Reprocessing dysfunctionally stored experiences

EMDR stands for Eye Movement Desensitization and Reprocessing. It is a complex treatment methodology which combines various aspects of the major theoretical orientations (e.g., psychodynamic, behavioral, cognitive, physiological, interactional and client-centered) in addition to a dual attention stimulus. It turns out that the method was badly named because in addition to eye movements, handtaps or tones can also be used--and the term “desensitization” is a limiting concept. EMDR is best conceptualized as a method that helps to reprocess dysfunctionally stored experiences. So far, there are fourteen controlled studies on the use of EMDR with posttraumatic stress disorder (PTSD). The most recent four rigorously controlled studies demonstrate that 84-90% of single-trauma victims no longer retain the PTSD diagnosis after only three sessions. Although some people have the mistaken impression that EMDR is a simple technique, in fact it is a complex method that consists of eight phases, numerous procedural elements, and a set of protocols designed to address specific client complaints. Treatment outcomes include a cessation of pronounced symptoms, as well as the achievement of insights, cognitive restructuring, and a shift to more ecological emotions. Therefore, beyond the application to PTSD, EMDR is being used by clinicians to address the disturbing life experiences that contribute to a wide range of problems. However, EMDR should be used within a comprehensive treatment plan by adequately prepared clinicians who have experience working with the clinical population in question.

• PRIMARY FOCUS AND DATA PROCESSING by DAVID PEPPIATT, 11/19/98