Based on the belief that mindfulness is a critical component in the delivery of EMDR, this innovative text integrates mindfulness-informed practice with EMDR therapy to create an effective new approach for healing trauma. Based on current evidence-based research, the book demonstrates—with clear, step-by-step guidelines—how clinicians can conceptualize and deliver trauma-focused care in both mental health and addiction treatment. Infused with practical applications, the book offers clearly articulated and effective approaches that provide a concrete beginning, middle, and end of treatment planning.
Following a description of the long history of mindfulness practices, the book offers guidelines for developing one’s own mindfulness practice—emphasizing the use of trauma-focused language—and suggestions for teaching specific techniques to clients. The book describes both classic and creative mindfulness practices, including breath awareness/sensory grounding, breath meditation, body scanning, feeling tone meditation, labeling, standing meditation, walking meditation, and loving-kindness meditation, along with using day-to-day objects as a meditative focus, movement practices, the expressive arts, and other forms of creativity.
Key Features:
- Offers a complete framework for healing trauma by integrating mindfulness-informed practice with EMDR therapy
- Provides clearly articulated, step-by-step approaches that are evidence-based
- Authored by noted experts in EMDR and mindfulness-based therapies
- Includes guidelines for developing one’s own mindfulness practice and tools for teaching specific practices to clients
- Describes both classic and creative mindfulness practices
List of Meditation Practices and Experiential Exercises
Foreword by Noah Levine, MA
Preface
Jamie’s Journey: EMDR Therapy Offers a New Solution
Stephen’s Journey: A Mindful Revelation
Acknowledgments
1. Introduction
Shifting From Trauma-Informed to Trauma-Focused
What to Expect From the Book
References
2. Redefining the Paradigm for Trauma-Focused Care
A New Hope
Eye Movement Desensitization and Reprocessing Therapy
Mindfulness
The Fusion of Mindfulness and EMDR Therapy
Tying It All Together
Questions for Reflection and Personal Practice
References
3. Developing Buddhist Mindfulness Practice for Trauma-Focused Care
No Correct Path to Mindfulness Practice
Starting a Mindfulness Practice
Mindfulness of Breath/Sensory Grounding
Mindfulness of Feeling Tone
Mindfulness of Mind
Mindfulness of Dharmas/Loving Kindness Meditation
Walking Meditation
Beginner’s Mind Practice
Tying It All Together
Questions for Reflection and Personal Practice
Resources for Further Exploration
References
4. An Introduction to the Creative Mindfulness Practices
Choice and Possibility in Mindfulness Practice
Yogic Breathing Practices
Diaphragmatic Breathing (Belly Breathing)
Complete Breathing (Three-Part or Dirgha Breathing)
Ujjayi Breathing (Ocean-Sounding Victory Breath)
Lion Breathing
Alternate Nostril Breathing (Nadhi Shodnan Pranayama)
Clench and Release: A Modified Progressive Muscle Relaxation Experience
Transforming Day-to-Day Activities Into Meditation
Energetic Massage
Noodling: The Art of “Going With” Organic, Expressive Movement
The Expressive Arts as Meditation
Tying It All Together
Questions for Reflection and Personal Practice
Resources for Further Exploration
5. EMDR Phase 1, Client History—Setting the Tone for Trauma-Focused Services
A Mindful Approach to History
The Purpose of Phase 1: Definitions From Shapiro and the EMDR International Association
Honor Possibilities in Phase 1: Gathering Client History in a Mindful Way
Best Practices for Clinical Interaction
Specific Strategies for Phase 1, Client History
How to Avoid Badgering a Client With Narrative
Sample Case Using Worksheets for History Taking
Tying It All Together
Questions for Reflection and Personal Practice
References
6. EMDR Phase 2, Preparation in Trauma-Focused Care
Mindfully Navigating the Preparation Phase
A Trauma-Focused Approach to Preparation
The Broader Context for Healing Trauma
Filling Out the Missing Pieces
Resource Development and Installation
The Relational Imperative in EMDR Therapy
Necessary Skills for Preparation and the Art of Modifying Them
No Such Thing as “One Size Fits All”
Mindfulness and Grounding Strategies
Breathing Strategies
Demonstrating Hyperarousal and Release
Multisensory Soothing
Guided Visualizations
Light Stream Multisensory Visualization Exercise
Tree Grounding Visualization Exercise
Modifications for Creativity
Simple Container Visualization Exercise
Movement, Expressive Arts, and Identification of Other Recovery Capital
Tying It All Together
Questions for Reflection and Personal Practice
Resources for Further Exploration
References
7. EMDR Phases 3 to 6: Principles of Mindful Decision Making
Moving on to Phases 3 to 6
Clinical Decision-Making Points
Access of Preparation Skills
Positive Material in the Client’s Life
Nature of the Living Situation
Drug/Alcohol Use and Psychotropic Medication
Secondary Gains and Related Issues
Number of Sessions Available
Willingness to Examine Past Issues and Potential Target Adjustments
Facilitating a Client’s Journey Through Phases 3 to 6
Mindfulness in Phases 3 to 6
Phase 3: Assessment
Phase 4: Desensitization
Phase 5: Installation
Phase 6: Body Scan
Tying It All Together
Questions for Reflection and Personal Practice
References
8. Special Situations in Phases 3 to 6: Mindful Facilitation Through Abreaction, Dissociation, and Resistance
Potential Frustrations in EMDR Therapy Phases 3 to 6
Maintaining the Calming Presence
Qualities of a Good EMDR Therapist
Mindful Skills for the Journey Through Phases 3 to 6
Handling Abreaction and Dissociation
Interweaves
“I Don’t Want to Do EMDR Anymore”
Tying It All Together
Questions for Reflection and Personal Practice
References
9. EMDR Phases 7 and 8: Mindfully Approaching What We Often Overlook
The Mindful Practice of Transition
Transitions in EMDR Therapy
Transition as Mindfulness Practice: An Exploratory Exercise
Phase 7: Closure
Learning From Mistakes
Ritual Release Breathing: A Simple Breath Practice for EMDR Closure
Flicking: A Simple Energy Practice for EMDR Closure
Best Practices for Mindful Closure
Closing and Debriefing a Session
Implementing a Safety Plan for In Between Sessions
Extraordinary Circumstances in Closure
Phase 8: Reevaluation
Reevaluation and the Art of Transition
Tracking Targets
The Importance of Future Templates
EMDR Therapy Case Conceptualization and Treatment-Plan Review
Tying It All Together
Questions for Reflection and Personal Practice
References
10. Enhancing Your Efficacy as a Therapist: Developing Your Own Mindfulness Practice and Doing Your Own Trauma Work
Interesting Times
Mindfulness and EMDR Therapy: Intimately Connected
Mindfulness: A Way of Life
Finding Your Teachers and Your Community
A Call to Revolutionary Action
Tying It All Together
Questions for Reflection and Personal Practice
References
Appendix: EMDR Clinical Worksheet Templates
Index
- Release Date: November 23, 2017
- Paperback / softback
- 202 Pages
- Trim Size: 6in x 9in
- ISBN: 9780826149145
- eBook ISBN: 9780826149152
""The authors, Jamie Marich and Stephen Dansiger, bring a wealth of knowledge and experience in this book which is a thorough manual, exploring the complementarity of EMDR therapy and mindfulness practice in dealing with trauma work. I was struck by the great care and attention taken to meeting the clients in a thoughtful, flexible, creative and caring way.""
-- Martine Batchelor, meditation teacher and author of Let Go and Spirit of the Buddha
""Marich and Dansiger's "EMDR Therapy & Mindfulness for Trauma Focused Care" is like a tree of wisdom whose branches are loaded with tools, scripts, worksheets and templates to guide beginner and experienced EMDR therapists. Planting the seeds of “Just notice” and 'Go with that…' in the fertile soil of 2600 years of Buddhist mindfulness, the authors highlight attunement as a mindfulness practice and emphasize the roots of mindfulness within the Standard 8-Phase Protocol. This firm foundation supports EMDR therapists in cultivating and maintaining a calming presence, a hallmark of mindfulness, as well as trauma focused care. The solid trunk of this tree traverses a trauma focused journey from preparation all the way to reevaluation and after care. The authors peek out from the lush canopy with personal narratives, client cases and the journeys of other clinicians. Following the tradition of his book Clinical Dharma, Dr. Dansiger emphasizes mindfulness as an important act of self-care for clinicians. Dr. Marich’s "Dancing Mindfulness" practice shines in the creative expression of this book. An array of exercises are woven through the book and like sun-ripened fruit on the branches, their invitation is irresistible. From breath to movement, visualization to multi-sensory soothing, we are invited to become intimately familiar with the activities that will become valuable resources for our clients.""
-- Rajani Venkatraman Levis, LMFT, PPS, CTS
""This highly readable book takes the reader on a rewarding journey that moves from offering merely trauma informed care to delivering trauma focused care. The authors demonstrate how clinicians can take action to generate a complete system of care for those suffering as a consequence of adverse and traumatic life experiences. Readers will discover simple, practical strategies to integrate mindfulness principles into all eight phases EMDR therapy. All clinicians who confront the effects of trauma in their practices will find this book both informative and immensely practical whether or not they are yet trained in how to provide EMDR therapy.""
-- Andrew M. Leeds, Ph.D. EMDRIA and EMDR Europe Trainer
""It's wonderful to witness the coming together of mindfulness practice and contemporary psychology in the work of people like Steve Dansiger and Jamie Marich. Their book about mindfulness and EMDR has the potential to have a big impact, starting with clinicians who will value this contribution tremendously.""
-- Sharon Salzberg, author of Real Love
"Ever the easiest, most elegant and accessible writer, Dr Jamie Marich again pitches her ideas perfectly in her delightful new book, continuing the theme of making EMDR simple, along with her collaborator Dr. Stephen Dansiger. With Mindfulness the mental health flavour of our times, they offer EMDR clinicians and their clients a straightforward, unfussy and practical introduction to mindfulness techniques that mesh perfectly with the practice of EMDR. Dr Marich is increasingly viewed in the UK as one of the upcoming next-generation leaders of the international EMDR field, and we Brits look forward to her continued inspiration and to her new writings as EMDR takes its rightful place in the world of mental health as an integrated therapy able to work with the widest range of complex trauma-related presentations."
-- Mark Brayne, Psychotherapist, Co-Chair, EMDR East Anglia
