Ricky Greenwald

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Ricky Greenwald is a clinical psychologist. An expert on eye movement desensitization and reprocessing (EMDR), he is also the creator of progressive counting (PC), both are psychotherapy methods for resolving traumatic memories and associated symptoms. He founded the Trauma Institute & Child Trauma Institute, a non-profit organization, and is currently its executive director and chair of the faculty.[ citation needed ]

Contents

Education

Greenwald holds a B.S. in Psychology from Lesley College (1988) and an M.A. degree in Psychology from Forest Institute of Professional Psychology (1989). After completing a two-year certificate in Family Therapy at the Kantor Family Institute (1991), Greenwald returned to the Forest Institute and earned his Psy.D. in Clinical Psychology (1994) followed by a post-doc in Child and Adolescent Trauma from Community Services Institute (1996).

Professional contributions

Assessment

Greenwald has developed various assessment instruments for children's post-traumatic symptoms, including the Child Report of Post-traumatic Symptoms (CROPS) [1] and Parent Report of [the child's] Posttraumatic Symptoms (PROPS), [2] Lifetime Incidence of Traumatic Events for students or parents (LITE-S and LITE-P), and Problem Rating Scale. [3] These have been widely translated, and the CROPS & PROPS are available in about 20 languages.

Treatment

Greenwald was a pioneer in developing EMDR’s use with children and adolescents. He developed the Fairy Tale Model of trauma-informed treatment as well as progressive counting (PC), a trauma therapy based on the counting method. [4] In recent years, he has been pioneering intensive trauma-focused therapy in the format of full consecutive days.

Training

Greenwald developed the full-package model of EMDR training, to include all parts of the training as well as follow-up consultation; this training approach has been widely adopted internationally. He also developed PC training, along with a trainer training system and a PC certification. Greenwald offers a six-day small-group Trauma Trainers Retreat every year, to mentor aspiring trauma experts.

Trauma Institute & Child Trauma Institute

In 2002, Greenwald founded the Child Trauma Institute (later renamed the Trauma Institute & Child Trauma Institute), a nonprofit organization in Northampton, MA, USA. Initially solely a training institute, it is now also active in research on treatment and training and in providing intensive trauma-focused therapy. [5]

Greenwald is an affiliate professor at the University at Buffalo School of Social Work, served on the board of directors for the EMDR International Association, and is a fellow of the American Psychological Association, Division 56.

Publications

Books

Selected articles

Related Research Articles

<span class="mw-page-title-main">Phobia</span> Anxiety disorder classified by a persistent and excessive fear of an object or situation

A phobia is an anxiety disorder, defined by a persistent and excessive fear of an object or situation. Phobias typically result in a rapid onset of fear and are usually present for more than six months. Those affected go to great lengths to avoid the situation or object, to a degree greater than the actual danger posed. If the object or situation cannot be avoided, they experience significant distress. Other symptoms can include fainting, which may occur in blood or injury phobia, and panic attacks, often found in agoraphobia and emetophobia. Around 75% of those with phobias have multiple phobias.

Post-traumatic stress disorder (PTSD) is a mental and behavioral disorder that develops from experiencing a traumatic event, such as sexual assault, warfare, traffic collisions, child abuse, domestic violence, or other threats on a person's life or well-being. Symptoms may include disturbing thoughts, feelings, or dreams related to the events, mental or physical distress to trauma-related cues, attempts to avoid trauma-related cues, alterations in the way a person thinks and feels, and an increase in the fight-or-flight response. These symptoms last for more than a month after the event. Young children are less likely to show distress, but instead may express their memories through play. A person with PTSD is at a higher risk of suicide and intentional self-harm.

<span class="mw-page-title-main">Nightmare disorder</span> Medical condition

Nightmare disorder is a sleep disorder characterized by repeated intense nightmares that most often center on threats to physical safety and security. The nightmares usually occur during the REM stage of sleep, and the person who experiences the nightmares typically remembers them well upon waking. More specifically, nightmare disorder is a type of parasomnia, a subset of sleep disorders categorized by abnormal movement or behavior or verbal actions during sleep or shortly before or after. Other parasomnias include sleepwalking, sleep terrors, bedwetting, and sleep paralysis.

Psychological trauma is an emotional response caused by severe distressing events that are outside the normal range of human experiences, with extreme examples being violence, rape, or a terrorist attack. The event must be understood by the affected person as directly threatening the affected person or their loved ones with death, severe bodily injury, or sexual violence; indirect exposure, such as from watching television news, may be extremely distressing and can produce an involuntary and possibly overwhelming physiological stress response, but does not produce trauma per se.

Eye movement desensitization and reprocessing (EMDR) is a form of psychotherapy that is controversial within the psychological community. It was devised by Francine Shapiro in 1987 and originally designed to alleviate the distress associated with traumatic memories such as post-traumatic stress disorder (PTSD).

Complex post-traumatic stress disorder (CPTSD) is a stress-related mental disorder generally occurring in response to complex traumas, i.e., commonly prolonged or repetitive exposures to a series of traumatic events, within which individuals perceive little or no chance to escape.

Francine Shapiro was an American psychologist and educator who originated and developed eye movement desensitization and reprocessing (EMDR), a form of psychotherapy for resolving the symptoms of traumatic and other disturbing life experiences.

Exposure therapy is a technique in behavior therapy to treat anxiety disorders.

Childhood trauma is often described as serious adverse childhood experiences (ACEs). Children may go through a range of experiences that classify as psychological trauma; these might include neglect, abandonment, sexual abuse, emotional abuse, and physical abuse, witnessing abuse of a sibling or parent, or having a mentally ill parent. These events have profound psychological, physiological, and sociological impacts and can have negative, lasting effects on health and well-being such as unsocial behaviors, attention deficit hyperactivity disorder (ADHD), and sleep disturbances. Similarly, children whose mothers have experienced traumatic or stressful events during pregnancy have an increased risk of mental health disorders and other neurodevelopmental disorders.

Prolonged exposure therapy (PE) is a form of behavior therapy and cognitive behavioral therapy designed to treat post-traumatic stress disorder. It is characterized by two main treatment procedures – imaginal and in vivo exposures. Imaginal exposure is repeated 'on-purpose' retelling of the trauma memory. In vivo exposure is gradually confronting situations, places, and things that are reminders of the trauma or feel dangerous. Additional procedures include processing of the trauma memory and breathing retraining.

PTSD or post-traumatic stress disorder, is a psychiatric disorder characterised by intrusive thoughts and memories, dreams or flashbacks of the event; avoidance of people, places and activities that remind the individual of the event; ongoing negative beliefs about oneself or the world, mood changes and persistent feelings of anger, guilt or fear; alterations in arousal such as increased irritability, angry outbursts, being hypervigilant, or having difficulty with concentration and sleep.

Perpetrator trauma, also known as perpetration- or participation-induced traumatic stress , occurs when the symptoms of posttraumatic stress disorder (PTSD) are caused by an act or acts of killing or similar horrific violence.

Trauma focused cognitive behavioral therapy (TF-CBT) is an evidence-based psychotherapy or counselling that aims at addressing the needs of children and adolescents with post traumatic stress disorder (PTSD) and other difficulties related to traumatic life events. This treatment was developed and proposed by Drs. Anthony Mannarino, Judith Cohen, and Esther Deblinger in 2006. The goal of TF-CBT is to provide psychoeducation to both the child and non-offending caregivers, then help them identify, cope, and re-regulate maladaptive emotions, thoughts, and behaviors. Research has shown TF-CBT to be effective in treating childhood PTSD and with children who have experienced or witnessed traumatic events, including but not limited to physical or sexual victimization, child maltreatment, domestic violence, community violence, accidents, natural disasters, and war. More recently, TF-CBT has been applied to and found effective in treating complex posttraumatic stress disorder.

Progressive counting (PC) is a psychotherapy technique developed by Ricky Greenwald designed for trauma resolution based on the counting method. It is used to reduce or eliminate symptoms such as anxiety, depression, guilt, anger, and post-traumatic reactions. It can also be used to enhance psychological resources such as confidence and self-esteem. The procedure involves having the client visualize a series of progressively longer "movies" of the trauma memory while the therapist counts out loud. By repeatedly imagining the movie of the memory, the memory gets "digested" or healed, via desensitization, emotional processing, gaining perspective, or other means.

Psychosensory therapy is a form of therapeutic treatment that uses sensory stimuli to affect psychological and emotional health. In addition, psychosensory therapy is a group of therapeutic techniques that involves applying sensory inputs to treat various behaviors, mood, thoughts, symptoms, and pain. Psychosensory therapy has its roots in traditional Chinese medicine in addition to energy psychology. Some important figures in psychosensory therapy include chiropractor George Goodheart, psychiatrist John Diamond, clinical psychologist Roger Callahan, and Ronald Ruden.

<span class="mw-page-title-main">Trauma and first responders</span> Trauma experienced by first responders

Trauma in first responders refers to the psychological trauma experienced by first responders, such as police officers, firefighters, and paramedics, often as a result of events experienced in their line of work. The nature of a first responder's occupation continuously puts them in harm's way and regularly exposes them to traumatic situations, such as people who have been harmed, injured, or killed.

<span class="mw-page-title-main">Narrative exposure therapy</span> Short-term therapy for trauma-related disorders

Narrative Exposure Therapy (NET) is a short-term psychotherapy used for the treatment of post-traumatic stress disorder and other trauma-related mental disorders. It creates a written account of the traumatic experiences of a patient or group of patients, with the aim of recapturing self-respect and acknowledging the patient's value. NET is an individual treatment, NETfacts is a format for communities.

Sexual trauma therapy is medical and psychological interventions provided to survivors of sexual violence aiming to treat their physical injuries and cope with mental trauma caused by the event. Examples of sexual violence include any acts of unwanted sexual actions like sexual harassment, groping, rape, and circulation of sexual content without consent.

Brainspotting is a psychotherapy technique that attempts to help people process psychological trauma or other problems via eye movements. Practitioners of this technique use a pointer to direct a client’s eye gaze in order to send signals to the brain to resolve psychological or physical concerns. Brainspotting has not been rigorously studied and has frequently been characterized as a pseudoscience or fringe medicine.

References

  1. Edner, Benjamin J.; Glaser, Brian A.; Calhoun, Georgia B. (November 2017). "Predictive accuracy and factor structure of the Child Report of Posttraumatic Symptoms (CROPS) among adjudicated youth". Psychological Trauma: Theory, Research, Practice and Policy. 9 (6): 706–713. doi:10.1037/tra0000303. ISSN   1942-969X. PMID   28682104. S2CID   28929199.
  2. Greenwald, Ricky; Rubin, A. (1999). "Brief assessment of children's post-traumatic symptoms: Development and preliminary validation of parent and child scales". Research on Social Work Practice. 9: 61–75. doi:10.1177/104973159900900105. S2CID   144939752.
  3. "Child Trauma Measures for Research and Practice". Trauma Institute & Child Trauma Institute.
  4. Greenwald, Ricky (2013). Progressive Counting Within A Phase Model Of Trauma-Informed Treatment. NY: Routledge.
  5. "History and Activities". Trauma Institute & Child Trauma Institute.
  6. 1 2 3 4 "Alberta Play Therapy Association >> Events". www.albertaplaytherapy.ca. Retrieved 2022-12-03.