REMAP® est une formation en gestion des traumatismes, phobies, anxiété, crises de panique, et états dépressifs. Vu son efficacité sur le cerveau limbique, REMAP est également utile pour la plupart des problématiques rencontrées en consultation.
Dr. Bessel van der Kolk a collaboré à des études utilisant l’imagerie cérébrale qui montrent que les fonctions exécutives du cerveau se détériorent lorsque des personnes traumatisées se focalisent sur leur trauma.

« L’empreinte du trauma ne se situe pas dans la partie verbale et analytique du cerveau, mais dans des régions bien plus profondes qui sont seulement affectées de manière marginale par la pensée et la cognition. Ces études montrent que les gens traitent leur trauma de bas en haut – du corps vers l’esprit – et pas l’inverse »

« Pour faire une thérapie efficace, nous devons faire des choses qui changent la manière dont ces personnes régulent ces fonctions centrales, ce qui ne peut probablement pas être fait par les mots et le langage seuls. »
Par rapport à ces thérapies basées sur l’acupression : « Ce que nous explorons ici , ce sont des techniques qui aident le système limbique à commencer à se calmer lui-même, de telle manière que le lobe frontal puisse à nouveau fonctionner »

Docteur Bessel van der Kolk, MD est un expert reconnu dans le champ du traumatisme psychologique. Il est directeur du HIR Trauma Center de Boston, professeur de psychiatrie à la Boston University et auteur de « Psychological Trauma »

« Il est rare de rencontrer des patients qui ne souffrent pas d’au moins une de ces formes de traumas quotidiens, de stress aggravé ou de PTSD »

 

Alors que la plupart d’entre nous s’imaginent que le syndrome de stress post traumatique (PTSD en anglais) s’adresse aux victimes de guerre, de torture ou de catastrophes naturelles, nous sommes souvent surpris d’apprendre que le PTSD le plus répandu est celui qui fait suite aux accidents de la route et concerne nombre de nos patients.

 
Une autre source  importante de PTSD reprend tout simplement l’ensemble des abus d’enfance (physique, émotionnel et sexuel), tels que la négligence, les abandons, les viols, la violence domestique, et même parfois simplement la douleur répétitive issue de certains protocoles médicaux.

 
En outre, les dernières recherches démontrent que, même si des personnes ne rencontrent pas l’ensemble des critères cliniques du PTSD du DSM IV, ils peuvent néanmoins avoir en des symptômes très significatifs. Ceux-ci peuvent avoir un lourd impact sur le cerveau limbique, une forte influence sur la qualité de vie des personnes atteintes dans tous les domaines et les amènent fréquemment à consulter, avec des plaintes très variées.
De plus, des incidents de ce type accroissent le stress avec des effets sur la santé physique ; on peut les appeler les traumas du quotidien. La réalité est qu’il est rare de rencontrer des patients qui ne souffrent pas, peu ou prou, d’au moins une de ces formes de traumas quotidiens, de stress aggravé ou de PTSD.
Ces déséquilibres répétés provoquent aussi d’autres désordres tels que les phobies, les attaques de panique, de l’anxiété généralisée, des formes de dépression ou de tristesse récurrente.
Ces formes de détresse ont régulièrement un caractère exponentiel. Elles ne restent que rarement uniques. Souvent, elles vont être l’origine d’autres phobies ou troubles qui finissent par complexifier la situation et accroissent encore la détresse du quotidien.

Les thérapeutes qui ne sont pas formés à la psycho-traumatologie sous-estiment grandement l’influence des traumatismes vécus par leurs patients, ne les diagnostiquent pas comme tels, et n’ont fréquement pas les outils et les compétences pour les traiter.

Steve Reed (concepteur de REMAP®): « Voici un cas où le patient venait pour de l’agoraphobie et de la claustrophobie. En examinant les origines et les débuts de ces malaises, nous sommes revenus à un décès et toute une série d’interventions médicales qui remontaient à la même période. Le patient n’avait pas réalisé que près d’un an avant le déclenchement de ses phobies il y avait un événement lourd qui s’était développé jusqu’à déclencher les phobies. Il n’y avait pas de rapport visible direct entre celles-ci et la source principale. Traiter cette source a désactivé les phobies en question. Il nous a fallu une seule séance et cela remonte maintenant à 2 an ½. Il n’y a plus eu la moindre crise. »

REMAP® a une efficacité supérieure à celle de toutes les thérapies existantes, mêmes les plus performantes : EMDR, EFT, TAT, PNL, …

REMAP® est une approche plus confortable à la fois pour le patient et pour le thérapeute parce qu’elle évite ou limite la nécessité de repasser par l’intensité émotionnelle du problème en évoquant celui-ci en détails.
Des études universitaires ont démontré sa grande efficacité par rapport à d’autres outils pourtant performants tels que l’EMDR, les approches cognitivo-comportementales, l’EFT, le TFT, etc.
REMAP® est en moyenne 3 fois plus rapide que l’EMDR sans devoir passer par les mêmes états émotionnels et sans surfer avec les abréactions. C’est une des raisons pour les quelles je l’utilise beaucoup lorsque je travaille sur des traumas complexes notamment.

REMAP® se positionne comme une méthode documentée au niveau scientifique. Il est soutenu par des études universitaires et se présente aux yeux du public et des praticiens comme une méthode sérieuse crédible et scientifique, au protocole rigoureux. REMAP® est destiné aux professionnels et en cela, se distingue de méthodes telles que l’EFT plutôt proposées au public.

 

Yves Wauthier Freymann

Formateur et praticien certifié REMAP®

 

Association francophone des praticiens REMAP®

 

Présentation filmée de REMAP® (4 premiers points sur 16 de Quick REMAP®) : voir aussi tout en bas de cette page ou cliquez sur ce lien

 

http://www.youtube.com/watch?v=JeTpGn7A8HM&feature=related 

 

Comparaison de l’efficacité de REMAP® versus TFT/EMDR/PNL/TIR : Figley Study at Florida State University 1995  comparée à la REMAP® Pilot study 2006

 

voir page Therapeutia :  http://www.therapeutia.com/dr/node/230 

 

Voir page AFREMAP : http://remap.jimdo.com/

 

Voir en ligne : http://www.psychotherapy-center.com…

 

Intro de la session REMAP et troubles de l’attachement qui explique ce qui va être fait dans la session avec Céline : travail classique mais peu efficace sur les traumas complexes avec trouble de l’attachement et la seconde partie de la session qui sera effectuée avec le correct plan de session (qui s’inscrit dans un plan de traitement adapté)

Lors du congrès: Healing-Highrise en Mai 2013

Session REMAP ®, thérapie provocatrice, IFS Yves Wauthier-Freymann Différence de travail entre Traumas simples et complexes
Travail avec patient ayant des troubles de l’attachement et des traumatismes complexes.
Première partie de la démonstration: Exemple d’un travail qui boucle car mauvais plan de traitement
Seconde partie – Timing 23 minutes: partie de la session qui reprend le bon plan de traitement à effectuer – démarrage d’IFS pour retrouver du Self et de la pendulation (à 30 minutes) entre les déclencheurs et le Self et ensuite la ressource avec REMAP®, Provocatrice Energy Therapy et IFS
Troisième partie: Questions-réponses
Plus d’information: www.therapeutia.com

What Is REMAP ?

Reed Eye Movement Acupressure Psychotherapy | The REMAP Process

Acupressure-Enhanced Psychotherapy

to treat the amygdala-based issues of : Trauma, Panic Attacks & Phobias

Reed Eye Movement Acupressure Psychotherapy

The REMAP process is a sensory stimulation desensitization response (SSDR) method designed to reduce or eliminate trauma, panic attacks, phobias and other intense emotional responses. The process utilizes cognitive, behavioral, affective, and sensory stimulation (eye movement and tactile) interventions. The psycho-sensory, tactile interventions include the stimulation of acupressure points that have been shown to produce changes in brain functioning and within the sympathetic and parasympathetic nervous systems. SSDR types of methods would include such treatments as EMDR, REMAP and EFT. REMAP is similar in some ways to Systematic Desensitization which desensitizes stress responses by pairing peripheral muscle relaxation with the stressful memory or experience. But in the case of REMAP, the relaxation response is produced not just at a peripheral muscular level but also in the deeper regions of the brain where the body’s alarm system (located in a part of the brain called the amygdala) is also calmed. This produces a faster and more comfortable path to easing emotional pain.

The REMAP process training has been presented twice at Ohio State University Medical School. REMAP lectures and training seminars have also been presented in Canada, Guatemala (Central America) and throughout the United States.

The REMAP process has two branches, Quick REMAP and the Full REMAP Protocol.

Here is some brief information about both and links that will let you find out more.

Quick REMAP provides simple and easy to use interventions that can reduce emotional distress fast. Quick REMAP is based on interventions studied at prestigious institutions such as Harvard Medical School and the Yale School of Medicine. It also includes some of the most potent interventions from traditional Chinese medicine. Yet, these techniques are so simple that they can be used as self-help tools.

Soothing the Sympathetic Nervous System with the REMAP process :

Results from Treating 8 Trauma Survivors And Measuring Treatment Effect with Heart Rate Variability Analysis

By Steve B. Reed, LPC, LMSW, LMFT, Mary Ross, Ph.D. and Frances Mcmanemin, Ph.D. � 2006

Many people who have traumatic experiences, panic attacks, phobias and general anxiety disorders experience a fight or flight reflex that will not shut off or that is repeatedly triggered by various signals that are interpreted as threatening even when there is no present danger. Subcortical activity in structures such as the amygdala (think of this as your body�s alarm system) has been implicated in the fight or flight reflex. When these subcortical circuits engage, the prefrontal cortex goes offline and the autonomic nervous system (ANS) reacts.

The autonomic nervous system, the part of you that is responsible for the non-voluntary control of all organs and systems of the body, is comprised of two primary branches : the sympathetic nervous system (SNS) and the parasympathetic nervous system (PNS).

The SNS�s role is to stimulate the body�s functioning which causes an increase in both the heart rate and stroke volume of the heart as well as a constriction of the blood vessels. This is what happens when the amygdala fires-up the fight or flight response. We are then ready to battle or run for our lives. You might think of this reflex as functioning like an automobile�s gas pedal.

In contrast, the PNS serves to calm the system. When danger has passed, the PNS decreases the heart rate and stroke volume and dilates the blood vessels. This is more like a car�s brake system. Unfortunately, the PNS may not always work well for people with anxiety disorders and the SNS may be working overtime. This creates an unhealthy autonomic imbalance. Research is showing that this nervous system imbalance can be associated with emotional stress as well as cardiac disease.

Rather than relying solely on patient self reports or psychological testing as a measure of that stress, there is now a �reliable method for quantifying autonomic nervous system (ANS) activity� (Akselrod et al. 1981). It is the analysis of heart rate variability (HRV).

�HRV analysis is a powerful tool in the assessment of the autonomic function. It is accurate, reliable, reproducible, yet simple to measure and process. The source information for HRV is a continuous beat-by-beat measurement of intervals between the heartbeats� (Pougatchev, et al 2004). This variability in the time between heartbeats can reveal information about the balance between the sympathetic and parasympathetic nervous systems.

When people have improved heart rate variability, it is because there is a better balance between the sympathetic and parasympathetic influences on the heart. Heart rate variability tends to improve when people are relaxed (better parasympathetic nervous system influence). Too much sympathetic nervous system activity (which causes a reduction in HRV) can be associated with stress, anxiety, and dysphoric mood (Fuller, BF 1992).

HRV appears to be very sensitive and responsive in measuring acute and possibly chronic stress (Vaccarino, V 2004). This can give us another measure the effectiveness of energy psychology interventions upon the issues that need treatment.

Numerous studies have shown a relationship between emotional issues and reduced HRV. Some of those findings include :

*

Offerhaus (1980) who observed lower HRV in individuals who were « highly anxious » according to the Minnesota Multiphasic Personality Inventory (MMPI).

*

Yeragani et al. (1990 ; 1993) who published a series of reports indicating reduced HRV (using both time domain and spectral measures) among DSM-III diagnosed panic disorder patients.

*

Sloan et al. (1994) reported lower HRV as shown in reduced high-frequency power among 33 healthy volunteers who scored high on the Cooke-Medley Hostility scale.

*

Kawachi et al. (1995) reported a cross-sectional association between anxiety and reduced HRV (as assessed by two time-domain measures) in 581 men.

*

Thayer et al. (1996) and Friedman & Thayer (1998) who reported diminished HRV in anxiety disorders, especially in the High Frequency band.

*

Thayer et al. (1998) who found reductions in HRV of people with depression.

*

Cohen et al. (1999) reported that reductions in HRV were found in PTSD patients.

*

Cohen et al. (2000) reported lower HRV was found in people with anxiety disorders.

*

Murata et al. (2004), under lab conditions, showed that stressors (such as giving a public speech) lower HRV.

*

Vaccarino (2004) reports that even low levels of depression compromised HRV. Severe symptoms of depression lowered HRV even more.

*

Archives of Internal Medicine, June 2005 (regarding a sub-study of the Women�s Health Initiative) reported that a study at the University of Florida College of Medicine found that women with depressive symptoms tended to have lower heart rate variability and a higher average heart rate.

�HRV analysis enables clinicians and researchers to detect, quantify and trend changes in autonomic activity for patients� (De Jong et al. 2005).

This pilot study was an attempt to determine the feasibility to document changes that clients experience with a physiological measure, namely an ECG that measures heart rate variability. It involved 8 clients with a diagnosis of PTSD including one male and seven females ranging in age from 25 to 44. We found that the HRV measures greatly improved and correlated with client self-reports that presenting symptoms were significantly reduced after an average of 77.5 minutes of treatment. The improved HRV scores confirmed for us that it is possible to detect, quantify and track changes in autonomic activity. It also suggests that the REMAP process can play a role in helping to shift the ANS back into a healthier balance by easing intense emotional stress.

The electrocardiograph (ECG) data was obtained using a Medicore SA 3000P Heart Rate Variability Analyzer. This is a new medical device that is in the final stage of FDA compliance approval. ECG is an electrical signal that is measured with special conductive electrodes that are placed (in this case) on both wrists and on one ankle. The electrodes pick up very small changes in the electrical field generated by the heart and the HRV analyzer is then able to break that information into 14 different measures of HRV.

Recordings were made while each client sat upright and was comfortably at rest. They were requested to breathe normally and avoid movement or talking during the 5 minute measurements. Three recordings were made. A baseline assessment was taken while each patient focused on neutral or positive thoughts. A pre-treatment reading was taken while they focused on their painful memories. After 20 to 45 minutes of energy psychology treatment with the REMAP process (a comprehensive meridian-based, psycho-sensory therapy) each patient was requested to think again about their traumatic experience while a post treatment recording was taken. All three recordings were made within 80 minutes of each other. The results of these recordings were then compared to assess whether there were any quantifiable changes in the sympathetic and parasympathetic nervous system activity as revealed through the HRV measures. Follow-up recording were also made between one and four weeks after the initial treatment session.

Below is a summary of the key HRV components utilized and a comparison between the pre-treatment and post treatment measurements including the percentage of change.

Heart Rate figures represent the mean (average) heart rate as measured in beats per minute (bpm) during the five minute recordings. A normal heart rate is 60 to 90 beats per minute. Bradycardia is below 50 bpm. Tachycardia is above 100 bpm. When under physical or emotional stress, the heart rate will increase. It decreases when the stress is eased.

81.413 beats per minute

88.231 beats per minute

74.950 beats per minute

Eased by 15%

Root Means Squared (RMS-SD) This measure estimates high frequency variations in the heart rate during short-term recordings. It reflects an estimate of the parasympathetic regulation of the heart. The more PNS activity there is (higher numbers), then the greater the calming effect. The less PNS activity there is (lower numbers) and/or the more SNS activity, then the greater the activation of the fight or flight reflex.

29.544 milliseconds

25.810 milliseconds

41.594 milliseconds

61.1% Improvement

Standard Deviation (SDNN) is the standard deviation of the beat to beat intervals. The clinical meaning of a decrease in SDNN is a weakening in the autonomic nervous system�s ability to keep homeostasis in the face of internal/external environmental challenges and lowered coping ability to various emotional stressors. In this measure smaller numbers are worse and larger numbers are better.

38.797 milliseconds

40.637 milliseconds

52.514 milliseconds

29.2% Improvement

The similarity in baseline and pre-treatment data for the SDNN and PSI measures may suggest that the background stress level of the participants was high on the day of the initial recordings and that their ability to compartmentalize their stress during the baseline recording was low. They also may have been experiencing some anticipatory anxiety.

Physical Stress Index (PSI) represents accumulated physical load. Higher numbers in the PSI reading indicates that there is pressure on the body�s regulation system. Lower numbers would represent improvement.

52.403

53.287

34.675

34.9% Improvement

Total Successive R-R Interval Difference (TSRD) is a comparison of SDNN results between the current and the last HRV test. If the TSRD in the current recording is higher than the previous recording, then the SDNN of the patient has increased (better result). If the TSRD is lower in the current test, then it is a worse result.

118.035

101.542

141.794

39.6% Improvement

Low Frequency / High Frequency Normalized Ratio (LF/HF Ratio) is used to indicate balance between sympathetic and parasympathetic tone. This is frequently used to measure physiological changes caused by various interventions. A lower ratio represents a better result and a higher ratio a worse result.

1.4 ratio of normalized units

2.12 ratio of normalized units

2.04 ratio of normalized units

3.7% Improvement

Follow-Up Data :

One to four weeks after treatment, two follow-up HRV recordings were completed. They included another baseline recording (while thinking about neutral to positive thoughts) and another recording while the clients focused on their traumas.

It may be important to note that baseline data is not a static or constant number. It will vary over time. It even fluctuates between different hours of the day. As a result, the follow-up recordings were taken at approximately the same time of day as the initial recordings in order to prevent hourly variances.

Still, these measures are so sensitive that they will vary over time as a result of a person�s current stress level. Recent unrelated stress (e.g. just had an argument with one�s spouse) may have an influence on all current recordings. This may explain the differences between the original baseline and follow-up baseline.

A comparison of the follow-up HRV data (traumatic memory vs. baseline) showed an improvement over the baseline recordings in every category measured. This could suggest that the clients may now be less stressed by thoughts of their treated traumatic memories than by their current background stress level as reflected in the baseline data.

The following is a comparison of the group averages :

HRV Measure

Baseline-Neutral Thought

Traumatic Memory

Heart Rate (bpm)

79.804

78.091 Lower = Better

RMS-SD (ms)

30.459

34.345 Higher = Better

SDNN (ms)

41.112

43.232 Higher = Better

PSI

41.527

39.880 Lower = Better

TSRD

122.925

130.730 Higher = Better

LF/HF Ratio

1.76

1.74 Lower = Better

As a result of REMAP treatment (averaging 77.5 minutes), the clients were able to think of their traumatic events and their autonomic nervous systems were as calm or calmer than when thinking about neutral/relaxing thoughts. One conclusion is that this physiological data provides support that the traumas were desensitized. This coincided with client self-reports that :

* Their over-all stress level had eased, * They had a dissipation of physical tension, * Changes occurred in the visual representation of their traumas (e.g. the mental picture of the incident had shifted to appear more distant and less in focus), * There was a dissipation of negative thoughts about their incidents and * Their experience of distress about their traumas had eased by 87.4%

The Subjective Units of Distress Scale (SUD) (Wolpe, 1959) is a rating of symptom intensity from 0 to 10 with 10 representing something that bothers you as bad as it can and 0 not bothering you at all. Below you will find the group averages for the SUD scale and information regarding the length of treatment in sessions and in minutes of treatment.

Group averages :

Beginning

SUD

Ending

SUD

Percent Reduction in SUD (improvement)

Number of Treatment Sessions

Session Length

Total Minutes of Treatment

9.437

range (7.5-10)

1.187

range (0-2.5)

87.4%

2

range (1-3)

38.75 minutes

77.5 minutes

Five of eight clients reported that the incident no longer disturbed them and that they were ready to focus on a new issue at their next appointment. The remainder (3 of 8 clients) felt significantly better after their REMAP session than they did before it (fewer symptoms) but believed that they could benefit from additional treatment on their issue.

Based on the initial results, we believe that we have obtained useful data that illustrates that positive changes in symptoms are reflected physically in the autonomic nervous system. We further believe that it is possible for future studies to show that the REMAP process can be empirically and objectively documented (both quantitatively and qualitatively). More formal studies are needed that would include :

*

A control group, *

A comparison group using a different treatment method (e.g. cognitive therapy), *

Pre, post and follow-up measures using self-reports and psychological tests, and *

Two physical indicators of change (e.g. HRV, the BIS Index Monitor or qEEG).

We are in the beginning stages of designing a new study that we hope to conduct with participants suffering from PTSD who would be drawn primarily from a veteran�s population. We are planning to improve that study by adding some of these additional elements.

Steve B. Reed, LPC, LMSW, LMFT is a psychotherapist and innovator of the REMAPprocess. www.remap.net

Mary Ross, Ph.D. is a psychologist and an affiliate faculty in the Neurotherapy program in the Department of Rehabilitation, Social Work and Addictions (DRSWA) at the University of North Texas.

Frances Mcmanemin, Ph.D. is a psychologist and neurotherapy expert working in a medical setting.

REMAP Pilot Study Compared to Other Studies/Methods

REMAP rave reviews�Professional Testimonials about REMAP

REMAP professional training calendar

EFT seminars

About Steve B. Reed, LPC, LMSW, LMFT :

Steve is the presenter and developer of the REMAP process and is an innovator and expert in the field of energy psychology. He has presented on the REMAP process at the 5th 6th & 7th International Energy Psychology Conferences, the Academy of Bio-Energetic and Integrative Medicine�s International Cancer Symposium Practicum, and he has presented at the Toronto Energy Psychology Conference in 2003 & 2004. Steve has twice trained staff at Ohio State University Medical School in the REMAP process. Steve has also presented on related topics at the 1st International Energy Psychology Conference, twice at the Texas State Marriage and Family Therapy Conference and to the Annual Training Conference of the North Texas Clinical Hypnosis Society. Steve is in private practice in the Dallas, Texas area. He holds three mental health licenses in Texas : Licensed Professional Counselor, Licensed Master Social Worker and Licensed Marriage & Family Therapist. Steve is a continuing education provider for counselors, social workers and marriage & family therapists in Texas where he provides professional training in the REMAP process, Emotional Freedom Techniques and Thought Field Therapy. He is the author and producer of 11 self-help audio tapes and the producer of 5 REMAP Demonstration Videos. He is also trained in several other leading-edge therapies including Eye Movement Desensitization and Reprocessing (EMDR), Neuro-Linguistic Programming (NLP), Traumatic Incident Reduction therapy (TIR), Focusing and multiple Energy Psychology methods such as (Thought Field Therapy (TFT), Emotional Freedom Techniques (EFT), Thought Energy Synchronization Therapy (TEST) among others.

www.psychotherapy-center.com