| Foreword | p. xiii |
| Preface-Stepping Up to the Plate | p. xix |
| Acknowledgments | p. xxiii |
| Who's Sitting Opposite You? | p. 1 |
| The Therapeutic Relationship-Back to Basics | p. 1 |
| What Does the Client Need? | p. 3 |
| Secondary Gain | p. 5 |
| Dissociative Disorders | p. 5 |
| Cautions | p. 6 |
| Legal Issues | p. 6 |
| Pre-EMDR Questionnaire | p. 8 |
| Case Study: Introducing Emma | p. 10 |
| Is EMDR Suitable for the Client? | p. 13 |
| Impact of the Past | p. 13 |
| The Top Ten | p. 13 |
| Creative Exploration | p. 14 |
| Assessment Tools | p. 17 |
| Presenting Problems | p. 19 |
| Goals for the Future | p. 19 |
| Treatment Plan | p. 22 |
| Frequently Asked Questions | p. 23 |
| Learning Summary | p. 25 |
| Resources | p. 25 |
| Carl Roger's Core Conditions | p. 25 |
| Suicide Ideation and Intent | p. 26 |
| Brief Suicide Counseling Process | p. 28 |
| Mapping Exercise | p. 29 |
| Identifying Symptomatology Using the Film Script | p. 30 |
| Fail to Plan-Plan to Fail | p. 33 |
| Identifying and Practicing Appropriate Coping Mechanisms | p. 33 |
| Hyperarousal | p. 35 |
| Hypervigilance | p. 35 |
| Staying Grounded | p. 38 |
| Safe Place | p. 39 |
| Explaining EMDR Theory | p. 39 |
| EMDR in Simple Terms | p. 42 |
| How Much Preparation Is Enough? | p. 45 |
| Frequently Asked Questions | p. 51 |
| Learning Summary | p. 52 |
| Resources | p. 52 |
| Mental Mobilization | p. 52 |
| Levels of Arousal | p. 53 |
| Informed Consent Form | p. 54 |
| Complex Trauma and the Need for Extended Preparation | p. 57 |
| Complex Trauma | p. 58 |
| Challenges to the Therapeutic Alliance | p. 60 |
| Difficulties Regulating Emotions and Impulses | p. 61 |
| Alterations in Self-Perception | p. 61 |
| Somatization | p. 62 |
| Alterations in Perception of the Perpetrator | p. 62 |
| Alterations in Relations With Others | p. 63 |
| Alterations in Systems of Meaning | p. 63 |
| Resource Building for More Complex Trauma | p. 63 |
| Methods | p. 63 |
| Resource Building | p. 66 |
| Other Strategies | p. 67 |
| Manipulating Images and Movies | p. 67 |
| Working With Clients Who Dissociate | p. 69 |
| Dissociative Disorders | p. 70 |
| Identifying Dissociative Disorders | p. 72 |
| Frequently Asked Questions | p. 73 |
| Learning Summary | p. 74 |
| Resources | p. 74 |
| Script for a Guided Visualization | p. 74 |
| The Rewind Technique | p. 76 |
| From the General to the Specific-Selecting the Target Memory | p. 79 |
| A Belief by Any Other Name | p. 80 |
| Finding the Root of the Problem | p. 82 |
| Pressure Cooker | p. 83 |
| Gardening | p. 83 |
| Pyramid | p. 83 |
| Preparing for Desensitization | p. 84 |
| Choice of Dual Attention Stimulus | p. 84 |
| Stop Signal | p. 86 |
| Providing Clear Instructions | p. 87 |
| Metaphors for Managing High Affect | p. 90 |
| Negative Cognitions and the Target Memory | p. 91 |
| Floatback | p. 93 |
| Completing the Baseline Assessment | p. 96 |
| Image | p. 96 |
| Positive Cognition | p. 98 |
| Validity of Cognition Self-Report Scale | p. 100 |
| Emotions | p. 101 |
| Subjective Units of Disturbance Scale | p. 101 |
| Physical Sensations | p. 103 |
| Does It All Fit Together? | p. 103 |
| Working With Different Levels of Awareness and Articulation | p. 104 |
| Frequently Asked Questions | p. 106 |
| Learning Summary | p. 107 |
| Resources | p. 107 |
| Example Script | p. 107 |
| Opening Pandora's Box | p. 109 |
| Therapist Anxiety | p. 109 |
| Desensitization | p. 111 |
| Abreactions | p. 113 |
| Blocked Processing | p. 117 |
| Cognitive Interweaves | p. 120 |
| Frequently Asked Questions | p. 124 |
| Learning Summary | p. 126 |
| Resources | p. 126 |
| Working With Guilt | p. 126 |
| Moving Out of dark Places | p. 129 |
| Installation | p. 129 |
| Body scan | p. 130 |
| Closure | p. 132 |
| Reevaluation | p. 137 |
| Symptoms | p. 137 |
| Changes | p. 138 |
| Surfacing Material | p. 139 |
| Treatment Plan | p. 139 |
| Frequently Asked Questions | p. 144 |
| Learning Summary | p. 145 |
| Resources | p. 145 |
| Information Sheet for Clients: What You MAY Experience After an EMDR Session | p. 145 |
| Example Log | p. 147 |
| You Matter Too! | p. 149 |
| Catherine's Story (Part 1) | p. 150 |
| Helper's Response to Working With Trauma | p. 150 |
| Situational Factors in the Development of Secondary Trauma | p. 154 |
| The Nature and Intensity of Workload | p. 154 |
| Poor Support Mechanisms | p. 155 |
| Supervision Access and Appropriateness | p. 155 |
| Conceptual Framework | p. 157 |
| Compassion Fatigue and Secondary Traumatic Stress Disorder | p. 157 |
| Vicarious Trauma | p. 158 |
| Burnout | p. 158 |
| Interventions | p. 159 |
| Personal Interventions | p. 159 |
| Professional Interventions | p. 160 |
| Organizational Interventions | p. 162 |
| Catherine's Story (Part 2) | p. 162 |
| Learning Summary | p. 163 |
| Resources | p. 163 |
| My Action Plan | p. 163 |
| Secondary Trauma Scales and Inventories | p. 163 |
| Healing Activities | p. 164 |
| Theoretical Background to the Adaptive Information Processing Model | p. 165 |
| Client Presentations | p. 165 |
| Memory Networks | p. 167 |
| Adaptive Information Processing | p. 168 |
| Case Conceptualization | p. 169 |
| The Three-Pronged Approach | p. 170 |
| The Eight Phases of the EMDR Standard Protocol | p. 173 |
| History Taking | p. 173 |
| Preparation | p. 173 |
| Assessment | p. 173 |
| Desensitization | p. 174 |
| Installation | p. 174 |
| Body Scan | p. 174 |
| Closure | p. 174 |
| Reevaluation | p. 174 |
| Further Information and Advice | p. 177 |
| Clients' Experiences of EMDR: In Their Own Words | p. 179 |
| Goals and Expectations | p. 179 |
| Reasons for Choosing EMDR | p. 180 |
| Preparation and History Taking | p. 180 |
| Client Anxiety | p. 180 |
| Desensitization Experience | p. 181 |
| Making Connections and Insights | p. 181 |
| Moving Forward | p. 182 |
| The Therapeutic Relationship | p. 183 |
| The Outcome of EMDR | p. 183 |
| Glossary of Terms and Acronyms | p. 185 |
| References | p. 191 |
| Index | p. 197 |
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