Download EMDR-Supervision in Norddeutschland

‫ גרמניה‬EMDR ‫ סדנאות עם מייקל הסה נשיא‬2
4 ‫ רח' הפלמ"ח‬,‫במשכן העירוני למוזיקה ואמנויות רעננה‬
‫מפת הגעה בהמשך‬
Workshop No.1 :
EMDR IN THE TREATMENT OF ADDICTIVE DISORDERS
Timetable 9.5.2013
09:00 – 10:30
PTSD and addiction – treatment of comorbid disorders
10:30 – 11:00
Coffee break
11:00 – 12:30
The addiction memory
- Theory and rationale for EMDR treatment
12:30 – 13:30
Lunch break
13:30 – 15:00
Reprocessing oft the addiction memory – video
demonstration and practicum
15:00 – 15:30
Coffee break
15:30 – 17:00
EMDR Approaches in Addiction treatment
EMDR in the treatment of addictive disorders
Michael Hase
The comorbidity of PTSD and substance abuse gives sufficient reason to treat patients
who are addicted with EMDR targeting the traumatic memories, which drive the
comorbid PTSD. However, there are several pathways leading to addiction and PTSD is
only one of them. Thirty years of addiction research have provided sufficient
evidence for the crucial role of memory in drug dependency. The Addiction memory
(AM) serves as a useful concept for “obsessive-compulsive craving” to be seen in
drug addicted patients (Boening, 2001). The concept of an AM and its importance
in relapse occurrence and maintenance of learned addictive behaviour has gained
growing acceptance in the field of addiction research and treatment. The AM is
interpreted as an individual-acquired memory following drug consumption in some
individuals. The addiction memory is based on normal memory systems and
systems of neuronal information processing. This neurobiological-based,
imprinted, addictive behaviour seems to resist change under normal
circumstances. The implicit nature of the addiction memory seems to qualify it
as a target for EMDR treatment.
In a pilot-study group of 34 patients with chronic alcohol dependency in inpatient treatment for detoxification were randomly assigned to one of two treatment
conditions: treatment as usual (TAU)) or TAU+EMDR. In the TAU+EMDR group
patients received two sessions of EMDR focussing on memories of intense craving or
relapse in order to activate and reprocess the addiction memory. The craving for
alcohol was measured by the Obsessive-Compulsive-Drinking-Scale (OCDS) pre,
post, and 1 month after treatment. The TAU+EMDR group showed a significant
reduction in craving post-treatment and 1 month after treatment whereas TAU did
not. The TAU+EMDR group showed less relapse at the six-month follow-up. The
results indicate that EMDR might be a useful approach for the treatment of
addiction memory and associated symptoms of craving (Hase et al. 2008)..
This Workshop will address the EMDR treatment of comorbid PTSD and serves
as an introduction into the application of EMDR as an adjunct in addiction treatment.
REFERENCES
Boening, J. A. (2001). Neurobiology of an addiction memory. J Neural Transm 108(6):
755-65.
Hase, M., Schallmayer, S. and Sack, M (2008).”EMDR reprocessing of the addiction
memory: Pretreatment, posttreatment, and 1-month follow-up.” J EMDR 2 (3), 170-179
Workshop No.2 :
THE INTERGRATION OF EMDR IN THE TREATMENT OF BURNOUT
Timetable 10.5.2013
09:00 – 10:30
Burnout - pathophysiology, diagnosis and therapy
10:30 – 11:00
Coffee break
11:00 – 12:30
EMDR in the treatment of burnout spectrum disorders –
rationale, treatment planning and video demonstration
Abstract
The intergration of EMDR in the Treatment of burnout
Presenter: Michael Hase MD
Stress is one of the main causes loss of productivity, impaired functioning and
severe health problems in the somatic and psychosomatic domain (Salonen et
al. 2008). Still burnout seems to be a strongly debated topic in psychosomatic
medicine. The genesis of this condition is quite often related to workplace and
career, although individual predisposition has to be considered. The
development of this disorder seem to originate from critical episodes, disabling
the individual to complete a cycle of action. Hobfoll (2004) postulates a common
nature in traumatic stress and stressful life-events leading into a burnout
process. Burnout has a profound impact on psyche and body and is linked to a
certain somatic state. Neurobiological coherence shows great promise as an
overall concept for health and wellbeing. Heart rate variability (HRV) is an easy
to obtain measure to monitor neurobiological coherence and is ideal to monitor
therapy. EMDR seems to be an ideal tool in a comprehensive treatment plan
targetting memories of critical episodes in the formation of the burnout process.
This lecture addresses the chance of psychotherapy and adjunctive therapy in a
psychosomatic setting. Eye Movement Desensitization and Reprocessing –
EMDR (Shapiro 2001) seems to be an appropriate therapeutic tool within a
comprehensive treatment plan. There is growing evidence of the efficacy of
EMDR in the treatment of burnout. As EMDR is often well tolerated and
accepted there is hope to gain another option in the treatment of burnout.
Michael Hase MD will explain treatment planning, targeting sequence and
techniques. Current research and a case series will be discussed. Video
demonstration will outline the teaching points and will enable the participant to
integrate this approach into clinical practice.
Salonen PH Arola H Nygård CH et al. (2008): Long-term associations of stress
and chronic diseases in aging and retired employees. Psychol Health Med;
13:55-62
Shapiro, F. (2001): Eye Movement Desensitization and Reprocessing. Guilford,
NY
Buchwald, P. & Hobfoll, S.E. (2004): Psychologie in Erziehung und Unterricht.
51, 247 - 257
Dr.med. Michael Hase
Department of Psychosomatic Medicine and Psychotherapy
DianaKlinik
Lerchenweg 3
D-29549 Bad Bevensen
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