Eye Movement Desensitization and Reprocessing (EMDR): een procedure voor de behandeling van aan trauma gerelateerde angst

Abstract

Eye Movement Desensitization and Reprocessing (EMDR ) is een relatief nieuwe procedure op het terrein van de psychotherapie. Ervaringen met EMDR geven aanleiding tot hoopvolle verwachtingen van de behandeling van diverse aan trauma gerelateerde angststoornissen, met name post–traumatische stress–stoornis (PTSS). Onderdeel van deze procedure is dat de therapeut bij de cliënt een aantal snelle en ritmische oogbewegingen uitlokt door te vragen zijn of haar vinger te volgen, terwijl de cliënt een beeld van de traumatische herinnering in gedachten houdt. In dit artikel worden de achtergronden en de principes van EMDR belicht en wordt de stapsgewijze procedure uitvoerig beschreven. Een gevalsbeschrijving van een cliënt met een paniekstoornis en een tandartsfobie laat zien dat EMDR kan leiden tot een langdurige vermindering van angstklachten. Tevens wordt ingegaan op de huidige stand van zaken van de wetenschappelijke ondersteuning van EMDR . Het toepassen van EMDR bij PTSSwordt door wetenschappelijk onderzoek gesteund, maar empirische ondersteuning voor de therapeutische effectiviteit van EMDR bij andere angststoornissen ontbreekt.

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Correspondence to Dr. Ad de Jongh.

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Eye Movement Desensitization and Reprocessing (EMDR): a procedure for the treatment of trauma related anxiety

In this article the backgrounds, principles and scientific support regarding the effectiveness of Eye Movement Desensitization and Reprocessing (EMDR) are presented. EMDR promises rapid and effective treatment of people suffering from anxiety related complaints, including posttraumatic stress disorder (PTSD). With EMDR the therapist induces rapid and rhythmic eye movements by asking the client to follow the repeated bilateral movements of the therapist's finger, while holding in mind an image of an anxiety evoking situation. A case history of a client suffering from panic disorder and dental phobia demonstrates that EMDR can be effective in alleviating anxiety in a few sessions. In addition, the empirical support for EMDR is examined. The use of EMDR as an effective treatment of PTSD is corrobortated by the literature, but evidence treatment of PTSD is corroborated by the literature, but evidence for the application of EMDRwith clients suffering from other anxiety disorders is lacking.

A. de Jongh (1956) is als psycholoog en tandarts verbonden aan de Vakgroep Sociale Tandheelkunde en Voorlichtingskunde van het Academisch Centrum Tandheelkunde Amsterdam, Louwesweg 1, 1066 EA Amsterdam.

Drs. E. ten Broeke (1962) is als klinisch psycholoog verbonden aan het Twenteborg Ziekenhuis te Almelo.

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de Jongh, A., Broeke, E.t. Eye Movement Desensitization and Reprocessing (EMDR): een procedure voor de behandeling van aan trauma gerelateerde angst. PSIE 22, 53–64 (1996). https://doi.org/10.1007/BF03079287

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