Pain Control with EMDR is an 'information-processing' based approach to the psychological management of pain, using Eye Movement Desensitization & Reprocessing (EMDR). The title of this manual 'Pain Control with EMDR' is meant to suggest that pain can be overcome. But the approach described herein differs significantly from mainstream approaches to pain management. I want to suggest that pain is most effectively controlled when the patient is supported in having their experience, and then learning to master it.
Information processing approaches are based on a model of learning that incorporates emotion, cognition, and neurological processes. Some psychotherapies seek to help the patient cope with their pain, but information processing approaches (e.g., EMDR, EEG biofeedback) seek to change the way the patient experiences their pain, by changing the way it is stored in the nervous system. Information processing approaches to seek to do this by appealing as directly as possible to the nervous system.
This manual is divided into two parts, between theory and practice. Part one is a review of historical ideas and treatments for pain, in order to gain an appreciation of how history still shapes how we approach this problem. In part two the practicalities of treating chronic pain using EMDR are described.
Table of Contents:
PART ONE. Understanding Pain
Psychological Theories and Treatments of Pain 5
Trauma, Stress and Pain 11
A Biopsychosocial Model of Pain 19
Principles of Treatment 23
PART TWO. Pain Control with EMDR
EMDR Treatment of Pain 31
Planning and Preparation 45
EMDR Chronic Pain Protocol 50
Maintenance and Reintegration 61
Working with Dissociation and Repression 65
Case Examples of EMDR Treatment of Pain 72
Affect Management Skills for Chronic Pain 81