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Eye Movement Desensitization
* Phase I: In the first sessions, the patient's history and an overall treatment plan are discussed. During this process the therapist identifies and clarifies potential targets for EMDR. Target refers to a disturbing issue, event, feeling, or memory for use as an initial focus for EMDR. Maladaptive beliefs are also identified.
* Phase II: Before beginning EMDR for the first time, it is recommended that the client identify a safe place, an image or memory that elicits comfortable feelings and a positive sense of self. This safe place can be used later to bring closure to an incomplete session or to help a client tolerate a particularly upsetting session.
* Phase III: In developing a target for EMDR, prior to beginning the eye movements, a snapshot image is identified that represents the target and the disturbance associated with it. Using that image is a way to help the client focus on the target, a negative cognition (NC) is identified - a negative statement about the self that feels especially true when the client focuses on the target image. A positive cognition (PC) is also identified - a positive self-statement that is preferable to the negative cognition.
* Phase IV: The therapist asks the patient to focus simultaneously on the image, the negative cognition, and the disturbing emotion or body sensation. Then the therapist usually asks the client to follow a moving object with his eyes; the object moves alternately from side to side so that the client's eyes also move back and forth. After a set of eye movements, the client is asked to report briefly on what has come up; this may be a thought, a feeling, a physical sensation, an image, a memory, or a change in any one of the above. In the initial instructions to the client, the therapist asks him to focus on this thought, and begins a new set of eye movements. Under certain conditions, however, the therapist directs the client to focus on the original target memory or on some other image, thought, feeling, fantasy, physical sensation, or memory. From time to time the therapist may query the client about his current level of distress. The desensitization phase ends when the SUDS (Subjective Units of Disturbance Scale) has reached 0 or 1.
EMDR also uses a three-pronged approach, to address past, present and future aspects of the targeted memory.
*
On the floating, shapeless oceans
I did all my best to smile
til your singing eyes and fingers
drew me loving into your eyes.
And you sang "Sail to me, sail to me;
Let me enfold you."
Here I am, here I am waiting to hold you.
Did I dream you dreamed about me?
Were you here when I was full sail?
Now my foolish boat is leaning, broken love lost on your rocks.
For you sang, "Touch me not, touch me not, come back tomorrow."
Oh my heart, oh my heart shies from the sorrow.
I'm as puzzled as a newborn child.
I'm as riddled as the tide.
Should I stand amid the breakers?
Or shall I lie with death my bride?
Hear me sing: "Swim to me, swim to me, let me enfold you."
"Here I am. Here I am, waiting to hold you."
Post je objavljen 21.05.2008. u 15:11 sati.