Eye Movement Desensitization and Reprocessing (EMDR ...

1 EbookTHE GUILFORD PRESSEye Movement Desensitization and Reprocessing (EMDR) TherapyEye Movement Desensitization and Reprocessing (EMDR) TherapyBasic Principles, Protocols, and ProceduresTHIRD EDITIONF rancine Shapiro, PhDTHE GUILFORD PRESS New York LondonCopyright 2018 Francine ShapiroPublished by The Guilford PressA Division of Guilford Publications, Seventh Avenue, Suite 1200, New York, NY rights reservedExcept as noted, no part of this book may be reproduced, translated, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise.

2 Without written permission from the in the United States of AmericaThis book is printed on acid-free digit is print number: 9 8 7 6 5 4 3 2 LIMITED DUPLICATION LICENSET hese materials are intended for use only by qualified publisher grants to individual purchasers of this book nonassignable permission to reproduce all materials for which permission is specifically granted in a note. This license is limited to you, the individual purchaser, for personal use or use with clients. This license does not grant the right to reproduce these materials for resale, redistribution, electronic display, or any other purposes (including but not limited to books, pamphlets, arti-cles, video- or audiotapes, blogs, file-sharing sites, Internet or intranet sites, and handouts or slides for lectures, workshops, or webinars, whether or not a fee is charged).

3 Permission to reproduce these materials for these and any other purposes must be obtained in writing from the Permissions Department of Guilford author has checked with sources believed to be reliable in her efforts to provide information that is complete and generally in accord with the standards of practice that are accepted at the time of publication. However, in view of the possibility of human error or changes in behavioral, mental health, or medical sciences, neither the author, nor the editors and publisher, nor any other party who has been involved in the preparation or publication of this work warrants that the information contained herein is in every respect accurate or complete, and they are not responsible for any errors or omissions or the results obtained from the use of such information.

4 Readers are encouraged to confirm the information contained in this book with other of Congress Cataloging-in-Publication data is available from the : Shapiro, Francine, : Eye Movement Desensitization and Reprocessing (EDMR) therapy : basic principles, protocols, and procedures / Francine titles: Eye Movement Desensitization and Reprocessing (EDMR)Description: Third edition. | New York : The Guilford Press, [2018] | Revised edition of: Eye Movement Desensitization and Reprocessing (EMDR) : basic principles, protocols, and procedures. 2nd ed. c2001. | Includes bibliographical references and index.

5 Identifiers: LCCN 2017050337 | ISBN 9781462532766 (hardcover : alk. paper)Subjects: LCSH: Eye Movement Desensitization and Reprocessing . | Post-traumatic stress disorder--Treatment. | Psychic trauma--Treatment. | BISAC: PSYCHOLOGY / Psychopathology / Post-Traumatic Stress Disorder (PTSD). | MEDICAL / Psychiatry / General. | SOCIAL SCIENCE / Social : LCC S534 2018 | DDC record available at memory of my grandparents, Charles and Lena Sumner; my parents, Daniel and Shirley Shapiro; and my sisters, Debra and Marion With gratitude for the guiding lights of each generation and for the loving support of my husband, Bob Welch, one of my life s greatest blessingsFreedom is what you do with what s been done to you.

6 Jean-Paul Sartrevi Francine Shapiro, PhD, the originator and developer of EMDR therapy, is Senior Research Fellow Emeritus 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 Trauma Recovery/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, presented by the City of Vienna in conjunc-tion with the World Council for Psychotherapy; the Award for Outstand-ing Contributions to Practice in Trauma Psychology from Division 56 of the American Psychological Association; and the Distinguished Scientific Achievement in Psychology Award from the California Psychological Asso-ciation.

7 Dr. Shapiro was designated as one of the Cadre of Experts of the American Psychological Association and the Canadian Psychological Association Joint Initiative on Ethnopolitical Warfare and has served as advisor to a wide variety of trauma treatment and outreach organizations and journals. She has been an invited speaker at psychology conferences worldwide and has written and coauthored more than 90 articles, chapters, and books about the Author viiTHE PATH OF DISCOVERYThe opportunity to introduce another edition brings to mind again a state-ment by the early philosopher Heraclitus: You cannot step twice into the same river, for different and ever different waters flow down.

8 This edition marks 30 years since I made the initial observation that led to the develop-ment of Eye Movement Desensitization and Reprocessing (EMDR) therapy, which is now internationally recognized as an empirically supported treat-ment for trauma. Since the early days of controversy over the effects of the eye movements, more than 30 randomized studies have verified their effects, and hundreds of published peer-reviewed articles have documented positive treatment effects for a wide range of populations. Given the ever-changing nature of health care, life, and thought, it is gratifying to see that most of the book has remained relevant to clinical practice.

9 It has aged the same time, this revision has given me an opportunity to offer the latest theory and research governing EMDR therapy practice, to expand information on the treatment of various populations, and to describe addi-tional procedures and protocols that have proven to be valuable additions to clinical practice. The extensive controlled research on EMDR therapy has been updated, and additional areas of potentially useful investigation are suggested. New appendices include a variety of clinical aids for both the practicing therapist and researcher, including questionnaires, forms, checklists, and treatment is he who has found his work; let him ask no other blessedness.

10 ThomaS Carlyleviii PrefaceIt has also been gratifying, over the last 15 years, to witness throughout the professional community practicing EMDR therapy the sustained inter-national commitment to the healing of suffering. In fact, the first edition of this text appeared only a few days after the Oklahoma City bombing. At the request of an FBI agent who had undergone EMDR treatment, vol-unteers traveled at their own expense to offer assistance to the traumatized community. Those Oklahoma clinicians who had already been trained in EMDR opened their offices and spread word of the opportunity through-out the area.