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Au-delà du DES-II : dépister les troubles dissociatifs en thérapie EMDR (Journal of EMDR Practice and Research)

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Home / Resources / Dissociation / Au-delà du DES-II : dépister les troubles dissociatifs en thérapie EMDR (Journal of EMDR Practice and Research)

Au-delà du DES-II : dépister les troubles dissociatifs en thérapie EMDR

L’échelle des expériences dissociatives (DES-II) reste l’outil de dépistage rapide le plus largement utilisé pour repérer les symptômes …


Article Abstract

“L’échelle des expériences dissociatives (DES-II) reste l’outil de dépistage rapide le plus largement utilisé pour repérer les symptômes dissociatifs, malgré les limites de l’instrument et de la formation de ses utilisateurs. Les procédures standard de la thérapie de désensibilisation et de retraitement par les mouvements oculaires (EMDR) nécessitent une évaluation clinique approfondie et un dépistage systématique de la présence d’un trouble dissociatif. Cela permet de développer une conceptualisation précise du cas avant les phases de préparation et de retraitement des traumatismes de la thérapie EMDR. Le fait de se fier aux notes moyennes du DES-II comme mesure unique de traits dissociatifs – en particulier chez les personnes rapportant des antécédents de négligence ou de maltraitance dans leur petite enfance – est insuffisant pour déterminer si l’on peut retraiter en toute sécurité les souvenirs traumatiques. Les lignes directrices de la Société internationale pour l’étude du traumatisme et de la dissociation (ISSTD) pour le traitement du trouble dissociatif de l’identité chez les adultes, troisième révision, le relèvent : l’emploi de la thérapie EMDR standard avec des personnes souffrant d’un trouble dissociatif non reconnu a été signalé comme un risque de dommage important. Les pratiques standard des cliniciens formés à l’EMDR en matière de dépistage des troubles dissociatifs doivent évoluer au-delà d’une confiance aveugle dans le DES-II : l’utilisation systématique d’un examen de l’état mental (MSE) et d’outils de diagnostic fiables est impérative. Plusieurs outils d’évaluation pertinents sont passés ici en revue, avec leurs forces et leurs limites. Les auteurs recommandent aux cliniciens d’appliquer ces approches même si leur intention est d’écarter des personnes dont les difficultés se situent en dehors de leur champ d’action ou de leur plan de recherche.

—Description from publisher

Article Access

Open Access

Leeds, A. M., Madere, J. A., & Coy, D. M. (2023). Au-delà du DES-II : dépister les troubles dissociatifs en thérapie EMDR. Journal of EMDR Practice and Research, 17(2), E105–E120. https://doi.org/10.1891/EMDR-2022-0061

This article originally appeared as: Leeds, A. M. et al. (2022). Beyond the DES-II: Screening for Dissociative Disorders in EMDR Therapy. Journal of EMDR Practice and Research, 16(1), 25–38. https://doi.org/10.1891/EMDR-D-21-00019. Translated by François Mousnier-Lompré.

About the Journal

The Journal of EMDR Practice and Research is a peer-reviewed publication devoted to integrative, state-of-the-art papers about Eye Movement Desensitization and Reprocessing. It is a broadly conceived interdisciplinary journal that stimulates and communicates research and theory about EMDR, and their application to clinical practice. The Journal of EMDR Practice and Research is the Official Publication of the EMDR International Association.

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Basic Info Collapse

Date
June 1, 2023

Creator(s)
Andrew M. Leeds, Jennifer A. Madere, D. Michael Coy

Contributor(s)
François Mousnier-Lompré

Topics
Dissociation

More Info Collapse

Extent
16 pages

Publisher
Springer Publishing Company

Rights
Copyright © 2023 EMDR International Association

APA Citation
Leeds, A. M., Madere, J. A., & Michael Coy, D. (2023). Au-delà du DES-II : dépister les troubles dissociatifs en thérapie EMDR. Journal of EMDR Practice and Research, 17(2), E105–E120. https://doi.org/10.1891/EMDR-2022-0061

Series
17

Installment
2

Audience
EMDR Therapists

Language
French

Content Type
Peer-Reviewed

Original Source
Journal of EMDR Practice and Research

Access Type
Members Only

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