Hoe het komt dat EMDR werkt

Eye Movement and Desensitisation Reprocessing (EMDR) is een effectieve behandeling van traumasymptomen en de positieve effecten worden teruggevonden in het laboratorium, onder goed gecontroleerde omstandigheden. Dat biedt de mogelijkheid om na te gaan hoe EMDR werkt. Er wordt verslag gedaan naar de bevindingen uit een lange reeks experimenten. Belangrijk is dat de taak het werkgeheugen belast. Uit de werkgeheugenverklaring van EMDR is een lange reeks voorspellingen af te leiden.

Heterogeneity in threat extinction learning: substantive and methodological considerations for identifying individual difference in response to stress

Pavlovian threat (fear) conditioning (PTC) is an experimental paradigm that couples innate aversive stimuli with neutral cues to elicit learned defensive behavior in response to the neutral cue. PTC is commonly used as a translational model to study neurobiological and behavioral aspects of fear and anxiety disorders including Posttraumatic Stress Disorder (PTSD). Though PTSD is a complex multi-faceted construct that cannot be fully captured in animals PTC is a conceptually valid model for studying the development and maintenance of learned threat responses.

Het abc van psychotraumatherapie. Van speechless terror tot integratie in het levensverhaal

De therapeutische begeleiding van getraumatiseerde mensen verloopt volgens een aantal principes die worden toegepast binnen een therapeutisch systeem. In dit artikel licht De Soir dit toe.

Herziening van de multidisciplinaire richtlijnen angst en depressie

De multidisciplinaire richtlijnen voor de depressieve stoornis, de paniekstoornis en de posttraumatische stressstoornis zijn herzien. Belangrijke wijzigingen zijn dat in de richtlijnen algoritmes worden onderscheiden op basis van de ernst van de stoornis, dat de richtlijnen volgens de principes van 'stepped care' zijn opgebouwd, dat zogenaamde basisinterventies noodzakelijk zijn bij elk algoritme en dat zogenaamde eerste-stap-interventies bij lichte stoornissen de eerste behandelstap kunnen zijn. Bij de behandeling van lichte stoornissen zijn de antidepressiva niet meer geïndiceerd.

Helping traumatized families

The new edition of the classic Helping Traumatized Families not only offers clinicians a unified, evidence-based theory of the systemic impact of traumatic stressit also details a systematic approach to helping families heal by promoting their natural healing resources. Though the impact of trauma on a family can be growth producing, some families either struggle or fail to adapt successfully.

Helping families and communities recover from disaster : lessons learned from Hurricane Katrina and its aftermath

On August 29, 2005, Hurricane Katrina made landfall along the Central Gulf Coast region of the United States. The storm and its aftermath resulted in the most severe, damaging, and costly natural and unnatural disaster in the nation's history—as evidenced by the size of the region affected, the loss of life, the extensive destruction of property, and the thousands displaced.Over 2 years post-disaster, many families lived in temporary housing and had limited access to basic services, to date, many continue to struggle to meet basic needs.

Helping Elderly Patients to Avoid Suicide : a Review of Case Reports from a National Veterans Affairs Database

This study examines the health system factors associated with completed suicide among veterans older than 65 years. All root cause analysis reports of suicides that occurred between 2008 and 2010 in the Veterans Health Administration were reviewed, of those, 46 reports were for those 65 years or older. The average age in the sample was 76.96 years, all were men. Method of suicide, stressors, previous attempts, root causes, and action plans designed to address the root causes are reported.

Help the people to help themselves': UNRRA relief workers and European displaced persons

This article aims to explore the practices relief workers employed in their efforts to rehabilitate refugees in postwar Europe. It argues that the objectives and methods UNRRA's officers adopted to manage the phenomenon of mass displacement drew on a longer tradition of humanitarianism. Furthermore, these methods took shape as a result of the different ways staff in the field interpreted the organization's mandate. The article looks at UNRRA's aspirations to transform international relief into a modern profession, and analyses the obstacles that stood in the way of this endeavour.

Health in fragile and post-conflict states: a review of current understanding and challenges ahead

Health systems face enormous challenges in fragile and post-conflict states. This paper will review recent literature to better understand how, within a context of economic volatility, political instability, infrastructural collapse and human resource scarcity, population health deteriorates and requires significant attention and resources to rebuild.

Healing Touch With Guided Imagery for PTSD in Returning Active Duty Military: A Randomized Controlled Trial

Post-traumatic stress disorder (PTSD) remains a significant problem in returning military and warrants swift and effective treatment. We conducted a randomized controlled trial to determine whether a complementary medicine intervention (Healing Touch with Guided Imagery [HT+GI]) reduced PTSD symptoms as compared to treatment as usual (TAU) returning combat-exposed active duty military with significant PTSD symptoms. Active duty military (n = 123) were randomized to 6 sessions (within 3 weeks) of HT+GI vs. TAU.

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