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A qualitative study on clinicians' perceptions of Attachment‐Focused eye movement desensitisation and reprocessing therapy.

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Title: A qualitative study on clinicians' perceptions of Attachment‐Focused eye movement desensitisation and reprocessing therapy.
Authors: Kemal Kaptan, Safa, Brayne, Mark
Source: Counselling & Psychotherapy Research. Sep2022, Vol. 22 Issue 3, p594-605. 12p. 2 Diagrams, 2 Charts.
Subjects: Reactive attachment disorder, EMDR (Eye-movement desensitization & reprocessing), Research methodology, Physicians' attitudes, Interviewing, Post-traumatic stress disorder, Qualitative research, Treatment effectiveness, Thematic analysis
Abstract: Purpose: First identified and codified in the late 1980s by Dr Francine Shapiro, eye movement desensitisation and reprocessing (EMDR) therapy is increasingly recommended as a front‐line response to post‐traumatic stress disorder (PTSD). As PTSD is itself becoming understood as a consequence not just of single potentially traumatic events (PTEs) but also of experiences of dysfunctional attachment with primary caregivers in earlier childhood, EMDR therapy is starting to embrace attachment theory, and the need to factor an awareness of developmental trauma into therapeutic treatment. A development of the Standard EMDR Protocol, which builds on this understanding, has become known as Attachment‐Focused EMDR (AF‐EMDR). Although increasingly widely used by EMDR therapists, to date there has indeed been no published research into how AF‐EMDR is experienced in practice by qualified and accredited AF‐EMDR‐trained therapists. This paper aims to begin to fill that gap. Methods: A qualitative approach was employed, analysing semi‐structured online interviews with eight experienced and AF‐EMDR‐trained UK‐based therapists accredited at Consultant level with the EMDR Europe Association. Data were analysed using reflexive thematic analysis. Results: Three broad themes were generated from thematic analysis, namely perceptions of AF‐EMDR; it is not versus, it is with; and EMDR itself as an innovative approach. Conclusions: The study found AF‐EMDR to be highly appreciated by therapists trained and experienced in this approach. Considering the nature of developmental trauma, the authors propose that core training and supervision in EMDR should allow more room for an explicit focus, in both case conceptualisation and treatment, on clients' early‐childhood attachment histories. [ABSTRACT FROM AUTHOR]
Copyright of Counselling & Psychotherapy Research is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: A qualitative study on clinicians' perceptions of Attachment‐Focused eye movement desensitisation and reprocessing therapy.
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  Data: <searchLink fieldCode="AR" term="%22Kemal+Kaptan%2C+Safa%22">Kemal Kaptan, Safa</searchLink><br /><searchLink fieldCode="AR" term="%22Brayne%2C+Mark%22">Brayne, Mark</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Counselling+%26+Psychotherapy+Research%22">Counselling & Psychotherapy Research</searchLink>. Sep2022, Vol. 22 Issue 3, p594-605. 12p. 2 Diagrams, 2 Charts.
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  Label: Abstract
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  Data: Purpose: First identified and codified in the late 1980s by Dr Francine Shapiro, eye movement desensitisation and reprocessing (EMDR) therapy is increasingly recommended as a front‐line response to post‐traumatic stress disorder (PTSD). As PTSD is itself becoming understood as a consequence not just of single potentially traumatic events (PTEs) but also of experiences of dysfunctional attachment with primary caregivers in earlier childhood, EMDR therapy is starting to embrace attachment theory, and the need to factor an awareness of developmental trauma into therapeutic treatment. A development of the Standard EMDR Protocol, which builds on this understanding, has become known as Attachment‐Focused EMDR (AF‐EMDR). Although increasingly widely used by EMDR therapists, to date there has indeed been no published research into how AF‐EMDR is experienced in practice by qualified and accredited AF‐EMDR‐trained therapists. This paper aims to begin to fill that gap. Methods: A qualitative approach was employed, analysing semi‐structured online interviews with eight experienced and AF‐EMDR‐trained UK‐based therapists accredited at Consultant level with the EMDR Europe Association. Data were analysed using reflexive thematic analysis. Results: Three broad themes were generated from thematic analysis, namely perceptions of AF‐EMDR; it is not versus, it is with; and EMDR itself as an innovative approach. Conclusions: The study found AF‐EMDR to be highly appreciated by therapists trained and experienced in this approach. Considering the nature of developmental trauma, the authors propose that core training and supervision in EMDR should allow more room for an explicit focus, in both case conceptualisation and treatment, on clients' early‐childhood attachment histories. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Counselling & Psychotherapy Research is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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              M: 09
              Text: Sep2022
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