La dimension du thérapeute dans l’efficacité de la prise en charge EMDR du trauma : la dimension oubliée ? Présentation d’un protocole de recherche

IF 0.5 4区医学 Q4 PSYCHIATRY

Annales medico-psychologiques Pub Date : 2025-06-01 DOI:10.1016/j.amp.2023.08.006

Juliette Machado , Sophie Gendarme , Élise Eby , Christine Rotonda , Cyril Tarquinio

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引用次数: 0

Abstract

Introduction

While studies of the effectiveness of EMDR psychotherapy have demonstrated a definite impact on post-traumatic symptoms, it is often evaluated through the strict application of the standard EMDR protocol. However, in everyday clinical practice, many therapists deviate from the protocol. The observation of this discrepancy between what is prescribed and what is actually done, that is widely documented by the activity clinic, led to the creation of an original research project, inspired by methodologies from the activity clinic. This article presents the research protocol.

Method

Considering the therapeutic setting as a professional situation, we will compare two conditions for implementing the standard EMDR protocol: one in which therapists will be asked to treat their patients strictly according to the standard protocol, and the other in which they will be asked to treat them “as they usually do”. The psychotherapy sessions will be filmed and analyzed using a methodology derived from the activity clinic: self-confrontation of data.

Issues

By using an original method, and cross referencing quantitative and qualitative evaluations, the issues are epistemological, methodological, and clinical. By having therapists talk about the practices they see themselves carrying out, we hope to grasp what is happening in the reality of psychotherapeutic work, and make explicit the principal role of the therapist, which plays a large part in the effectiveness of EMDR psychotherapy.

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EMDR创伤管理有效性中的治疗师维度：被遗忘的维度？介绍研究规程

虽然EMDR心理治疗的有效性研究已经证明对创伤后症状有明确的影响，但它通常是通过严格应用标准EMDR协议来评估的。然而，在日常临床实践中，许多治疗师偏离了协议。对处方和实际操作之间的差异的观察，被活动诊所广泛记录，导致了一个原始研究项目的创建，灵感来自活动诊所的方法。本文介绍了研究方案。方法将治疗环境作为一个专业情境，我们将比较两种实施标准EMDR方案的情况：一种是要求治疗师严格按照标准方案治疗患者，另一种是要求治疗师“像往常一样”治疗患者。心理治疗过程将被拍摄下来，并使用源自活动诊所的方法进行分析：数据的自我对抗。问题通过使用原始方法，交叉参考定量和定性评估，问题是认识论，方法论和临床。通过让治疗师谈论他们认为自己正在进行的实践，我们希望掌握心理治疗工作现实中正在发生的事情，并明确治疗师的主要角色，这在EMDR心理治疗的有效性中起着很大的作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annales medico-psychologiques 医学-精神病学

CiteScore

1.30

自引率

33.30%

发文量

196

审稿时长

4-8 weeks

期刊介绍： The Annales Médico-Psychologiques is a peer-reviewed medical journal covering the field of psychiatry. Articles are published in French or in English. The journal was established in 1843 and is published by Elsevier on behalf of the Société Médico-Psychologique. The journal publishes 10 times a year original articles covering biological, genetic, psychological, forensic and cultural issues relevant to the diagnosis and treatment of mental illness, as well as peer reviewed articles that have been presented and discussed during meetings of the Société Médico-Psychologique.To report on the major currents of thought of contemporary psychiatry, and to publish clinical and biological research of international standard, these are the aims of the Annales Médico-Psychologiques.