Authors
Nina ten Hoor^1
1De Waag - Forensic Care Specialists, Stationsplein 20, 3818 LE Amersfoort, The Netherlands

Background and aims
The desensitization of positive images is a relatively new implementation within the field of EMDR treatment. Mainly from clinical practice, there are indications that EMDR can reduce excessive needs for alcohol, gambling, shopping, sex or food. The positive feelings that are connected to the problematic behavior decrease and make it easier to control unwanted impulses.
A prominent predictor of recidivism among persons with sexual offence histories, is deviant sexual arousal. Exhibitionists, for instance, often describe a strong urge that they can hardly resist. This study examines whether EMDR can reduce deviant sexual arousal in persons with exhibitionistic disorder.

Methods
Before regular treatment, 29 participants were randomly allocated to either an experimental EMDR treatment condition or a control condition offering cognitive behavioural therapy. Physiological measurements, questionnaires, and subjective ratings regarding deviant arousal were gathered prior to treatment, after completion, and again after a two-month follow-up.

Results
The preliminary results suggest effectiveness of both treatments. EMDR treatment may be superior in reducing attractiveness of the deviant stimuli.

Conclusions
This study raises the understanding of EMDR in forensic populations. Further development may help to prevent new sexual offences.

*** Abstract topic
Deviant sexual arousal, Exhibitionistic disorder, RCT

3 Learning objectives
After the presentation participants will know:
• Different ways to use EMDR in the treatment of sexual offending
• The specific application of EMDR to deviant sexual arousal
• Preliminary research data and clinical case examples

Authors
Daria Silhan ^1,3, Dominique Merg-Essadi^1,2,3, Mathilde Revert², Daniela Pavan¹, Marie-Frédérique Bacqué^1
1Laboratoire SuLiSoM UR 3070 Unistra
²Département de Maïeutique Unistra
³PS Institut Strasbourg 11 bld Leblois 67000 Strasbourg

Background and aims
Post-Traumatic Stress Disorder is reported in 3 to 6% of postpartum women and up to 18.5% in cases with complications.[ ] Psychological problems in mothers is a significant health issue.[ ] Our study investigates the effectiveness of early EMDR therapy in reducing mental and emotional distress[ ] in women after childbirth. We examine how successfully the emergency protocol could be implemented by maternity midwife.[ ]
The purpose of this study is to observe how practitioners adjust their treatment to suit each patient.

Methods
A prospective longitudinal study of patients with a confirmed traumatic experience who gave birth at University of Strasbourg Hospitals between December 2020 and May 2021. The R-TEP Protocol was administered within 72 hours; afterwards, care was administered on a case-by-case basis. Interviews were conducted from 1 to 18 months after treatment, either in person or via video conference.

Results
Acceptance of childbirth was resolved in 1 to 4 sessions for 5 of the 9 referred patients. Treatment from 6 to 18 months was necessary for the other 4 referred patients. Factors of prenatal vulnerability were overrepresented: violence in childhood, history of depression, worthlessness, anxiety.

Conclusions
The immediacy of the treatment did not correlate with the duration of the treatment. It is necessary to assess what therapy indicates on a case-by-case basis.

Abstract topic
Emergency EMDR in the field in maternity

3 Learning objectives
Thorough observation of a practice
Analysis of elements in favor of extended psychotherapy after R-TEP
Examination of benefits of therapeutic relationships