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emdr [2023/12/23 21:14] tomemdr [2023/12/23 21:44] (current) – [Critique of EMDR and Francine Shapiro] tom
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-====== Other Eye Movement Models ======+===== Eye Movement Desensitization and Reprocessing (EMDR) =====
  
-//**Note: References and quotes need to be added for all sections**//+Eye Movement Desensitization and Reprocessing (EMDR)[(Eye_movement_desensitization_and_reprocessing>Eye movement desensitization and reprocessing[[https://en.wikipedia.org/wiki/Eye_movement_desensitization_and_reprocessing|Wikipedia]])] is an evidence-based psychotherapy treatment modality used to effectively treat a wide range of psychological issues, including post-traumatic stress disorder (PTSD). Its efficacy has been extensively studied and documented. 
  
-===== Eye Movement Integration (EMI=====+This therapy works by activating different networks in the brain that store and process traumatic material while simultaneously using a process of Bilateral stimulation (BLT)[(Bilateral Stimulation>Bilateral_stimulation[[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5061320/|National Library of Medicine]])] using: eye movements, tones, and/or tactile taps to stimulate the processing of memories related to the trauma. 
  
-EMI evolved from NLP (neuro-linguistic programming) and was first introduced by Robert Dilts in 1981 as “Eye Movement Pattern Interruption Therapy”. It’s now known to be a powerful method that appears to tap into the mind’s natural ability to heal itself. Since its developmentEMI has been promoting healthful integrations of traumatic memories by using guided eye movements to process the memories in a client’s experience. +In EMDR therapy, the therapist helps the client to identify connected thoughts, memories, images, and sensations related to the traumatic experience, then guides them through a series of alternating bilateral stimulation exercises
  
-Eye Movement Integration (EMI) was developed by Connirae and Steve Andreas as a kinder and gentler version of EMDR. EMI is a brief therapeutic approach that is an effective acute and post-therapy technique for treating acute and post-traumatic traumatic stress, as well as phobias, addiction symptoms, and negative or self-limiting thoughts. Although it originated in 1989, a recorded demonstration of the technique was first distributed in 1993 when a video was produced of Steve Andreas using Eye Movement Integration with a Vietnam veteran who suffered from PTSD (Youtube trailer below). +Additionally, EMDR can also be used in combination with other treatments such as cognitive behavioral therapy for individuals on waiting lists for more intensive mental health services.
-==== How does EMI work? ====+
  
-When an individual is experiencing issues that are deeply rooted in distressing memories and experiences from the past, processing those memories is often a challenging, painful task+{{ :img5.png |}}
  
-While EMI and EMDR are quite similarthere are a few significant differences between the two. +EMDR has established its effectiveness in treating trauma and PTSD in children and adultsalongside other mental health conditions such as:
-Both of these share the use of titrated imaginal exposure, eye movements, and attention to multisensory manifestations of distress. +
  
-<WRAP COLUMN 420px> +  * Anxiety, panic attacks, and phobias 
-<figure>{{youtube>GnoqWqijYvQ|NLP Techniques - Eye Movement Integration with a Vietnam Veteran (PTSD) }}</figure> +  * Chronic illness and medical issues 
-</WRAP>+  * Depression and bipolar disorders 
 +  * Dissociative disorders 
 +  * Eating disorders 
 +  * Grief and loss 
 +  * Pain 
 +  * Performance anxiety 
 +  * Sleep disturbance 
 +  * Substance abuse and addiction 
 +  * Violence and abuse
  
-However, the nature of these particular  eye movements is distinctive in both cases:+Although some may prefer traditional treatments like medications and talk therapyothers may find that EMDR can accelerate the process of healing. EMDR therapy is considered a safe form of treatment and aims to leave you with the emotions, understanding, and perspectives that promote healthy, positive change.
  
-  * EMDR uses typically lateral saccades similar to rapid eye movement (REM), while in EMI smooth pursuit eye movements (SPEM) in multiple directions and patterns are an essential part of the therapy.+==== What does the process look like? ====
  
-  * In EMDRthe eye movements are done as quickly and rapidly as possible, again as this was likely the case in its original formIn EMDR there is a use of all kinds of Bilateral Stimulation (Eye movmentstones, kinesthetics).+[[emdr|EMDR]] is widely recommended by many of the leading mental health organizations around the worldThe treatment process consists of multiple phasesincluding:
  
-  EMI on the other hand is much more within the client’s tolerance, where the speed and range of the movements is generally much slower, and done at the pace that the client is comfortable with.+**Phase 1:** History and Treatment Planning. The first phase of EMDR is a history-taking session, where you and your therapist will identify possible targets for therapy. With a greater understanding of you and your needs, your therapist will then develop a treatment plan that targets:
  
-Additionally, EMI uses 22 to 29 different EM patterns, while EMDR typically maintains the same pattern (or segmentuntil no more change is observed in the client’s responses; only then does the therapist revert to a different direction. +  * the event(sthat occurred 
 +  * the current  
 +  * the present circumstances that cause distress 
 +  * the necessary abilities or behaviours needed to learn in the long term
  
-There are also some differences in the protocol during and between the segments, such as following whatever emerges from each segment in EMDR, while EMI invites the client to remain focused on the main trauma. EMDR has added tapping to its original technique; EMI does not include any tapping.+**Phase 2**:  Preparation. During the second phase of EMDR, your therapist will guide you in learning different coping and relaxation strategies to handle emotional distress. These stress reduction techniques are meant for you to use during and between sessions. Since EMDR tends to produce rapid change, the goal is to maintain balance and equilibrium in your day-to-day life.
  
-Unlike other methods, EMI tends to favor the client’s comfort levels and doesn’t require regressionIt’s designed to avoid the concerns of false memory and/or the possibility of re-traumatizing the client.+**Phases 3-6**: AssessmentDuring the third phase, you and your therapist will identify particular memories and the components associated with them, including:
  
-----+  * A detailed mental picture of a target event (from phase 1) 
 +  * A negative belief about yourself associated with the event 
 +  * Relevant emotions and physical sensations
  
 +**Phases 4-7**: Treatment. These phases focus on using EMDR therapy techniques to treat the targeted memories. While focusing on the mental image, emotion, or belief, your therapist will ask you to follow specific eye movements. These movements are also known as bilateral stimulation and can include other repetitive activities such as tapping. 
  
-===== Brainspotting =====+Afterwards, your therapist will ask you to clear your mind and pay attention to the thoughts and feelings that arise spontaneously. Once they're identified, your therapist may direct your attention back to the traumatic memory and move forward with another. 
  
-Brainspotting (BSP)[(Brainspotting>Brainspotting[[https://brainspotting.com/|brainspotting.com]])] is a recently developed new type of therapy designed to help people accessprocessand ultimately overcome trauma, negative emotions, and psychologically induced physical pain.+In case you get distressed, your therapist will guide you in returning to the present momentThis process is repeated until the distress over specific thoughtsimagesor memories starts to fade.
  
-Brainspotting was first recognised through David Grand's work with survivors of trauma, and numerous mental health professionals utilising the approach have found it to be an effective form of treatment for a variety of conditions. +**Phase 8**: Evaluation. In the final phase of treatment, you'll examine your progress 
-{{ :img3.png |}}+
  
-==== How does Brainspotting work==== +===== EMDR example sessions: ===== 
-<WRAP 300 RIGHT> + 
-{{youtube>lm3Plvaf3UE}}+{{youtube>B122emzNPSU}} 
 +[[https://youtu.be/B122emzNPSU|Dr. Stephen Dansiger - EMDR Therapy: Phase 1 through 7 (Completed Target)]] 
 + 
 +{{youtube>M2ra8p4MSOk}} 
 +[[https://youtu.be/M2ra8p4MSOk|EMDR Therapy: Demonstration & Step-by-Step Walkthrough]] 
 + 
 +{{youtube>L6UvKhLYf7w}} 
 +[[https://youtu.be/L6UvKhLYf7w|EMDR Therapy Demonstration: Phases 1-8]] 
 + 
 +{{youtube>GP0fqgeckwM}} 
 +[[https://youtu.be/GP0fqgeckwM|EMDR Therapy Demonstration: Phases 3-7]] 
 + 
 +{{youtube>w3x8DKBMGIc}} 
 +[[https://youtu.be/w3x8DKBMGIc|EMDR Therapy Demonstration: Full Protocol to Address Present Prong Complaint]] 
 + 
 +{{youtube>p_SAvAlzT-c}} 
 +[[https://youtu.be/p_SAvAlzT-c|EMDR Therapy Phases 3-7 Demonstration (Coping with Political Stressors Presenting Issue)]] 
 + 
 + 
 +====Francine Shapiro==== 
 + 
 +Francine Shapiro, Ph.D.[(Francine_Shapiro>Francine Shapiro[[https://en.wikipedia.org/wiki/Francine_Shapiro|Wikipedia]])], is a clinical psychologist, research scientist and innovator who is the credited with the development of Eye Movement Desensitization and Reprocessing (EMDR) therapy (debated/controversial "Revisiting the Origins of EMDR"[(OriginsEMDR>Revisiting the Origins of EMDR[[https://link.springer.com/article/10.1007/s10879-023-09582-x|Springer Press]])]).  
 + 
 +As the founder of the EMDR label, Dr. Shapiro has conducted research demonstrating its efficacy for treating conditions such as post-traumatic stress disorder (PTSD), anxiety disorders, specific phobias and other psychological traumas. She has also developed an approach to understanding how memories become distorted over time and how they can be reframed ever more effective ways with EMDR therapy.  
 + 
 +In addition to her research into EMDR, Dr. Shapiro is the author of several books on mental health topics related to trauma resolution, including Getting Past Your Past: Take Control of Your Life with Self-Help Techniques from EMDR Therapy (2012)[( :harvard:Shapiro2012>> 
 +authors   : Shapiro, F. 
 +title     : Getting Past Your Past: Take Control of Your Life with Self-Help Techniques from EMDR Therapy.  
 +published : 2012 
 +publisher : Rodale Books 
 +isbn      : 1-59486-425-X 
 +url       : https://en.wikipedia.org/wiki/Special:BookSources/1-59486-425-X 
 +)]. Through her work in promoting EMDR therapy around the world, Dr. Shapiro has had a profound impact on helping individuals address even long-standing traumas quickly, effectively and without much need for medications or psychotherapy substitutes. 
 + 
 +====Bessel van der Kolk==== 
 +<WRAP RIGHT 300
 +{{youtube>Y2cPuv6jKqg}}
 </WRAP> </WRAP>
-According to David Grand, the direction in which people look or gaze can affect the way they feelThroughout the brainspotting processtherapists help individuals position their eyes in various ways that enable them to target the source of a negative emotion.+EMDR gained medical mainstream acceptance with the neuroimaging studies of PTSD and of Dissociative Identity Disorder by [[types_of_memory#the_body_keeps_the_score|Bessel van der Kolk]]. He received the first grants from the National Institutes of Health to do large studies about EMDR and Yoga.[(BVK>LevinP; Lazrove, S; van der Kolk, BA (1999). "What psychological testing and neuroimaging tell us about the treatment of PTSD by EMDR". J Anxiety Disord. 13 (1–2): 159–172. doi:10.1016/S0887-6185(98)00045-0. PMID 10225506.[[https://www.sciencedirect.com/science/article/pii/S0887618598000450?via%3Dihub|sciencedirect.com]])][(BVK2>Bessel A. van der Kolk, MD; Joseph Spinazzola, PhD;... (2007) "A randomized clinical trial of eye movement desensitization and reprocessing (EMDR), fluoxetine, and pill placebo in the treatment of posttraumatic stress disorder: treatment effects and long-term maintenance" PMID: 17284128 DOI: 10.4088/jcp.v68n0105  [[https://pubmed.ncbi.nlm.nih.gov/17284128/|pubmed]])] 
 +<WRAP clear/> 
 +<blockquote> 
 +An important implication of these findings is that successful treatment of PTSD does not reduce arousal at the limbic levelbut instead, enhances the ability to differentiate real from imagined threat. 
 +<cite>Bessel van der Kolk[(BVK)]</cite> 
 +</blockquote>
  
-Using a pointer to assist them, trained Brainspotting therapists will carefully guide the eyes of people in therapy across their field of vision to find appropriate “brainspots,” with a brainspot being an eye position that activates a traumatic memory or painful emotion. +==== Reddit Forums ====
  
-Practitioners of this therapeutic approach believe it allows therapists to access emotions on deeper level and target the physical pain and effects of trauma.+With such large client and userbase it is well worth going through the EMDR reddit forum to explore what the clients who are doing the therapy are experiencing or what the ones who are looking into getting it are afraid about. 
 +https://www.reddit.com/r/EMDR/
  
-There is increasing evidence that trauma is “stored” deep within the body and that it can alter the way the brain functions on a day to day basis. Trauma can, for example, have an effect on emotions, memory, and physical health. Brainspotting seems to activate the body’s innate ability to heal itself from these traumatic experiences. 
  
-While a therapist may attempt to access both the physical and emotional “locations” of negative emotions, Brainspotting therapists use something called the client's brain-body response (CBR) in therapy.+==== Critique of EMDR and Francine Shapiro ====
  
-There is increasing evidence that Brainspotting works primarily on the limbic system, a collection of brain structures that play a role in emotion, long-term memory, cognition, motivation, impulse control, and several other psychological factors that can affect well-being.+A summary, historical overview and and the current states of affair on the topic :
  
-==== How effective is Brainspotting? ====+{{youtube>PZmvk30gJEQ}} 
 +[[https://youtu.be/PZmvk30gJEQ| A hard look at EMDR and its unscrupulous founder]] 
 +via [[https://www.neurotransmissions.science/| Neuro Transmissions]]
  
-Both Brainspotting and EMDR therapeutic approaches help individuals reprocess negative events and retrain emotional responsesTherapists are increasingly practicing Brainspotting and reporting positive results.+A more elaborate and historical view on the claims from F. Shapiro is available via "Revisiting the Origins of EMDR"[(OriginsEMDR>Revisiting the Origins of EMDR[[https://link.springer.com/article/10.1007/s10879-023-09582-x|Springer Press]])] 
 +==== References ====
  
-==== Who can benefit from brainspotting? ==== 
  
-Brainspotting can help those with various mental health conditions and psychological concerns but is primarily used in treating trauma and PTSD+Adams, R., Ohlsen, S., & Wood, E. (2020). Eye Movement Desensitization and Reprocessing (EMDR) for the treatment of psychosis: A systematic review. //European Journal of Psychotraumatology//, //11//(1). https://doi.org/10.1080/20008198.2019.1711349
  
-Howeveranyone who has experienced either physical or emotional trauma may benefit from BrainspottingThis form of therapy has been shown to be an effective treatment option for those experiencing:+AmericaGM. (2021). Prince Harry opens up about EMDR therapy in new show l GMA [Video]. In //YouTube//. https://youtu.be/QGiqBazdPGw?si=575Ve2qBDLVEb7BR
  
-  * Anxiety disorders (trauma, PTSDetc.) +Arkowitz, H., & Lilienfeld, S. O. (2012, August 1). EMDR: Taking a closer look. //Scientific American//. https://www.scientificamerican.com/article/emdr-taking-a-closer-look/ 
-  * Attention issues (ADHD+ 
-  * Anger issues +Bernhard, M. (2023). //The enigmatic method//. VQR Online. https://www.vqronline.org/reporting-articles/2023/06/enigmatic-method 
-  * Phobias + 
-  * Substance abuse and addiction +Blum, D., & Park, S. (2022, September 19). What is E.M.D.R.? Understanding the Trauma Therapy Practice. //The New York Times//. https://www.nytimes.com/2022/09/19/well/emdr-therapy.html 
-  * Chronic illness + 
-  * Impulse control issues+Carey, B. (2019, July 11). Francine Shapiro, developer of eye-movement therapy, dies at 71. //The New York Times//. https://www.nytimes.com/2019/07/11/science/francine-shapiro-dead.html 
 + 
 +Chen, L., Zhang, G., Hu, M., & Liang, X. (2015). Eye movement desensitization and reprocessing versus cognitive-behavioral therapy for adult posttraumatic stress disorder. //Journal of Nervous &amp; Mental Disease//, //203//(6), 443–451. https://doi.org/10.1097/nmd.0000000000000306 
 + 
 +Chen, Y.-R., Hung, K.-W., Tsai, J.-C., Chu, H., Chung, M.-H., Chen, S.-R., Liao, Y.-M., Ou, K.-L., Chang, Y.-C., & Chou, K.-R. (2014). Efficacy of eye-movement desensitization and reprocessing for patients with posttraumatic-stress disorder: A meta-analysis of randomized controlled trials. //PLoS ONE//, //9//(8), e103676. https://doi.org/10.1371/journal.pone.0103676 
 + 
 +Contributors to Wikimedia projects. (2023, December 21). //Purple hat therapy//. Wikipedia. https://en.wikipedia.org/wiki/Purple_hat_therapy 
 + 
 +Cuijpers, P., Veen, S. C. van, Sijbrandij, M., Yoder, W., & Cristea, I. A. (2020). Eye movement desensitization and reprocessing for mental health problems: A systematic review and meta-analysis. //Cognitive Behaviour Therapy//, //49//(3), 165–180. https://doi.org/10.1080/16506073.2019.1703801 
 + 
 +Dansiger, Dr. S. (2018). Dr. Stephen Dansiger - EMDR therapy: Phase 1 through 7 (completed target) [Video]. In //YouTube//. https://youtu.be/B122emzNPSU?si=YI2IG4RvBtIKM2H7 
 + 
 +Denniston, J. (2019). Is EMDR more effective than wait list control and treatment as usual with posttraumatic stress disorder symptoms? //(Thesis, Concordia University, St. Paul)//. 
 + 
 +Devilly, G. J., Ono, M., & Lohr, J. M. (2014). The use of meta-analytic software to derive hypotheses for EMDR. //Journal of Behavior Therapy and Experimental Psychiatry//, //45//(1), 223–225. https://doi.org/10.1016/j.jbtep.2013.10.004 
 + 
 +EMDR, V. (2014). EMDR interview Francine Shapiro [Video]. In //YouTube//. https://youtu.be/8GUd5hhnkVE?si=JTI3WNNuxzvEmd7l  
 + 
 +Enevoldsen, R. (2014). Francine Shapiro EMDR for trauma eye movement desensitization and reprocessing [Video]. In //YouTube//. https://youtu.be/bWf39Pqcoqg?si=8iP8K99ge4de9tA3  
 + 
 +Eye movement desensitization and reprocessing (EMDR) therapy. (2017, May 25). [[Https://Www.Apa.Org.|//Https:%%//%%Www.Apa.Org//.]] https://www.apa.org/ptsd-guideline/treatments/eye-movement-reprocessing 
 + 
 +Faretta, E., & Dal Farra, M. (2019). Efficacy of EMDR therapy for anxiety disorders. //Journal of EMDR Practice and Research//, //13//(4), 325–332. https://doi.org/10.1891/1933-3196.13.4.325 
 + 
 +Foreman, J. (1998, September 14). //New therapy for trauma is doubted//. Judy Foreman. https://judyforeman.com/columns/new-therapy-trauma-doubted/ 
 + 
 +FreundB. (2017). Francine shapiro interview on EMDR [Video]. In //YouTube//. https://youtu.be/IigQZKLXIck?si=LSMg720XKUOOh_yF 
 + 
 +GunterRW., & Bodner, G. E. (2009). EMDR works . . . But how? Recent progress in the search for treatment mechanisms. //Journal of EMDR Practice and Research//, //3//(3), 161–168. https://doi.org/10.1891/1933-3196.3.3.161 
 + 
 +Herbert, J. (2000). Science and pseudoscience in the development of eye movement desensitization and reprocessing Implications for clinical psychology. //Clinical Psychology Review//, //20//(8), 945–971. https://doi.org/10.1016/s0272-7358(99)00017-3 
 + 
 +Kenchel, J. M., Domagalski, K., Butler, B. J., & Loftus, E. F. (2020). The messy landscape of eye movements and false memories. //Memory//, //30//(6), 678–685. https://doi.org/10.1080/09658211.2020.1862234 
 + 
 +Landin-Romero, R., Moreno-Alcazar, A., Pagani, M., & Amann, B. L. (2018). How does eye movement desensitization and reprocessing therapy work? A systematic review on suggested mechanisms of action. //Frontiers in Psychology//, //9//. https://doi.org/10.3389/fpsyg.2018.01395 
 + 
 +Lee, C. (n.d.). Psychological treatments for adults with posttraumatic stress disorder: A systematic review and meta-analysis. //Clinical Psychology Review//, //43//, 128–141. https://doi.org/10.1016/j.cpr.2015.10.003 
 + 
 +Lee, C. W., & Cuijpers, P. (2013). A meta-analysis of the contribution of eye movements in processing emotional memories. //Journal of Behavior Therapy and Experimental Psychiatry//, //44//(2), 231–239. https://doi.org/10.1016/j.jbtep.2012.11.001 
 + 
 +Lewey, J. H., Smith, C. L., Burcham, B., Saunders, N. L., Elfallal, D., & O’Toole, S. K. (2018). Comparing the effectiveness of EMDR and TF-CBT for children and adolescents: A meta-analysis. //Journal of Child &amp; Adolescent Trauma//, //11//(4), 457–472. https://doi.org/10.1007/s40653-018-0212-1 
 + 
 +Logsdon, E., Cornelius-White, J. H. D., & Kanamori, Y. (2023). The effectiveness of EMDR with individuals experiencing substance use disorder: A meta-analysis. //Journal of EMDR Practice and Research//, //17//(1), 21–32. https://doi.org/10.1891/emdr-2022-0046 
 + 
 +Luber, M., & Shapiro, F. (2009). Interview with Francine Shapiro: Historical overview, present issues, and future directions of EMDR. //Journal of EMDR Practice and Research//, //3//(4), 217–231. https://doi.org/10.1891/1933-3196.3.4.217 
 + 
 +M. Rosen, G. (2023). Revisiting the origins of EMDR. //Journal of Contemporary Psychotherapy//, //53//(4), 289–296. https://doi.org/10.1007/s10879-023-09582-x 
 + 
 +McLEAN, D. (1985, February 13). Aiming at superachievers : NLP: Influencing anybody to do just about anything. //Los Angeles Times//. https://www.latimes.com/archives/la-xpm-1985-02-13-vw-4747-story.html 
 + 
 +Menon, S. B., & Jayan, C. (2010). Eye movement desensitization and reprocessing: A conceptual framework. //Indian Journal of Psychological Medicine//, //32//(2), 136–140. https://doi.org/10.4103/0253-7176.78512 
 + 
 +Mikelson, B. (2018, April 13). IMPLEMENTING EMDR THERAPY: REFLECTIONS AFTER TRAINING WITH FRANCINE SHAPIRO - Blog. //EMDR & Beyond//. https://emdrandbeyond.com/blog/2018/4/13/reflections-on-training-with-francine-shapiro 
 + 
 +RodaleBooks. (2011). Getting Past Your Past / Francine Shapiro [Video]. In //YouTube//. https://youtu.be/nylajeG6uFY?si=0LYFRKMbTFLqYpxQ  
 + 
 +Opheim, E., Andersen, P. N., Jakobsen, M., Aasen, B., & Kvaal, K. (2019). Poor quality in systematic reviews on PTSD and EMDR – an examination of search methodology and reporting. //Frontiers in Psychology//, //10//. https://doi.org/10.3389/fpsyg.2019.01558 
 + 
 +//Psychology training - Schema therapy//. (2017, April 27). Psychology Training. https://psychology-training.com.au/ 
 + 
 +Rasines-Laudes, P., & Serrano-Pintado, I. (2023). Efficacy of EMDR in Post-Traumatic Stress Disorder: A Systematic Review and Meta-analysis of Randomized Clinical Trials. //Psicothema//, //35//(4), 385–396. 
 + 
 +Rodenburg, R., Benjamin, A., de Roos, C., Meijer, A. M., & Stams, G. J. (2009). Efficacy of EMDR in children: A meta-analysis. //Clinical Psychology Review//, //29//(7), 599–606. https://doi.org/10.1016/j.cpr.2009.06.008 
 + 
 +Rousseau, P.-F., Boukezzi, S., Garcia, R., Chaminade, T., & Khalfa, S. (2020). Cracking the EMDR code: Recruitment of sensory, memory and emotional networks during bilateral alternating auditory stimulation. //Australian &amp; New Zealand Journal of Psychiatry//, //54//(8), 818–831. https://doi.org/10.1177/0004867420913623 
 + 
 +Rubin, A. (2003). Unanswered questions about the empirical support for EMDR in the treatment of PTSD: A review of research. //Traumatology//, //9//(1), 4–30. https://doi.org/10.1177/153476560300900102 
 + 
 +Scelles, C., & Bulnes, L. C. (2021). EMDR as treatment option for conditions other than PTSD: A systematic review. //Frontiers in Psychology//, //12//. https://doi.org/10.3389/fpsyg.2021.644369 
 + 
 +Seidler, G. H., & Wagner, F. E. (2006). Comparing the efficacy of EMDR and trauma-focused cognitive-behavioral therapy in the treatment of PTSD: A meta-analytic study. //Psychological Medicine//, //36//(11), 1515–1522. https://doi.org/10.1017/s0033291706007963 
 + 
 +Sepehry, A. A., Lam, K., Sheppard, M., Guirguis-Younger, M., & Maglio, A.-S. (2021). EMDR for depression: A meta-analysis and systematic review. //Journal of EMDR Practice and Research//, //15//(1), 2–17. https://doi.org/10.1891/emdr-d-20-00038 
 + 
 +Shapiro, F. (1989). Efficacy of the eye movement desensitization procedure in the treatment of traumatic memories. //Journal of Traumatic Stress//, //2//(2), 199–223. https://doi.org/10.1002/jts.2490020207 
 + 
 +Shapiro, F. (2014). The role of eye movement desensitization and reprocessing (EMDR) therapy in medicine: Addressing the psychological and physical symptoms stemming from adverse life experiences. //The Permanente Journal//, //18//(1), 71–77. https://doi.org/10.7812/tpp/13-098 
 + 
 +Shapiro, F. (2015, May 5). //Vita//. EMDR Institute - EYE MOVEMENT DESENSITIZATION AND REPROCESSING THERAPY. https://www.emdr.com/vita/ 
 + 
 +Sikes, C., & Sikes, V. (2003). EMDR: Why the controversy? //Traumatology//, //9//(3), 169–182. https://doi.org/10.1177/153476560300900304
  
-However, it’s also been shown to assist in injury recovery and help treat physical illness, stress, and low motivationSome therapists believe psychological issues—such as angerprocrastination, and trouble concentrating, amongst many others, can be a result of traumaTherefore, Brainspotting might be a particularly effective form of therapy for those individuals who wish to address one or more of these concerns.+Skeptic(2014May 21)//Eye Movement Magic//. Skeptic. https://www.skeptic.com/eskeptic/14-05-21/#feature
  
-----+Verstrael, S., van der Wurff, P., & Vermetten, E. (2013). Eye movement desensitization and reprocessing (EMDR) as treatment for combat-related PTSD: A meta-analysis. //Military Behavioral Health//, //1//(2), 68–73. https://doi.org/10.1080/21635781.2013.827088
  
 +Wadji, D. L., Martin-Soelch, C., & Camos, V. (2022). Can working memory account for EMDR efficacy in PTSD? //BMC Psychology//, //10//(1). https://doi.org/10.1186/s40359-022-00951-0
  
-===== Submodality Eye Accessing Cues (SMEACs=====+Warren, P. (2019, July 15). Francine Shapiro obituary. //The Guardian//. https://www.theguardian.com/science/2019/jul/15/francine-shapiro-obituary
  
-Eric Robbie is an influential researcher and trainer in the field of neuro-linguistic programming (NLP). One of his contributions to the field was his model of submodality eye accessing cues, or SMEACs[(>Eric Robbie demonstrating SMEACs (old video) [[https://www.youtube.com/watch?v=xVT-G2qjzBo|Youtube]])] +Wartik, N. (1994, August 7). The amazingly simpleinexplicable therapy that just might work : Is EMDR psychology’s magic wand or just some hocus pocus? //Los Angeles Times//https://www.latimes.com/archives/la-xpm-1994-08-07-tm-24471-story.html
-. This model suggests that people can reveal their thought processes and mental states through their eye movements and other facial expressions+
  
-According to the modeldifferent eye movements correspond to different types of mental activitysuch as recalling memoriesconstructing mental imagesor evaluating informationThe SMEAC model has been used in various contextssuch as coachingtherapyand business trainingto help people understand and communicate more effectively+WeberM.SchumacherS., HannigW., BarthJ.LotzinA., Schäfer, I., Ehring, T., & Kleim, B. (2021). Long-term outcomes of psychological treatment for posttraumatic stress disorder: A systematic review and meta-analysis - Corrigendum. //Psychological Medicine//, //51//(16), 2946–2946. https://doi.org/10.1017/s0033291721003214
  
-Howeverit is important to note that the validity of the SMEAC model and its applications in NLP have been disputed by some researchers.+WetherfordR(2014). //Francine shapiro EMDR interview//. Psychotherapy.Net. https://www.psychotherapy.net/interview/francine-shapiro-emdr
  
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