The effectiveness of EMDR with adult female survivors of childhood sexual abuse

摘要: A randomized experimental evaluation found support for the effectiveness of eye movement desensitization and reprocessing (EMDR)in reducing trauma symptoms among adult female survivors childhood sexual abuse. Fifty-nine women were assigned randomly to one three groups: (1) individual EMDR treatment (six sessions); (2)routine or(3) delayed control group. MANOVA was statistically significant at both posttest follow-up. In univariate ANOVAs each four standardized outcome measures group members scored significantly better than controls posttest. a three-month follow-up, participants routine on two measures, with large effect sizes suggestive clinical significance. Key words: abuse; (eye reprocessing); practice effectiveness; This article reports results (EMDR) in These survivors, who suffer variety that are persistent times debilitating, comprise target population social workers. Although literature is replete information prevalence effects abuse wisdom about its treatment, very little available examines efficacy. Numerous accounts have been published, but controlled research rarely has conducted this (Gordon & Alexander, 1993). Of studies examine efficacy exclusively population, none involved use random assignment (Alexander, Neimyer, Follette, Moore, Hatter, 1989; Apolinsky Wilcoxon, 1991; Jehu, 1988, Roberts Lie, 1989). relatively new approach from beginning fraught controversy, largely because unusual movements dramatic claims rapid severely traumatized individuals. According Shapiro (1995), "an interactive, intrapsychic, cognitive, behavioral, body-oriented therapy" whose goal "to rapidly metabolize dysfunctional residue past transform it into something useful" (pp. 52-53). Given successes within few sessions era managed care, given promise early individuals, compatibility existing work, testing important timely. consists an eight-phase accompanied by specific protocols different issues. The eight phases involve obtaining thorough client history developing sound plan; (2) preparing using EMDR; (3) assessing issue components be addressed; (4) desensitizing material or alternate form stimulation; (5) installing desired positive cognition; (6) conducting body scan determine if any residual remains; (7) closure; (8) re-evaluation (Shapiro, 1995). Phase particularly when identified. include presenting problem, memory connected picture image held mind (both negative self-assessments associated memory), emotions memory, as well accompanying physical sensations. …