Brainspotting Articles

Brainspotting Therapy: About a Bataclan Victim

Abstract

Brainspotting psychotherapy (BSP), elaborated by Grand in 2003, aims at managing patients suffering from psycho-traumatic syndromes: Post-Traumatic Stress Disorder, emotional dysregulation, anxiety and/or depressive syndromes.

This original approach combines features of hypnotherapy and EMDR (Eye Movement Desensitization and Reprocessing) and is based on the concept of eye positions capable of soliciting the psychological assimilation processes of traumatic memories. We briefly present this therapeutic tool (framework, protocol, expected effects) and propose certain hypotheses which may explain its efficacy. For this, we draw on research into the practice of Mindfulness and the theory of mnesic malleability. Finally, the follow-up of a victim of the 2015 attack on the Bataclan in Paris supports the discussions developed here.

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Brainspotting – the efficacy of a new therapy approach for the treatment of Posttraumatic Stress Disorder in comparison to Eye Movement Desensitization and Reprocessing

Abstract

Objective: This study aims at determining the efficacy of the new therapy approach Brainspotting (BSP) in comparison to the established Eye Movement Desensitization and Reprocessing (EMDR) approach for the treatment of Posttraumatic Stress Disorder (PTSD). Method: The sample consisted of 76 adults seeking professional help after they have been affected by a traumatic event. Clients were either treated with three 60-minute sessions of EMDR (n=23) or BSP (n=53) according to a standard protocol. Primary outcomes assessed were self-reports of the severity of PTSD symptoms. Secondary outcomes included selfreported symptoms of depression and anxiety. Assessments were conducted at pretreatment, posttreatment and 6 month after the treatment. Results: Participants in both conditions showed significant reductions in PTSD symptoms. Effect sizes (Cohen’s d) from baseline to posttreatment concerning PTSD related symptoms were between 1.19 – 1.76 for clients treated with EMDR and 0.74 – 1.04 for clients treated with BSP. Conclusion: Our results indicate that Brainspotting seems to be an effective alternative therapeutic approach for clients who experienced a traumatic event and/or with PTSD.

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Brainspotting: Sustained attention, spinothalamic tracts, thalamocortical processing, and the healing of adaptive orientation truncated by traumatic experience

Abstract

We set out hypotheses which are based in the technique of Brainspotting (Grand, 2013) [1] but have wider applicability within the range of psychotherapies for post-traumatic and other disorders. We have previously (Corrigan and Grand, 2013) [2] suggested mechanisms by which a Brainspot may be established during traumatic experience and later identified in therapy. Here we seek to formulate mechanisms for the healing processing which occurs during mindful attention to the Brainspot; and we generate hypotheses about what is happening during the time taken for the organic healing process to flow to completion during the therapy session and beyond it.
Full orientation to the aversive memory of a traumatic experience fails to occur when a high level of physiological arousal that is threatening to become overwhelming promotes a neurochemical de-escalation of the activation: there is then no resolution. In Brainspotting, and other trauma psychotherapies, healing can occur when full orientation to the memory is made possible by the superior colliculi-pulvinar, superior colliculi-mediodorsal nucleus, and superior colliculi-intralaminar nuclei pathways being bound together electrophysiologically for coherent thalamocortical processing. The brain’s response to the memory is ‘‘reset’’ so that the emotional response experienced in the body, and conveyed through the paleospinothalamic tract to the midbrain and thalamus and on to the basal ganglia and cortex, is no longer disturbing. Completion of the orientation ‘‘reset’’ ensures that the memory is econsolidated without distress and recollection of the event subsequently is no longer dysphorically activating at a physiological level.

A preliminary study of the efficacy of Brainspotting – a new therapy for the treatment of Posttraumatic Stress Disorder

Abstract

Posttraumatic stress disorders (PTSD) frequently emerge in people who have suffered from extreme psychological stress. Therefore, it is of most importance to develop new therapeutic treatments and to test their efficacy. This pilot study investigates the efficacy of a newly by David Grand developed treatment for PTSD called Brainspotting. The data of 22 clients from Germany and the U.S., who were treated with Brainspotting were analyzed. Clients’ self-reports as well as evaluations by therapists were assessed. Within three BSP sessions the PTSD symptoms and related psychological disturbances were significantly reduced. According to the therapists’ evaluations, the majority of clients benefited significantly. According to the clients’ reports, in addition, negative cognitions related to the trauma were heavily reduced. The results of this pilot study suggest that with Brainspotting the treatment of PTSD could be extended with another potent intervention method.

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