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The Power of Eye Movements: The ART of Accelerated Resolution Therapy | Yolanda Harper | TEDxUTampa


imagine that you are a Vietnam veteran

and have survived the unspeakable

horrors of war you come home and try to

compartmentalize the anxiety the

depression the panic attacks the

flashbacks and the nightmares by staying

busy with work but over time things

start to unravel and your family insists

on you getting help you resist at first

but eventually find yourself in a

therapist’s office that interaction

looks a little something like this

though tell me about war I was in

Vietnam people were dying well now you

see that’s a good start but with this

therapy we’re going to need for you to

give more detail and more detail in even

more detail until finally I was on

patrol at daybreak in the jungles of

Vietnam sweat was dripping from my body

I could smell napalm in the air there

were shots in the distance sounds of

agony and torture I looked up and saw a

comrade hanging from a tree his flesh

dangling from his bones my heart was

racing I felt sick to my stomach I

thought it was going to die

on it goes and when your therapist feels

you’ve reached the appropriate level of

detail he has you repeat the story again

and again and if that’s not a pleasant

enough experience for you you’re in luck

because your therapist has recorded this

session and your homework is to listen

to it multiple times throughout the week

in addition you’re required to go into

environments and situations that will

trigger these memories and figure out

how to handle the symptoms on your own

I was in graduate school and this was my

first time experiencing a therapy called

prolonged exposure as a therapist who

helps people heal from their traumatic

events I’m used to moving towards people

in their psychological emotional

physical and spiritual pain like a

firefighter running into a burning

building my superpower is to hold space

for people as they make their way

through their darkest hours to find hope

growth and healing but as I observed

this session I couldn’t help but think

how horribly retraumatization SMU’s be

for this person we were supposed to be

helping and everything in me cry just

stop there are clients and clinicians

alike who would say that prolonged

exposure is helpful but it’s not a good

fit for me and this experience made me

determined to find a more compassionate

more respectful more effective way of

helping people heal from their trauma

and that’s when I found accelerated

resolution therapy or AR T now you can

read about accelerated resolution

therapy online you’ll find that it was

developed in 2008 by Laney rosensweig

you can read about the research

conducted at the University of South

Florida led by dr. Kevin Kip much of

which I’ve had the honor to assist with

you’ll find that it’s evidence-based

showing efficacy in three to five

sessions but what you can’t read about

as easily is a client’s experience with

the therapy today I’d like to share with

you my own benefit from AR T as well as

relief my clients have been able to

experience because when you are loved

one are faced with an earth-shattering

event the statistics are important to

know but the question you’ll really want

answered is will this be helpful in our

situation

I was super excited my first day of

accelerated resolution therapy training

until I realized that there was an

experiential component to the training

then I was a little nervous about the

process as many of my clients are but I

focused that session on one of my most

intense distressing adverse childhood

experiences those things that happen

early in life that leave a mark on you

into adulthood the brain has the

remarkable ability to link a current day

situation with anything that looks like

sounds like smells like tastes like or

feels like a previous threatening

situation the brain feels unsafe so it

reminds you of that prior event in fact

a component of trauma is the

re-experiencing of those memories when

we think of them the same intense

emotions rise and the body responds in

similar ways increased heart rate muscle

tension the tastes of blood in the mouth

perhaps the feeling that you’re going to

vomit it’s this rien cing that makes it

difficult for most people to be able to

talk about their traumatic experiences

as you can imagine and so one of the

benefits of using a RT to resolve trauma

is that you don’t have to talk about the

event this fact came in really handy for

me during my session as we were getting

started and before I was able to give

any detail of what we would be focusing

on tears sprang to my eyes is all of the

grief hurt and fear surrounding that

memory and that had built for decades

came pouring out I was in full-fledged

ugly cry for majority of that session

and couldn’t have talked even if I had

wanted to my colleague who was acting as

my therapist during that session sat in

front of me and moved her hand back and

forth in front of my eyes I know it’s

really weird isn’t it but it works we

alternated between focusing on that

memory and calming sensations and

emotions that came up for me as

went along using these same eye

movements by doing this I was able to

process that experience more deeply gain

greater insight and oddly enough at the

end of that session I was exhausted but

I found peace now I know it might seem

odd that I’m standing in front of you

talking about this experience with a

smile in my face and I get that but this

smile is from new emotions of relief

strength and intense gratitude for that

experience

you see wounded healers hold the

fiercest hope for their clients and my

own healing fuels the hope that I carry

into each heart-wrenching session one of

these clients came in after being

attacked by large animal now she asked

that I not tell you what type of animal

it was as she doesn’t want you to be

upset with the species but suffice it to

say it was a circus type as I was

gathering history from her she shook

just thinking about the attack we spent

one session focused on the attack much

of which she was doubled over during

tears streaming from her face as she had

been during the actual event we spent

the next two sessions on the medical

trauma that she experienced afterwards

she had been hospitalized for weeks had

multiple surgeries was a rehab for

months and has extensive scarring but at

the end of those sessions she deemed a

RT to be fantastic noting that everyone

should do it

in fact she recently sent me a picture

of herself at a museum exhibits standing

in front of a model of one of those

large animals in that picture

she stood defiantly giving that animal

of one finger salute I’ll let you guess

which finger she used

a RT is helpful not only for combat

trauma in animal attacks but also car

accidents sexual assaults among various

other traumas amazingly I have observed

the most impactful responses of

post-traumatic growth to be those

survivors of sexual assaults these are

some of the most intense sessions but

the intensity lasting for about an hour

and we’re calming those sensations as we

go along remarkably at the end of the

session clients Express peace in a

regain strength and hope for their

future these are some of the bravest men

and women I have ever met and I am

honored to hold sacred space with them

in an unsettling world of me too I stand

here to say there is healing for you

another client became fearful as she

expressed her inability since her

traumatic brain injury to be able to use

microwave we used a RT to allow her to

visualize the steps in the process as we

call sensations and feelings of

frustration and anxiety that came up for

her and her inability to do what had

once been such a basic task we know

through neuroscience that just thinking

about a behavior creates neural pathways

to that behavior I’d love to see

research on how adding eye movements to

the process can help facilitate the

brain’s healing and speaking of research

as we get a better understanding of the

power of eye movements in the brain the

research expands to helping people with

chronic pain and complex grief their

head-to-head comparisons between AR T

and other therapy modalities an ongoing

consideration for the use of AR T for

performance enhancements to help

surgeons snipers Olympic athletes and

yes TEDx speakers

able to do their job more effectively

but those are stories for another day

the opportunities for hope growth and

healing that come from accelerated

resolution therapy are definitely ideas

imagine knowing exactly where to turn to

for help in healing for yours or loved

ones traumatic events imagine not having

to replay your sexual assault over and

over again

imagine healing from your trauma so that

you can improve your relationships and

other parts of your life that have been

impacted by your traumatic events and

that Vietnam veteran imagine him healing

from the memories that he’s carried for

more than many of us have been alive

imagine him finally able to unpack his

rucksack of pain finally sleep through

the night come off of some of his

psychiatric medications all in three to

five sessions not months no

retraumatization of prolonged exposure

no homework now imagine offering that

same healing to other veterans before

their combat experiences take a toll on

decades of their lives I believe that

this and more is possible through the

power of eye movements in the brain

thank you very much

[Applause] you

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