Eye Movement Integration Therapy: The Comprehensive Clinical Guide

by Danie Beaulieu

Overview

A psychologist in private practice in Quebec finds Eye Movement Integration (EMI) useful in accessing and integrating patients' traumatic memories. Dr. Beaulieu explains EMI's roots in neuro-linguistic programming and her refinement of this brief therapy method. Includes case examples, one of her research articles on EMI (undated), a client assessment questionnaire, and eye movement guide sheet. Well-referenced but lacks an index. Annotation ©2004 Book News, Inc., Portland, OR

Product Details

ISBN-13:	9781904424154
Publisher:	Crown House Publishing
Publication date:	10/28/2003
Pages:	400
Product dimensions:	6.40(w) x 9.30(h) x 1.20(d)

Table of Contents

	Acknowledgments	vii
	Preface	ix
Chapter 1	The Origin of EMI	1
	Introduction	1
I	The originators of EMI	6
II	Roots of EMI: Neuro-Linguistic Programming	7
	Representational systems	9
	Accessing: eye movements as cues to information retrieval	10
	Altering processing with accessing cues	12
	Eye Movement Integration	13
III	Refinement of EMI: the author's contributions	15
	Experience and exploration: modification of EMI	15
	Eye Movement Desensitization and Reprocessing: influence on EMI	18
	Impact Therapy: adjunct to EMI	21
	The state of the art: EMI in practice	24
Chapter 2	The Application of EMI: Treatment of Traumatic Memories and their Consequences	25
	Introduction	25
I	The causes of psychological trauma	26
	Defining trauma and traumatic stress	26
	Research on the causes of psychological trauma	31
	Biology of traumatic experience	35
II	The consequences of traumatic memories	41
	Extent of the problem	41
	Psychological and emotional consequences	42
	Intellectual costs	50
	Physiological and health costs	52
	Social and relationship costs	56
	Financial and societal costs	58
III	The treatment of distressing memories with EMI	59
	The treatment dilemma	59
	EMI treatment effects	62
	Realistic expectations	65
	Conclusions	67
Chapter 3	Eye Movements and the Mind	69
	Introduction	69
I	Clinical observations and preliminary research	70
	Clinical observations	70
	Preliminary research findings	73
II	Eye movements and vision during wakefulness	75
	Visual fixation	76
	Smooth pursuit eye movements	77
	Saccadic eye movements	78
III	Eye movements and thought processes	79
	Thought content and direction of gaze	79
	Neuro-Linguistic Programming	80
	Lateralization and integration	81
	Visual-linguistic integration	86
IV	Eye movements and psychological disorders	88
	Schizophrenia	89
	Other psychotic disorders	93
	Physical disruption of the brain	95
V	Eye movements in sleep	96
	Sleep stages and eye movements	97
	Sleep and mentation	99
	Possible implications for EMI	104
VI	Eye movements and therapeutic effects	105
	EMDR	105
	Two minds	108
VII	Summary and implications for EMI	112
	Conclusions	113
Chapter 4	Evaluation of the Client and His Social System	115
	Introduction	115
I	Evaluation of the client	116
	Physical conditions	117
	Psychological conditions	123
II	Coping strategies of the client: past, present, and future	131
	Past: established coping skills	132
	Present: common defense mechanisms during therapy	135
	Future: anticipating the client's reactions to EMI	144
III	Evaluation of the family and social systems: obstacles and resources	148
	Evolution of family and support networks	149
	Influence of family and support networks on therapy	150
	Post-treatment modification of family and support networks	152
IV	Planning the treatment	153
	Time requirements	153
	Frequency of treatments	154
	Defining limits for a single session	155
	Other concurrent problems	155
	Presence of others at therapy	157
	Additional therapy and counseling	158
Chapter 5	Setting up the Therapy Session	159
I	Preparation of the therapist	159
	Position, attire, and voice	159
	Focal point	161
	Mental preparation	163
II	Preparation of the client	164
	Explaining the technique	164
	Useful analogies	164
	Creating and using a secure anchorage	169
	Determining the visual range	176
	A model of instructions to clients	178
Chapter 6	Discovering the Memory Network	181
	Introduction	181
I	Selecting the starting memory	181
	Intensity matters	182
	Obscure memories	185
	Unknown origins	186
	Absent emotions	189
	Mistaken beginnings	190
	Dream memories	191
	False memories	191
	Phobias, mourning, obsessions, panic disorders, and other complaints	193
II	Exploring traumatic-memory networks	196
	Longitudinal networks	197
	Distributed networks	199
	Central dominant networks	201
	Multiple networks	203
	Including and excluding new circuits	208
III	Describing the inner representation of memory	210
	The factual content of the memory	210
	Modalities and submodalities	212
	Emotions and cognitions	213
	Localization in space	217
Chapter 7	Eye Movement Integration	225
	Introduction	225
I	Using the eye-movement patterns	225
	The basic patterns	225
	The sequence of segments	227
	Beginning the eye movements	229
	Number, rhythm, and duration of movements	230
	Technical details of the hand movements	233
	Wandering eyes or fixed gaze	235
	Uneven tracking	236
	Enlarging a small frame	236
II	During the movements	237
	Verbal cues	237
	Nonverbal cues--staging	242
III	Between the movements	243
	Gathering information	243
	Exploring modalities	244
	Working with "nothing"	245
	Following the client's preferred modality	246
	Keeping it brief	246
	Dealing with emotional or physical distress	247
IV	Adjusting to client needs	248
	When the process is not advancing	248
	When the process goes "too fast"	249
	Client questions	249
	Using the individual map of accessing cues	250
	Changing the target	252
Chapter 8	Completing the Treatment	253
	Introduction	253
I	Concluding EMI	253
	Applying pattern F for complete integration	254
	Using patterns G and H	256
	Customized eye movements	257
	Ending early--or not	259
II	Anchoring	265
	Last check and future projection	265
	Eye-movement anchoring to consolidate the positive state	266
	Alternative anchoring techniques	267
III	Closing the session	269
	Unanswered questions and comments	269
	What to expect after EMI	270
	Between multiple sessions	280
	Staying in touch	281
	Getting home after the session	282
IV	Closing an incomplete integration	282
	Plan enough closing time	282
	Ensure the stability of the client	283
	Present the results positively	284
	Use the resourceful anchorage	285
	Questions, comments, and explanations	286
	Schedule another EMI session early	287
	Phone contact	288
V	Follow-up sessions	288
	Assess the changes	289
	Reassess the previous problem	290
	Explore and treat new images, additional targets	291
Chapter 9	Meeting Challenges	293
	Introduction	293
I	When the process stalls	293
	Staging	294
	Shifting the frame	298
	Reconsidering the chosen knot	299
	Overcoming resistance	301
II	When the integration is overwhelming	302
	Facing strong reactions	303
	Managing strong reactions	305
III	Adding material	312
	Choosing the right moment	312
	Selecting the right material	313
	Integrating the added material	315
IV	Seeding new competencies	317
	Sowing new experiences in real life	318
	Drawing on Gestalt for resolution of unfinished business	319
	Teaching new competencies with coaching	320
V	Psychiatric populations	321
	Considerations before therapy	321
	Considerations during therapy	324
	Special considerations in psychopathy and schizophrenia	327
VI	Preventing traumatizing imprints	329
	Averting encoding of experience as trauma	329
	Protecting the therapist	333
	Conclusion	335