Visible markers of brain injury such as scars are spurious markers of severity that shape attributions for actions of persons with the injury and expectations that problematic behaviors will persist. The results inform strategies for correcting misunderstandings about brain injury and enhancing rehabilitation.
In dismantling eye movement desensitization and reprocessing (EMDR) therapy, researchers have found that the central executive is likely responsible for the effect of eye movements on negative memories. Arguably, however, researchers have not satisfactorily explained central executive mechanisms responsible. One possible central executive mechanism is that of suppression. The aim of this research was to evaluate the effect of eye movements on vividness, emotionality, and suppression of memories. Thirty-one nonclinical participants in Experiment 1 completed fast- and no-eye-movement conditions. Thirty-three nonclinical participants in Experiment 2 completed fast-, slow-, and no-eye-movement conditions. Number of intrusions during a suppression period and self-ratings of vividness and emotionality were the dependent variables in both experiments. Experiment 2 also included a measure of central executive capacity. Results from both experiments supported the hypotheses and showed that fast eye movements resulted in fewer intrusions than no- and slow-eye-movement conditions. Experiment 2 also found a correlation between number of intrusions after fast eye movements and central executive capacity. Limitations of this research are discussed as well as possibilities for future research and implications for understanding EMDR therapy.
<p>Eye-Movement Desensitization and Reprocessing (EMDR) was developed as a treatment for Post-Traumatic Stress Disorder (PTSD), and involves the patient thinking about a traumatic event while simultaneously moving their eyes from side to side. Despite substantial support for the efficacy of EMDR questions remain regarding how eye-movements contribute to therapy. One explanation is that eye-movements tax a part of working memory known as the central executive; however, the exact mechanism involved is still unclear. Previous eye-movement research has focussed on self-ratings of vividness and emotionality of negative memories as the primary outcome measures. The focus of the current research was to examine the effect of eye-movements on the suppression of negative autobiographical memories in addition to vividness and emotionality. Non-clinical participants were asked to recall negative autobiographical memories and then verbally reported ratings of vividness and emotionality. In the eye-movement conditions, which varied by speed and direction of movement, eye-movements were stimulated using dots on a computer screen. Participants were then asked to avoid thinking of their memories, and intrusive thoughts were measured by pressing a computer key. Six experiments found that, overall, the effect of eye-movements on self-ratings was inconsistent, but that eye-movements reliably improved suppression of negative autobiographical memories. The findings also support the central executive explanation for the effectiveness of eye-movements in EMDR.</p>
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