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The Structure of EMDR Therapy: A Guide for the Therapist
1Lüneburger Zentrum für Stressmedizin, Lüneburg, Germany.
Frontiers in Psychology
|June 11, 2021
Summary
Eye Movement Desensitization and Reprocessing (EMDR) Therapy has evolved, but maintaining core elements is crucial for efficacy. Best practices balance fidelity to the model with necessary clinical adaptations.
Area of Science:
- Psychotherapy Research
- Clinical Psychology
- Trauma Treatment
Background:
- Eye Movement Desensitization and Reprocessing (EMDR) Therapy, developed from Dr. Shapiro's 1987 work, has evolved with new protocols and procedures.
- This evolution offers more treatment options but risks deviation from the core EMDR Therapy framework.
Purpose of the Study:
- To define the essential core elements of EMDR Therapy beyond strict adherence to standard protocols.
- To establish a framework for understanding and adapting EMDR Therapy in diverse clinical contexts while maintaining fidelity.
Main Methods:
- The study proposes a conceptual framework based on clinical experience and research findings.
- It emphasizes defining core elements to guide both research and clinical applications.
Main Results:
- Adherence to Shapiro's standard protocols is linked to positive treatment outcomes.
- Best practices in EMDR Therapy require both fidelity to the model and adaptive flexibility.
Conclusions:
- Defining core elements provides structure for established EMDR Therapy practices and facilitates evidence-based adaptations.
- The therapeutic relationship is identified as a critical, core component of EMDR Therapy.
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