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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 שח555 :תשלום לחברי העמותה ליומיים שח255 שח ליום השני055 ליום הראשון שח055 ומי שלא שילם חברות ליומיים,לאורחים שח055 שח ליום השני055 ליום הראשון 54-1050247 מזכירת העמותה דפנה קלקשטיין: להרשמה [email protected] 0 המשכן העירוני למוזיקה ואמנויות רעננה רח' הפלמ"ח