Neuro-auricular Methods for EMDR: Move beyond defense mechanism, targeting, & processing challenges скачать в хорошем качестве

Neuro-auricular Methods for EMDR: Move beyond defense mechanism, targeting, & processing challenges

Session time is precious; clients are constantly chasing to find the newest, best treatment; and clinics are in a seemingly endless arms race of modalities. However... ...therapists who stop to recognize one of the best tools every client already brings to each session — the ear — use this window to the brain to help resolve complex cases. MOVE BEYOND DEFENSE MECHANISMS While EMDR is among the main treatments for defense mechanisms from lack of dual attention to dissociative disorders,[1-5] these are also among the biggest challenges facing the EMDR therapist.[6-10] Neuro-auricular methods facilitate restoration of dual attention and regulation[11-26], while avoiding the risks of proceeding with EMDR when dissociation is detected. TARGET IDENTIFICATION Even without cognitive input from the client, active points on the microsystem of the ear, especially limbic system and pain memory points,[27] can be helpful in offering clues and insight to useful targets and their prioritization. PROCESSING In some cases, the client simply is “blocked,” in a “processing loop,” or “resistant” during BLS — no decrease in SUDs. Neuro-auricular modulation helps move beyond client defense mechanisms or other blocks without the need for pre-frontal cortex. It activates the mechanisms of action to support engagement, plasticity, healing and processing.[28-32] Learn more at: www.integrateauricular.ca/emdr Literature [1] Haour F, et al. Scientific Evaluation of EMDR Psychotherapy for the Treatment of Psychological Trauma Summary. L'encephale. 2016 Jun;42(3):284-288. [2] Diseth TH, Christie HJ. Trauma-related dissociative (conversion) disorders in children and adolescents--an overview of assessment tools and treatment principles. Nord J Psychiatry. 2005;59(4):278. [3] EMDR and Dissociative Disorders. EMDRIA website. 2011. Accessed September 30, 2021. https://www.emdria.org/group/emdr-and... [4] Bufka, L. et al. Clinical Practice Guideline for the Treatment of Posttraumatic Stress Disorder (PTSD) in Adults. American Psychological Association website. February 24, 2017. Accessed September 30, 2021. https://www.apa.org/ptsd-guideline/pt... [5] de Jong, et al. Guidelines for the Management of Conditions Specifically Related to Stress. World Health Organization website. 2013. p37. Accessed September 30, 2021. https://apps.who.int/iris/bitstream/h... [6] Hart O, et.al. Dissociation of the Personality and EMDR Therapy in Complex Trauma-Related Disorders. Journal of EMDR Practice and Research. 2014; 8(1): 33 [7] Forgash C. Integrating EMDR and Ego State Treatment for Clients With Trauma Disorders. Journal of EMDR Practice and Research. 2012; 6(3):121 [8] Dunne T, Farrell D. An Investigation Into Clinicians’ Experiences of Integrating EMDR Into Their Clinical Practice. Journal of EMDR Practice and Research. 2011; 5(4):177-188 [9] L Royle. (2010). Integrating EMDR into your practice. New York, NY:Springer Publishing. [10] Stacy R. 4 Big Challenges for EMDR Therapists. Stacy Ruse Counseling Group website. Accessed August 6, 2021. https://stacyrusecounseling.com/emdr-... [14] Mercante B, et al. Auricular Neuromodulation. Medicines (Basel). 2018;5(1):10. [17] Shiozawa P, et al. Transcutaneous vagus and trigeminal nerve stimulation for neuropsychiatric disorders. Arq Neuropsiquiatr. 2014; 72: 542-7. [19] Kong J, et al. Treating Depression with Transcutaneous Auricular Vagus Nerve Stimulation. Front Psychiatry. 2018; 9: 20. [21] Fang J, et al. Transcutaneous Vagus Nerve Stimulation Modulates Default Mode Network in Major Depressive Disorder. Biological Psychiatry. 2016 Feb 15;79(4):266-73. [24] Kurebayashi LF, et al. Auriculotherapy to reduce anxiety and pain in nursing professionals: a randomized clinical trial. Rev Lat Am Enfermagem. 2017;25:e2843. [25] Stanton G. Auriculotherapy in Neurology as an Evidence-Based Medicine: A Brief Overview. Med Acupunct. 2018;30(3):130–132. [26] Alimi D. Medical Auriculotherapy: Scientific Bases, Principals and Therapeutic Strategies.[in French]. Paris: Elsevier–Masson; 2017 [27] Strittmatter B. Ear Acupuncture: A Precise Pocket Atlas Based on the Works of Nogier/Bahr. Stuttgart, Germany: Thieme; 2011: iii-iv, 240-241, 236, 128, 160-161 [28] Rosenberg S. Accessing the Healing Power of the Vagus Nerve. Berkely, California: North Atlantic Books; 2017:87-93. [29] Porges, S.W. Dana, D. Clinical Applications of the Polyvagal Theory: The Emergence of Polyvagal-Informed Therapies. New York: WW Norton. 2018: 53, 52 [30] Badran B, et al. Neurophysiologic effects of transcutaneous auricular vagus nerve stimulation (taVNS) via electrical stimulation of the tragus. Brain Stimulation. 2017; 11(3):492-500. [31] Hays SA. Enhancing Rehabilitative Therapies with Vagus Nerve Stimulation. Neurotherapeutics. 2016;13(2):382-394. [32] Edgerton R., Gad P. Spinal Cord Injury: Is the vagus nerve our neural connectome? eLife 2018;7:e35592