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Topic

Adaptive information processing

Also known as AIP model, Adaptive Information Processing model, adaptive information processing

EMDR's theory: symptoms come from disturbing memories that were never fully processed.

At a glance

Also on this page: Key facts · Links · Sources · Related pages

Why it matters

Key facts

In short
Unprocessed memories of earlier experiences are the main foundation of many mental health problems1
Developed by
Francine Shapiro; set out in her 2001 textbook2
Part of
The theoretical model of EMDR therapy2
Analogy
Like a cut that heals unless something keeps irritating the wound2
Evidence
The proposed mechanism has no known scientific basis3

In plain words

  1. A natural healing system2

    The model assumes the brain's information processing system naturally moves toward mental health.

  2. When it gets blocked1

    A disturbing event can be stored with the emotions, body sensations and beliefs of the moment, unprocessed.

  3. Why the past feels present1

    Current events activate those stored memories, so today's reactions are colored by old perceptions.

  4. What resolution looks like2

    Processing forges new links to adaptive memories: distress drops, negative beliefs change and arousal falls.

Examples

  1. The past colours the present1

    Shapiro describes clients whose perceptions of current situations are coloured by unprocessed memories, so that "the past becomes present". Flashbacks, nightmares and intrusive thoughts in PTSD are her prime examples.

  2. An old memory under a new trauma1

    In a session transcript Shapiro discusses, a patient sought help for PTSD after an earthquake; processing surfaced childhood household dysfunction underneath, and insight tying past and present trauma emerged on its own.

  3. Childhood memories behind anxiety1

    The model points to experiences such as household dysfunction, bullying and humiliation as unprocessed memories that may be contributing to present anxiety.

  4. A memory held in the body1

    Shapiro attributes phantom limb pain to the unprocessed memory of the injury; in her account, once that memory is processed the pain sensations disappear.

  5. New links forming4

    In a published case, a woman's memory of a classmate vomiting quickly linked to other school memories, then to good ones from the same classroom. The image then changed: "what is actually disgusting about it?"

  6. Belief change after processing2

    The EMDR Institute's own example is a rape victim whose "horror and self-disgust" shifted to the belief "I survived it and I am strong".

How therapists use it

  1. Choosing targets1

    EMDR targets past memories, present triggers and future situations, because the model treats past memories as the root.

  2. Beyond PTSD2

    The model is used to argue EMDR can treat everyday memories behind low self-esteem and powerlessness, not only PTSD.

What the research says

  1. Not established3

    Wikipedia notes the incomplete-processing mechanism, though widely assumed by proponents, has no known scientific basis.

  2. Untestable, say critics3

    Critics argue EMDR's underlying theory is non-falsifiable, used to explain away studies that show no effect.

  3. Competing explanation3

    Others explain EMDR's effects through working memory load and the fact that recalled memories become modifiable.

Connections

Sources

  1. Shapiro F. The Role of Eye Movement Desensitization and Reprocessing (EMDR) Therapy in Medicine. Perm J 2014;18(1):71-77 (opens pmc.ncbi.nlm.nih.gov)
  2. What is EMDR? (EMDR Institute) (opens emdr.com)
  3. Eye movement desensitization and reprocessing (Wikipedia) (opens en.wikipedia.org)
  4. de Jongh A. Treatment of a woman with emetophobia: a trauma focused approach. Ment Illn 2012;4(1):e3 (opens pmc.ncbi.nlm.nih.gov)

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