exposure, the direct challenging of beliefs, or numerous sessions to achieve results.

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