This second edition teaches therapists to effectively use the entire EMDR therapy eight-phased treatment with children of all ages from infants to adolescents. The book details changes to the phases of EMDR therapy (history taking, case conceptualization, and treatment planning) along with alterations to case conceptualization for target identification and organization. It incorporates newly published research documenting current evidence-based support of EMDR therapy with children.
Basic skills for using EMDR therapy with children are explained, as well as transitions to more advanced skills for working with infants and toddlers, children with intellectual and developmental disabilities, and children in the welfare system. It integrates play therapy and other forms of expressive therapies. Specialty topics on using EMDR therapy include case conceptualization with diagnoses defined by the DSM-5 and ICD-10, newborn/neonate diagnoses, children with chemical dependency, and many more. Case studies woven throughout the text clearly demonstrate EMDR therapy applications, and summaries of published evidence support the efficacy of EMDR therapy, including studies from WHO and SAMHSA. Expanded to include all eight phases of EMDR therapy for infants and toddlers, preteens, and adolescents, this book continues to be the foundational EMDR text for therapists working with children.
New to the Second Edition:
- Integrates developmental theory for use with children, adolescents, and teens
- Includes breakthrough narrative therapeutic concepts with young children
- Guides therapists in using EMDR therapy with specialty populations
- Presents two new chapters–one on EMDR therapy with infants, toddlers, and preschoolers and a second on preteens and adolescents
Key Features:
- Serves as the foundational EMDR therapy text for therapists working with children
- Details the skills–from basic to advanced–needed for best practices
- Includes the most current research on EMDR therapy
Table of Content
Contents
Foreword by Robbie Dunton
Preface
Acknowledgments
1. Theoretical Underpinnings and Research on EMDR Therapy With Children: From Infants to Adolescents
Basic Training in EMDR Therapy
EMDR Therapy Within the Field of Child Psychotherapy
Assessing the Literature on EMDR Therapy With Children and Adolescents
Research on EMDR Therapy
Summary
2. Getting Started With EMDR Therapy With Recommendations for Infants to Adolescents
Getting Started With EMDR Therapy
The Eight Phases of EMDR Therapy
Three-Pronged Approach
First Client Considerations
The Therapist’s Role in EMDR Therapy
Setting Up the Office for EMDR Therapy
Integrating Play Therapy Into EMDR Therapy
EMDR Therapy Progress Notes
Additional Tools for Getting Started With EMDR Therapy
Summary
3. EMDR Therapy Phase 1: History Taking, Case Conceptualization, and Treatment Planning
History Taking
Treatment Planning
Assessment Tools for Evaluating Children
Assessing Children’s Readiness for Therapy/Selection Criteria
Summary
Initial EMDR Therapy Session
4. EMDR Therapy Phase 2: Preparation Phase
Explaining EMDR Therapy and Informed Consent for Treatment
Assessing the Child’s Resources
Teaching the Mechanics of EMDR Therapy
Resourcing and Mastery Skills
Skills for Dealing With Strong Emotions Between Sessions
Summary
Preparation Phase Session Protocol
5. EMDR Therapy Phase 3: Assessment Phase
Procedural Steps of the Assessment Phase of EMDR Therapy
Tools for Target Identification With Child Clients
Creative Techniques for Identifying Targets for Reprocessing With EMDR Therapy
Negative and Positive Cognitions
Summary
Procedural Steps of the Assessment Phase
6. EMDR Therapy Phase 4: Desensitization
The Goal of the Desensitization Phase
Evidence of Reprocessing During Desensitization With Children
Use of Bilateral Stimulation With Children During Reprocessing
Issues Unique to Desensitization With Children and Adolescents
Therapist’s Role in EMDR Therapy
Strategies for Regulating the Speed of Reprocessing
Summary
Instructions to the Child or Adolescent and Therapist’s Script for Desensitization Phase
7. EMDR Therapy Phases 5, 6, and 7: Installation, Body Scan, and Closure
Phase 5: Installation
Phase 6: Body Scan
Future Template
Phase 7: Closure
Summary
8. EMDR Therapy Phase 8: Reevaluation
Reevaluation Phase
Reevaluation at the End of Treatment
Summary
9. Advanced Affect Management Skills for Children
Goals of Resourcing, Coping, and Mastery
Emotional Resources, Coping, and Mastery Skills
Mastery Skills for Children
Summary
Abbreviated Resourcing Protocols for Children
10. Tools for Blocked Processing and Cognitive Interweaves
Blocked Processing
Tools for Dealing With Blocked Processing
Tools to Address Under- and Overaccessing Emotions
Feeder Memories
Blocking Beliefs
Cognitive Interweaves
Summary
11. Adaptations for the Implementation of EMDR Therapy With Infants, Toddlers, and Preschoolers
Neurological Impact of Abuse and Neglect on Young Children
Phases, Ages, and Stages
Parents in EMDR Therapy With Infants, Toddlers, and Preschoolers
EMDR Therapy Phase 1: History Taking, Case Conceptualization, and Treatment Planning With Infants, Toddlers, and Preschoolers
EMDR Therapy Preparation Phase
EMDR Therapy Trauma Reprocessing Phases With Infants, Toddlers, and Preschoolers
Summary
12. Adaptations to EMDR Therapy for Preteens and Adolescents
Phase 1: History Taking, Case Conceptualization, and Treatment Planning
Phase 2: Preparation
Phase 3: Assessment
Phase 4: Desensitization
Phases 5, 6, and 7: Installation, Body Scan, and Closure
Phase 8: Reevaluation
Pacing and Timing
Blocked Processing, Underaccessing, Flooding, and CI
Summary
13. EMDR Therapy Case Conceptualization: DSM-5 and ICD-10 Diagnoses Specific to Infants Through Adolescents
Case Conceptualization
General Categories of Topics With Childhood and Adolescence
Summary
14. Situational Issues Unique to Children—Infants to Adolescents
Situational Issues Unique to Children
Summary
Appendix A: Consent/Assent for Treatment Form
Appendix B: EMDR Therapy History Taking, Case Conceptualization, Treatment Planning Form
Appendix C: Child/Adolescent Symptom Monitoring Form
Appendix D: Safe/Calm Place for Children and Adolescents Form
Appendix E: Mapping Targets for EMDR Processing
Instructions to the Therapist for Mapping
Session Protocol for Mapping
Script for Mapping Targets
Appendix F: Graphing EMDR Therapy Targets or Symptoms
Instructions to the Therapist for Graphing Mastery Experiences and Targets
Session Protocol for Graphing
Script for a Mastery Graph
Script for a Targeting Graph
Script for Graphing
Appendix G: Recent Event Protocol for Children and Adolescents
Appendix H: Scripts for Assessment, Desensitization, Installation, Body Scan, Closure, and Reevaluation
Phase 3: Assessment
Phase 4: Desensitization
Phase 5: Installation
Phase 6: Body Scan
Phase 7: Closure
Phase 8: Reevaluation
Script for Trauma Reprocessing Phases With Children and Adolescents
Appendix I: Cognitions for Children and Adolescents
Kids; List of Cognitions
Appendix J: EMDR Therapy Fidelity Questionnaire
Phase 1: History Taking, Case Conceptualization, and Treatment Planning
Phase 2: Preparation
Phase 3: Assessment
Phase 4: Desensitization
Phase 5: Installation
Phase 6: Body Scan
Phase 7: Closure
Phase 8: Reevaluation
Three-Pronged Protocol
Appendix K: Blocking Beliefs Questionnaire for Children and Adolescents
Instructions to the Therapist for Blocking Beliefs Questionnaire for Children and Adolescents
Internet Resources
Assessment Tools for Evaluating Children
Annotated Bibliography: The Research on EMDR Therapy With Children
Reviews of Research on EMDR Therapy in Individual Psychotherapy With Children
Studies of EMDR Therapy in Individual Psychotherapy With Children
Research on the EMDR Group/Butterfly Hug Protocol With Children
Additional Resources
Index
About the author
Carolyn Settle, MSW, LCSW, lives in Scottsdale, Arizona, and has over 44 years of experience working with children, adolescents, and adults who have experienced abuse, trauma, and/or loss. She has presented and written about children and adolescents in her coauthored book EMDR and the Art of Psychotherapy With Children: Guidebook and Treatment Manual (2023), now in its third edition. She has presented at numerous EMDR conferences nationally and internationally and will soon release an international course on EMDR with children. She is also the coinvestigator of a fidelity study concerning EMDR with children, and she has coauthored three chapters and three journal articles on EMDR with children. She is an EMDR International Association (EMDRIA)-approved consultant and an EMDR Institute trainer.
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