EMDR and the Art of Psychotherapy with Children: Infants to Adolescents

624 Pages·2016·7.92 MB·English

by  Robbie Adler-Tapia

EMDR and the Art of Psychotherapy
With Children
Robbie Adler-Tapia, PhD, is a licensed psychologist who has worked with
children and families for 30 years. Her work has been at the cutting edge of
treating trauma in young children as she has worked as a psychologist, educator,
consultant, researcher, and writer. She has extensive experience in child welfare,
in the forensic arena, and working with first responders and public safety. Dr.
Adler-Tapia is coauthor of EMDR and the Art of Psychotherapy With Children:
Infants to Adolescents, and author of Child Psychotherapy, Integrating
Developmental Theory Into Clinical Practice. She has authored several invited
chapters on treating trauma in children in the child welfare system, and trauma
treatment for children who have experienced sexual abuse. Dr. Adler-Tapia
presents internationally on the treatment of trauma in children including using
EMDR therapy for attachment and dissociation. She has taught graduate level
course work at the university level and supervised interns. Her volunteer work
includes promoting EMDR therapy for the poorest and most vulnerable clients
including working internationally to train therapists working with the child
welfare system and children orphaned by AIDS. She also volunteers with
PISTLE (Post Incident Stress and Trauma in Law Enforcement) promoting
EMDR therapy for public safety professionals.
Carolyn Settle, MSW, LCSW, is a clinical social worker who has worked
with children, adolescents, and adults for 38 years. She is a psychotherapist,
consultant, educator, author, and researcher in private practice in Scottsdale,
Arizona. Her areas of specialty are counseling children and adults who have
experienced trauma, depression, anxiety, phobias, attention deficit hyperactivity
disorder, and giftedness issues. Ms. Settle is an EMDRIA-approved consultant,
an EMDR Institute Facilitator, and an EMDR Trauma Recovery Humanitarian
Assistant Program trainer. She coauthored EMDR and the Art of Psychotherapy
With Children: Infants to Adolescents and has coauthored several chapters and
journal articles on EMDR therapy with children. Ms. Settle presents in the
United States and internationally on using EMDR therapy with children and
adults who have experienced trauma and/or dissociation. She has also trained
therapists in the United States and internationally to use EMDR therapy with
children including child therapists in New Orleans after hurricane Katrina; in
India; and in Newtown, Connecticut after the elementary school shooting.
EMDR and the Art of Psychotherapy
With Children
Infants to Adolescents
Second Edition
Robbie Adler-Tapia, PhD
Carolyn Settle, MSW, LCSW
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Library of Congress Cataloging-in-Publication Data Names: Adler-Tapia, Robbie, author. | Settle,
Carolyn, author.
Title: EMDR and the art of psychotherapy with children/infants to adolescents / Robbie Adler-Tapia and
Carolyn Settle.
Other titles: EMDR and the art of psychotherapy with children Description: 2nd edition. | New York, NY:
Springer Publishing Company, LLC, [2017] | Preceded by EMDR and the art of psychotherapy with
children / Robbie Adler-Tapia and Carolyn Settle. c2008. | Includes bibliographical references and index.
Identifiers: LCCN 2016020145| ISBN 9780826138019 | ISBN 9780826138026 (e-book) Subjects: | MESH:
Eye Movement Desensitization Reprocessing—methods | Psychotherapy—methods | Child | Adolescent |
Infant | Professional-Patient Relations | Psychotherapeutic Processes Classification: LCC RJ505.E9 |
NLM WS 350.6 | DDC 618.92/8914—dc23
LC record available at https://lccn.loc.gov/2016020145
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This book is dedicated to our husbands—
Hugo Tapia and Ron Smith—

and our children—
Michael, Max, and Maura Tapia
and
Alex Smith and Sara O’Kane

—Our greatest joys, blessings, and accomplishments!
Contents Foreword by Robbie Dunton
Preface
Acknowledgments
EMDR and the Art of Psychotherapy With Children: Infants to Adolescents,
Second Edition
1. Theoretical Underpinnings and Research on EMDR Therapy With
Children: From Infants to Adolescents
Basic Training in EMDR Therapy
EMDR Therapy Within the Field of Child Psychotherapy
Assessing the Literature on EMDR Therapy With Children and
Adolescents
Research on EMDR Therapy
Summary
2. Getting Started With EMDR Therapy With Recommendations for
Infants to Adolescents
Getting Started With EMDR Therapy
The Eight Phases of EMDR Therapy
Three-Pronged Approach
First Client Considerations
The Therapist’s Role in EMDR Therapy
Setting Up the Office for EMDR Therapy
Integrating Play Therapy Into EMDR Therapy
EMDR Therapy Progress Notes
Additional Tools for Getting Started With EMDR Therapy
Summary
3. EMDR Therapy Phase 1: History Taking, Case Conceptualization,
and Treatment Planning
History Taking
Treatment Planning
Assessment Tools for Evaluating Children
Assessing Children’s Readiness for Therapy/Selection Criteria
Summary
Initial EMDR Therapy Session
4. EMDR Therapy Phase 2: Preparation Phase
Explaining EMDR Therapy and Informed Consent for Treatment
Assessing the Child’s Resources
Teaching the Mechanics of EMDR Therapy
Resourcing and Mastery Skills
Skills for Dealing With Strong Emotions Between Sessions
Summary
Preparation Phase Session Protocol
5. EMDR Therapy Phase 3: Assessment Phase
Procedural Steps of the Assessment Phase of EMDR Therapy
Tools for Target Identification With Child Clients
Creative Techniques for Identifying Targets for Reprocessing With EMDR
Therapy
Negative and Positive Cognitions
Summary
Procedural Steps of the Assessment Phase
6. EMDR Therapy Phase 4: Desensitization
The Goal of the Desensitization Phase
Evidence of Reprocessing During Desensitization With Children
Use of Bilateral Stimulation With Children During Reprocessing
Issues Unique to Desensitization With Children and Adolescents
Therapist’s Role in EMDR Therapy
Strategies for Regulating the Speed of Reprocessing
Summary
Instructions to the Child or Adolescent and Therapist’s Script for
Desensitization Phase
7. EMDR Therapy Phases 5, 6, and 7: Installation, Body Scan, and
Closure
Phase 5: Installation
Phase 6: Body Scan
Future Template
Phase 7: Closure
Summary
8. EMDR Therapy Phase 8: Reevaluation
Reevaluation Phase
Reevaluation at the End of Treatment
Summary
9. Advanced Affect Management Skills for Children
Goals of Resourcing, Coping, and Mastery
Emotional Resources, Coping, and Mastery Skills
Mastery Skills for Children
Summary
Abbreviated Resourcing Protocols for Children
10. Tools for Blocked Processing and Cognitive Interweaves
Blocked Processing
Tools for Dealing With Blocked Processing
Tools to Address Under-and Overaccessing Emotions
Feeder Memories
Blocking Beliefs
Cognitive Interweaves
Summary
11. Adaptations for the Implementation of EMDR Therapy With Infants,
Toddlers, and Preschoolers
Neurological Impact of Abuse and Neglect on Young Children
Phases, Ages, and Stages
Parents in EMDR Therapy With Infants, Toddlers, and Preschoolers
EMDR Therapy Phase 1: History Taking, Case Conceptualization, and
Treatment Planning With Infants, Toddlers, and Preschoolers
EMDR Therapy Preparation Phase
EMDR Therapy Trauma Reprocessing Phases With Infants, Toddlers, and
Preschoolers