Project

EMDR and Social Anxiety Disorder (SAD)

Goal: Social Anxiety Disorder is charaterized as the possible result of social traumatization. Does EMDR, an effective method for treating traumatizations, help to reduce the symptoms of it? Also, it is said that Social Anxiety Disorder occurs because a problem in the information processing of the clients, e.g. having pictures of a negative self in their minds. Shapiro's AIP model predicts that processing negative thoughts and pictures via EMDR would dissolve pictures of a negative self and reorganize negative cognitions. Logie & de Jongh suggest that disorders like social phobia are charaterized by something they call a "flashforward", the fear for a future catastrophe, and it could be treated with an EMDR procedure they call the "flashforward protocol". In order to collect information for a pilot study, we prepare a review of the current status of research, the publication of a case study, discussing some new and special aspects of the therapy model and contribute to improve the diagnostics of SAD.

Methods: EMDR Psychotherapy, Diagnostics

Date: 1 July 2014

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Anna-Konstantina Richter
added a research item
Research shows that the core of Social Anxiety Disorder (SAD), the thirdmost mental disorder, is a negative distorted self-image, that arises by reason of dissociation. These negative self-distorted self-images were identified as maintaining factors of SAD with the implication that clients cannot habituate to them when confronted with anxiety triggering situations. Therefore, we examined whether there exist studies about treating SAD with EMDR to target negative self-images and/or social situation which cause anxiety for clients. First, we found research on EMDR and test anxiety plus EMDR and public speaking anxiety when we searched in Pubmed/Medline, Psyndex, PsycInfo, SSCI, ERIC and at the Francine Shapiro Library, and we received studies from the IFOM Institute at University Witten-Herdecke from their Meta-Analysis on EMDR and Anxiety Disorders. From the studies we included in our review, ten showed significant results regarding positive effects of EMDR and test anxiety or public speaking anxiety with evidence grades of IIb and III. Three studies did not result in significant measures which could be caused by an incorrect use of EMDR. Second, the first author started a case study with a female suffering from SAD. After six sessions of assessment and eight treatment session (six of them with EMDR), the client was able to deliver presentations at course of studies. Including negative self-portrayals into the three-prongued EMDR approach may be a good treatment option for SAD, a necessary topic because of the great amount of nonresponders which seem to occur at therapeutic approaches such as Cognitive Behavioural Therapy (CBT) and Psychodynamic Psychotherapy (PDP) in the treatment of SAD.
Anna-Konstantina Richter
added an update
Title of our presentation: "Research on the Treatment of Social Anxiety Disorder with EMDR: A Review"
I will present it with André Maurício Monteiro
Check the schedule in order to find out when we will present the topic! https://emdr2020.com/de/home_de/
 
Anna-Konstantina Richter
added an update
Folien des Vortrags im EMDR Symposium I am Freitag, den 14.02.2020 um 11 h mit Franziska Beham
 
Anna-Konstantina Richter
added an update
Richter, A.-K., Beham, F., Horst, F., Monteiro, A.M., Seidler, G.H. (2020).
Zum Stand der Folgen sozialer Traumatisierung: Übersehen in der Diagnostik, zu spät behandelt, unzureichende Responderquote bei KVT und PDP. Ergebnisse des Reviews von EMDR-Studien.
Symposium „EMDR in Forschung und Praxis“
Termin: Samstag, 15.02.2020 von 11.00 Uhr bis 12.30 Uhr
Jahrestagung der Deutschsprachigen Gesellschaft für Psychotraumatologie (DeGPT), Berlin. http://jahrestagungdegpt.org/
 
Anna-Konstantina Richter
added an update
Anna-Konstantina Richter
added an update
Franziska Beham, Ferdinand Horst, André Maurício Monteiro and me are preparing the review of current research on EMDR and Social Anxiety Disorder, including research by Elizabeth Brooker
 
Anna-Konstantina Richter
added a research item
Die Sozialen Angststörungen stellen die dritthäufigste psychische Störung dar und gelten aufgrund der hohen Nonresponderquote als schwer behandelbar. Wissenschaftliche Studien belegen, dass EMDR einen direkten Effekt auf soziale Ängste hat. Das Buch erläutert das therapeutische Vorgehen mit der EMDR-Methode und gibt einen Überblick über wichtige neue Befunde zum Störungsbild. Es verbindet eine theoretische Fundierung mit aktuellen Erkenntnissen über eine gut umsetzbare, praxistaugliche Diagnostik samt Materialsammlung. PsychotherapeutInnen werden mittels praktischer Fallbeispiele gut auf die Anwendung in Klinik oder eigener Praxis vorbereitet. Mit Beiträgen von Mira-Lynn Chavanon, Hanna Christiansen und Sabine Röcker. Mit einem Vorwort von André Maurício Monteiro. Kostenlose Leseprobe Online https://books.google.de/books/about/EMDR_bei_Sozialen_Angstst%C3%B6rungen.html?id=97N-DwAAQBAJ&source=kp_book_description&redir_esc=y
Anna-Konstantina Richter
added a research item
Preface to the textbook "EMDR bei Sozialen Angststörungen" (EMDR on Social Anxiety Disorder). "As I receive the manuscript, it does not take long to see that Konstantina’s text is a born classic on the theme. It is as if she holds the hand of the readers and offers us a gentle tour related to the topic of social anxiety. We as therapists will find that we can read the text according to the clinical steps we intuitively take in our everyday practice."
Anna-Konstantina Richter
added a research item
The Social Anxiety Disorder (SAD) diagnosis points out a number of shortcomings in psychotherapeutic care that affect this group of patients in particular because the nature of their disorder prompts them to conceal their complaints for a long time. First, clinical diagnostics without the use of structured interviews and tests are normally not accurate enough to identify these patients. Second, the therapies recommended for SAS in the evidence-based guidelines are insufficient for many patients because the proportion of non-responders is high. Third, co-morbidity and chronicity caused by the delayed onset of treatment complicate case conceptualization in treatment and exacerbate patient stress. Clients with poor job qualifications, low income and life without a partner could be helped by structured psychodiagnostics and research of promising trauma-therapy approaches such as EMDR. This can be expected to lower the number of non-responders. Keywords: Social Anxiety Disorder, social phobia, test anxiety, EMDR, social traumatisation. German: Artikel in "Trauma & Gewalt" Ausgabe 4/2018. An der Diagnose Soziale Angststörungen (SAS) werden verschiedene Schwachstellen in der Versorgung klar, die sich besonders bei dieser Patientengruppe zeigen, denn störungsimmanent verbergen sie ihre Beschwerden lange Zeit. Erstens ist klinische Diagnostik ohne den Einsatz von strukturierten Interviews und Tests so großmaschig, dass diese Patient/-innen meist nicht erkannt werden. Zweitens sind die in der Evidenzbasierten Leitlinie zu bei SAS (Heinrichs, Stangier, Gerlach, Willutzki, & Fydrich, 2010) empfohlenen Therapien bei einem Großteil der Betroffenen unwirksam, weil die Nonresponderquote hoch ist. Drittens führen Chronifizierung durch späten Behandlungsbeginn und hohe Komorbidität zu einer Komplexität in der Fallkonzeption der Behandlung und potenzierten Belastung der Betroffenen. Die sozialen Schäden für die Betroffenen durch mangelnde Qualifizierung, geringes Einkommen und unerwünschtes Singledasein können eingedämmt werden durch eine frühzeitige strukturierte Psychodiagnostik und das Erforschen vielversprechender traumatherapeutischer Behandlungsansätze wie z.B. EMDR. https://www.traumaundgewalt.de/article/tg_2018_04_0334-0344_0334_01
Anna-Konstantina Richter
added a research item
In Vorbereitung: Die Negatives Selbstbild-Skala (NSBS) ist die deutsche Version der englischsprachigen Negative Self-Portrayal Scale (NSPS) von Moscovitch & Huyder (2011). Die englischsprachige Negative Self-Portrayal Scale (NSPS) ist ein Inventar zur Untersuchung des Ausmaßes, in dem Menschen davon überzeugt sind, dass spezifische Selbstattribuierungen, die sie als minderwertig ansehen, hinterfragt und negativ von kritischen Anderen in sozialen Situationen beurteilt werden. Die Untersuchung der englischsprachigen Version durch Moscovitch & Huyder (2011) ergab, dass die Items auf den Faktoren soziale Kompetenz, physische Erscheinung sowie Zeichen von Angst laden. Testgütekriterien der englischsprachigen Version finden sich hier: Moscovitch, D.A., & Huyder, V. (2011). The negative self-portrayal scale: Development, validation, and application to social anxiety. Behavior Therapy, 42, 183-196, doi: 10.1016/j.beth.2010.04.007. Testgütekriterien der deutschen Version werden ermittelt.
Anna-Konstantina Richter
added an update
Moscovitch & Huyder (2011) created "an inventory designed to examine the degree to which individuals are concerned that specific self-attributes they view as being inferior will be scrutinized and negatively evaluated by critical others in social situations".
I am very happy to include this inventory into my German textbook about the treatment of SAD. Find out more about the NSPS here (open access):
and here:
Moscovitch, D.A., & Huyder, V. (2011). The negative self-portrayal scale: Development, validation, and application to social anxiety. Behavior Therapy, 42, 183-196, doi: 10.1016/j.beth.2010.04.007.
 
Anna-Konstantina Richter
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Anna-Konstantina Richter
added 6 project references
Anna-Konstantina Richter
added an update
Workshop about EMDR, Social Anxiety and the EMDR Flashforward Protocol by Logie & de Jongh, a first version of an EMDR social anxiety protocol sheet and videos of treatments at the German EMDRIA Conference in Bonn (from May 12th to May 14th 2017), Workshop 2 Session A on Saturday, May 13th 2017 from 14:15 – 15:45, for more information (in German) and registration, click here: http://www.emdria.de/emdria-tag/2017/referenteninnen-hauptkonferenz/workshops/
 
Anna-Konstantina Richter
added a project goal
Social Anxiety Disorder is charaterized as the possible result of social traumatization. Does EMDR, an effective method for treating traumatizations, help to reduce the symptoms of it? Also, it is said that Social Anxiety Disorder occurs because a problem in the information processing of the clients, e.g. having pictures of a negative self in their minds. Shapiro's AIP model predicts that processing negative thoughts and pictures via EMDR would dissolve pictures of a negative self and reorganize negative cognitions. Logie & de Jongh suggest that disorders like social phobia are charaterized by something they call a "flashforward", the fear for a future catastrophe, and it could be treated with an EMDR procedure they call the "flashforward protocol". In order to collect information for a pilot study, we prepare a review of the current status of research, the publication of a case study, discussing some new and special aspects of the therapy model and contribute to improve the diagnostics of SAD.