27/03/2015
What is trauma
Therapeutic Approaches to the
Treatment of Trauma and
Addiction
Trauma can be defined as a wound, injury or
shock
(Winnik, 1969)
Events are not traumatic in themselves, rather, they may
be so in their impact on a given individual.
(The Haunted Self, 2006)
Nigel Joseph, Team Leader, South East
Substance Use Recovery (SURe), EACH Social and
Community Health
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Consortium of EACH Social & Community Health Service, Anglicare Victoria & YSAS
Eye Movement Desensitisation
and Reprocessing (EMDR)
Attachment
Neglect
Physical abuse
Sexual abuse
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Eye Movement Desensitisation
and Reprocessing (EMDR)
EMDR developed in 1987
8 Phase process
3. Target assessment
• Memory or image,
1. Client history and assessment
• Negative belief
• Positive belief
• Detailed assessment
• Suitability for EMDR
• Screen for dissociative disorder
• Validity of cognition
• Emotion/feeling
• SUDs (subjective units of distress 0-10)
2. Procedural preparation
• Location of sensation in the body
• Therapeutic relationship
• Explain EMDR, Stop Signal
• Safe place and other client safety strategies
Francine Shapiro, Ph.D.
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4
Eye Movement Desensitisation
and Reprocessing (EMDR)
Eye Movement Desensitisation
and Reprocessing (EMDR)
Female, Diagnosis BPD
4. Desensitisation - Standard protocol
5. Integration - installation of positive belief
6. Body scan
7. Closure - Debrief and client log
8. Re-evaluation - at follow up session
http://www.emdr.com
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27/03/2015
Eye Movement Desensitisation
and Reprocessing (EMDR)
Eye Movement Desensitisation
and Reprocessing (EMDR)
Male, Social Anxiety
Male, No Diagnosis, Attachment
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Eye Movement Desensitisation
and Reprocessing (EMDR)
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Radical Exposure Tapping
(RET)
Male, No Diagnosis, Family violence
De-activating the Buttons
Methodology of Eye Movement Desensitisation and
Reprocessing (EMDR)
Tapping sequence of the Emotional Freedom Technique (EFT)
More flexible than EMDR
Greater theoretical and methodological rigour than using the
EFT technique
http://www.radicalexposure.com
Laurie MacKinnon Ph.D
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Radical Exposure Tapping (RET)
Radical Exposure Tapping (RET)
and EMDR
and EMDR
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27/03/2015
Feeling State Addiction Protocol
FSAP
Feeling State Addiction Protocol
FSAP
Intense feelings + Positive Event = Addictive Fixation
Identify the exact behavior that has the most intense positive
feeling.
Addiction Fixation + Trigger Event = Addictive Behaviour
Identify the exact feeling that underlies that behavior.
A modified form of EMDR is utilized to break the connection
between the feeling and behavior.
Feeling = Sensation + Emotion + Cognition
Feeling state = Feeling + Behaviour
The negative beliefs that underlie the compulsive fixation are
processed.
Identify the specific positive feeling [sensation + emotion + cognition]
linked with the addictive behaviour
Dr. Robert Miller
http://www.fsaprotocol.com
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Recommended Reading
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