Handbook of EMDR and Family Therapy Processes

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1 Handbook of EMDR and Family Therapy Processes Edited by Francine Shapiro Florence W. Kaslow Louise Maxfield John Wiley & Sons, Inc.

3 Handbook of EMDR and Family Therapy Processes

5 Handbook of EMDR and Family Therapy Processes Edited by Francine Shapiro Florence W. Kaslow Louise Maxfield John Wiley & Sons, Inc.

6 Copyright 2007 by John Wiley & Sons, Inc. All rights reserved. Published by John Wiley & Sons, Inc., Hoboken, New Jersey. Published simultaneously in Canada. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, scanning, or otherwise, except as permitted under Section 107 or 108 of the 1976 United States Copyright Act, without either the prior written permission of the Publisher, or authorization through payment of the appropriate per-copy fee to the Copyright Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, (978) , fax (978) , or on the web at Requests to the Publisher for permission should be addressed to the Permissions Department, John Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 07030, (201) , fax (201) , or online at Limit of Liability/Disclaimer of Warranty: While the publisher and author have used their best efforts in preparing this book, they make no representations or warranties with respect to the accuracy or completeness of the contents of this book and specifically disclaim any implied warranties of merchantability or fitness for a particular purpose. No warranty may be created or extended by sales representatives or written sales materials. The advice and strategies contained herein may not be suitable for your situation. You should consult with a professional where appropriate. Neither the publisher nor author shall be liable for any loss of profit or any other commercial damages, including but not limited to special, incidental, consequential, or other damages. This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold with the understanding that the publisher is not engaged in rendering professional services. If legal, accounting, medical, psychological or any other expert assistance is required, the services of a competent professional person should be sought. Designations used by companies to distinguish their products are often claimed as trademarks. In all instances where John Wiley & Sons, Inc. is aware of a claim, the product names appear in initial capital or all capital letters. Readers, however, should contact the appropriate companies for more complete information regarding trademarks and registration. For general information on our other products and services please contact our Customer Care Department within the United States at (800) , outside the United States at (317) or fax (317) Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books. For more information about Wiley products, visit our web site at Library of Congress Cataloging-in-Publication Data: Handbook of EMDR and family therapy processes / Francine Shapiro, Florence W. Kaslow, Louise Maxfield, editors. p. cm. Includes bibliographical references and index. ISBN (cloth : alk. paper) 1. Eye movement desensitization and reprocessing. 2. Family psychotherapy. I. Shapiro, Francine. II. Kaslow, Florence Whiteman. III. Maxfield, Louise. IV. Title: Handbook of eye movement desensitization and reprocessing and family therapy processes. [DNLM: 1. Desensitization, Psychologic methods. 2. Family Therapy methods. 3. Eye Movements. WM F2 H ] RC489.E98H dc Printed in the United States of America

7 To ROBBIE DUNTON who nurtured the development of EMDR child treatment and laid the groundwork for all those who followed.

9 To put the world right in order, we must first put the nation in order; to put the nation in order, we must first put the family in order; to put the family in order, we must first cultivate our personal life; we must first set our hearts right. Confucius If you cannot get rid of the family skeleton, you may as well make it dance. George Bernard Shaw

11 Contents Foreword xiii Daniel J. Siegel Preface xxi Acknowledgments About the Editors xxv xxvii About the Foreword Author xxix Contributing Authors xxxi PART I Foundations 1 EMDR and Case Conceptualization from an Adaptive Information Processing Perspective 3 Francine Shapiro 2 Family Systems Theories and Therapeutic Applications: A Contextual Overview 35 Florence W. Kaslow 3 Use of the Genogram with Families for Assessment and Treatment 76 Sylvia Shellenberger 4 EMDR Treatment of Family Abuse: Eye Movement to I Movement 95 Marcelle Manon PART II Attachment Problems 5 Treating Attachment Issues through EMDR and a Family Systems Approach 113 Debra Wesselmann 6 Repairing Maternal-Infant Bonding Failures 131 Antonio Madrid 7 Enhancing Attachments: Conjoint Couple Therapy 146 Mark D. Moses ix

12 x Contents PART III Marital Problems and Conflicts 8 Integrating EMDR and Bowen Theory in Treating Chronic Relationship Dysfunction 169 Nancy Knudsen 9 Integrating EMDR and Imago Relationship Therapy in Couple Treatment 187 Beverly S. Talan 10 EMDR and Emotionally Focused Couple Therapy for War Veteran Couples 202 Nancy Errebo and Rita Sommers-Flanagan 11 Sexual Trauma in Dysfunctional Marriages: Integrating Structural Therapy and EMDR 223 Wilhelmina S. Koedam 12 EMDR and Family Therapy in the Treatment of Domestic Violence 243 Julie E. Stowasser PART IV Child and Family Problems 13 Complex Separation, Individuation Processes, and Anxiety Disorders in Young Adulthood 265 Laura Rocchietta Tofani 14 Children of Divorce 284 Frances (Frankie) R. Klaff 15 The Child as Identified Patient: Integrating Contextual Therapy and EMDR 306 Barry Litt 16 Integrating EMDR and Family Therapy: Treating the Traumatized Child 325 Anita Bardin, Joel Comet, and Deborah Porten 17 Integrative Treatment of Intrafamilial Child Sexual Abuse 344 Louise Maxfield 18 Medical Family Therapy 365 Margaret (Peggy) V. Moore

13 Contents xi PART V Community Disasters 19 Disaster Response: EMDR and Family Systems Therapy under Communitywide Stress 387 Robert A. Gelbach and Katherine E. B. Davis PART VI Conclusion 20 The Integration of EMDR and Family Systems Therapies 407 Louise Maxfield, Florence W. Kaslow, and Francine Shapiro APPENDIXES Appendix A: EMDR Resources 425 Appendix B: EMDR Trauma Research Findings and Further Reading 427 Appendix C: Family Systems Resources 436 Appendix D: A Brief History of the Field of Family Psychology and Therapy 438 Florence W. Kaslow Author Index 455 Subject Index 463

15 Foreword I was extremely pleased to be invited to write the Foreword for this book, which I believe is so important that it should rapidly become essential reading for those in our field. In the past 2 decades, Eye Movement Desensitization and Reprocessing (EMDR) has become one of the most important methods for treating trauma. It has recently been recognized by the American Psychiatric Association as well as lauded by countries as diverse as Turkey and Ireland, where it has been used by professionals with populations beset by both natural disasters and people-made civil strife. The idea of the three editors to bring together EMDR and family systems theories is indeed a brilliant one, and I am honored to have this opportunity to be part of this groundbreaking endeavor. The focus of this book on attachment, family relationships, and intrapersonal functioning is very similar to my own professional focus on interpersonal neurobiology. This multidisciplinary perspective (Siegel, 1999) enables us to build on the wisdom of many scientific disciplines in defining the mind and mental health. The integrative focus is extremely useful in understanding the mechanisms underlying trauma s effects and an effective means to facilitate healing (Solomon & Siegel, 2003). In this book, EMDR and family system approaches are integrated in a unique fashion to reinforce the ways in which the treatment of individuals and families suffering from trauma s wake can be brought into well-being. Our brains are the social organs of our bodies. In the early years of our lives, interactions with others shape the important connections in our brains that in turn influence our internal sense of self and our capacity for healthy relationships with others. The internal and the interpersonal are woven together during these early years, and these domains of our experience continue to weave a tapestry of our ways of living throughout our lives. In clinical terms, self-regulation is the way we manage and balance such things as our emotions, our bodily functions, our thinking, and even our communication patterns with others. The term self can be misleading: An individual is continually shaped by relationships with others throughout the life span. This view is reinforced by new findings that the brain continually restructures itself in response to life experiences. The synaptic connections among neurons create the fundamental structure of the brain. Genes are important for determining the overall architecture of the brain, but the conditions in the womb can also influence these connections, contributing to the temperament with which one is born. Temperament is the constitutional makeup of the nervous system, one s sensitivities, proclivities to react intensely or subtly, overall mood, regularity, and capacity to engage with novel situations. When a baby is born, his or her communication patterns with others, especially caregivers, play a fundamental role in molding the continuing development of xiii

THIRD EDITION. Contemporary Clinical Psychology THOMAS G. PLANTE

THIRD EDITION. Contemporary Clinical Psychology THOMAS G. PLANTE THIRD EDITION Contemporary Clinical Psychology THOMAS G. PLANTE Contemporary Clinical Psychology CONTEMPORARY CLINICAL PSYCHOLOGY Third Edition Thomas G. Plante Santa Clara University and Stanford University