Dansiger Stephen, Chabra Roshni, Emmel Lauren, Kovacs Justine
StartAgain Associates, CA, USA.
Subst Abuse. 2020 Dec 1;14:1178221820977483. doi: 10.1177/1178221820977483. eCollection 2020.
Evidence indicating the relationship between trauma and substance use disorders (SUDs), in addition to relapse and treatment retention rates for this population, suggests there is a need for a trauma-focused solution to treat SUDs. Eye movement desensitization and reprocessing (EMDR) therapy has been studied extensively as an effective approach for treating trauma and Posttraumatic Stress Disorder (PTSD). The research evaluating its treatment for other mental health disorders such as SUDs is promising. Merging mindfulness and ethical mindfulness practices with EMDR therapy lends additional evidence-based elements to make the case for this integrative system of treatment to be studied as a trauma-focused primary psychotherapy to treat SUDs. The resulting treatment, the MET(T)A Protocol (Mindfulness and EMDR Treatment Template for Agencies), has been created to address the need for a trauma-focused solution to treat SUDs. Procedures of the MET(T)A Protocol as applied in each of the 8 phases of EMDR therapy are described in detail. Clinical examples are provided to explain the application of the MET(T)A Protocol.
有证据表明创伤与物质使用障碍(SUDs)之间的关系,以及该人群的复发率和治疗保留率,这表明需要一种以创伤为重点的解决方案来治疗SUDs。眼动脱敏再处理(EMDR)疗法已被广泛研究,作为治疗创伤和创伤后应激障碍(PTSD)的有效方法。评估其对其他心理健康障碍(如SUDs)治疗效果的研究很有前景。将正念和伦理正念实践与EMDR疗法相结合,为将这种综合治疗系统作为一种以创伤为重点的主要心理疗法来治疗SUDs提供了更多基于证据的要素。由此产生的治疗方法,即MET(T)A方案(机构正念与EMDR治疗模板),旨在满足以创伤为重点的解决方案来治疗SUDs的需求。详细描述了MET(T)A方案在EMDR疗法的8个阶段中每个阶段的应用程序。提供了临床实例来解释MET(T)A方案的应用。