Table of Contents

Preface

1. Background

2. The Model as a Working Hypothesis

3. Components of EMDR Treatment and Basic Treatment Effects

4. Treatment Sequence, Phase One: Client History

5. Treatment Sequence, Phases Two and Three: Preparation and Assessment

6. Treatment Sequence, Phases Four to Seven: Desensitization, Installation, Body Scan and Closure

7. Strategies for Working with Abreaction and Blocks

8. Phase Eight: Reevaluation and the Use of The EMDR Three-Pronged Protocol

9. Protocols and Procedures for Special Situations

10. The Cognitive Interweave: A Proactive Strategy for Working With Challenging Clients

11. Special Populations

12. Theory, Research, and Clinical Implications

Appendices:

A. Clinical Aids.

B. Client Safety.

C. EMDR Resources.

D. Online-only Appendices.

About the Author

Francine Shapiro, PhD, the originator and developer of EMDR, is a senior research fellow at the Mental Research Institute in Palo Alto, California; Executive Director of the EMDR Institute in Watsonville, California; and founder and President Emeritus of the EMDR Humanitarian Assistance Programs, a nonprofit organization that coordinates disaster response and pro bono trainings worldwide. She is a recipient of the International Sigmund Freud Award for distinguished contribution to psychotherapy, from the City of Vienna; the American Psychological Association Division 56 Award for Outstanding Contributions to Practice in Trauma Psychology; and the Distinguished Scientific Achievement in Psychology Award, from the California Psychological Association. Dr. Shapiro was designated as one of the ""Cadre of Experts"" of the American and Canadian Psychological Associations' Joint Initiative on Ethnopolitical Warfare. She has written and coauthored more than 60 articles, chapters, and books about EMDR.

Reviews

"EMDR, arising out of a cognitive-behavioral orientation, has increasingly become a rather strikingly integrative approach. Its potential fascination for psychodynamically oriented therapists is considerable. In my own experience, it has seemed to generate 'deep' material rapidly and to provide access to a wider range of associations and of sensory/affective connections. I am personally eager to conduct research further investigating these impressions, and hope other psychodynamically oriented clinician-researchers will join in this investigative effort."--Paul Wachtel, PhD, City College and the Graduate Center, City University of New York

"Since the introduction of EMDR in 1989, over 40,000 clinicians have been trained in its practice and a large volume of scientific work has established its remarkable, and unusually rapid, capacity to treat the effects of psychological trauma. Despite the fact that EMDR brings together aspects of many major psychological orientations, it appears to have unique treatment effects that are still only partially understood. Francine Shapiro, has consistently promoted the highest standards of clinical rigor and scientific efforts to further the understanding of this unique procedure. This book lucidly presents the method and the accumulated scientific knowledge, and spells out the puzzles and controversies that continue to be resolved in the context of the ongoing evolution of neuroscience and outcome research. Personally, I have been amazed by the effectiveness of EMDR. I would no longer know how to treat my patients without having this tool available. It has changed my whole notion about how well we can help traumatized people."--Bessel A. van der Kolk, MD, Professor of Psychiatry, Boston University School of Medicine

Praise for the first edition: 'This pragmatic book is important as the definitive presentation of the EMDR method... Clinicians will welcome its detailed explanation... Several case examples and five annotated transcripts nicely illustrate subtleties in the method and the therapist's client-centered role.' - Contemporary Psychology

'The writing is clear with general guidelines balanced by exemplary case illustrations to illustrate specific procedures and sample phrases to be used by the therapist... The description of the benefits to be expected is balanced throughout by descriptions of the special precautions, possible side effects, difficult populations encountered and procedural variations needed.' - Psychotherapy in Private Practice

'In a very few years, EMDR has grown from a bizarre sounding new technique to the most extensively researched treatment for PTSD (with numerous additional applications also being pursued)... A number of recent, rather convincing studies have established EMDR as a legitimate and powerful treatment.' - Professional Psychology

'The speed at which change occurs during EMDR contradicts the traditional notion of time as essential for psychological healing. Shapiro has integrated elements from many different schools of psychotherapy into her protocols, making EMDR applicable to a variety of clinical populations and accessible to clinicians from different orientations.' - Bessel A. van der Kolk, MD