This is an interesting story. I have no idea if it's true. It's interesting both in the therapy she invented and in the establishment's refusal to take it seriously.
--Kim
In 1987, the most important PTSD treatment discovery in modern psychiatry didn’t happen in a laboratory. It happened because a 39-year-old woman was walking through a park in Los Gatos, California, trying to get rid of a disturbing thought.
Francine Shapiro was an English literature student working on her Ph.D. in New York. In 1979, at the age of 31, she was diagnosed with cancer.
The medical treatments worked, but the psychological toll was devastating. She noticed that the severe stress of the diagnosis lingered in her body long after the physical disease was gone.
She dropped her literature studies. She moved to California. She enrolled in a psychology program, determined to understand how the human nervous system processes fear.
The field of trauma psychology in the 1980s was a rigid, heavily guarded fortress.
The standard protocol for combat veterans and assault survivors was prolonged psychoanalysis, exposure therapy, or heavy doses of medication. The psychiatric model demanded that the patient dig up the trauma.
They had to examine it verbally.
They had to endure the pain of reliving the worst moment of their lives.
They had to do this for months, sometimes years, in a clinician's office.
At the time, the Department of Veterans Affairs was overwhelmed. Thousands of men had returned from Southeast Asia with shattered nervous systems. The medical system had no idea what to do with them. They were assigned to group therapy circles where they recounted their darkest memories week after week, often leaving the sessions more destabilized than when they walked in.
If a patient didn't improve under this grueling regimen—and many did not—the failure was officially attributed to their own resistance. The patient simply wasn't trying hard enough to heal.
On that walk in May 1987, a highly stressful memory surfaced in Shapiro’s mind. She noticed her heart rate increasing and her anxiety spiking.
Then she noticed something strange. The memory suddenly lost its emotional charge. The thought was still there in her mind, but the physical panic attached to it was entirely gone.
She stopped walking. She paid attention to what her body was doing. She realized her eyes were spontaneously darting back and forth diagonally, tracking the sunlight passing through the trees.
She decided to test it right there on the path. She brought the disturbing thought back on purpose. She held it in her mind. She moved her eyes rapidly side to side again.
The anxiety vanished.
She tried it with another memory. The same thing happened. The emotional weight collapsed.
It was a purely mechanical action. The brain was digesting the psychological trauma the exact same way a stomach digests a meal.
At the time, the psychiatric establishment operated on the premise that deep trauma required deep analysis. Healing was supposed to take years. The idea that a physiological mechanism—moving the eyes side to side while holding a memory—could bypass decades of psychological scaffolding sounded entirely absurd. The Diagnostic and Statistical Manual of Mental Disorders had only officially recognized post-traumatic stress disorder seven years earlier, in 1980, specifically to address the overwhelming crisis among Vietnam veterans returning home to a system that could not fix them.
Shapiro spent the next six months testing the mechanism on herself. Then she tested it on seventy volunteers, meticulously documenting their physiological responses.
She formalized a clinical protocol. She named it EMDR therapy, which stood for Eye Movement Desensitization and Reprocessing.
Her clinical tool was not a prescription pad or a complex machine. It was just her right hand, holding up two fingers, moving at a steady, rhythmic pace across the patient's field of vision.
She compiled her data into a research paper and took it to the academic institutions.
The response was swift and brutal.
Academic journals rejected her initial findings. The American Psychological Association viewed her claims with intense skepticism. Prominent psychologists openly mocked her by waving their fingers in colleagues’ faces at academic conferences, treating her life's work as a parlor trick.
One prominent Harvard psychologist famously dismissed it by stating that what was effective in EMDR was not new, and what was new in EMDR was not effective.
They demanded randomized controlled trials. They assumed the data would collapse under rigorous scientific scrutiny.
So she conducted them. She funded the early research herself. In 1989, she brought the protocol directly to a clinic treating Vietnam veterans and victims of sexual assault.
She selected twenty-two individuals for the study. These were people who had been entirely broken by their experiences.
Night terrors.
Hypervigilance.
Ten years of traditional therapy with zero relief.
The crushing, invisible weight of combat and violence.
In the clinical trials, Shapiro sat across from them. She asked the patients to hold the worst memory of their trauma in their mind—the ambush, the helicopter crash, the moment of the assault.
Then she held up two fingers. She asked them to track her hand with their eyes as she moved it rapidly back and forth for twenty seconds.
In one session, the emotional charge of the memory dropped significantly. The veterans reported that the memory suddenly felt distant, like watching a movie on a screen rather than reliving it in the room.
Within three sessions, the nightmares stopped entirely. One combat medic had suffered from violent night terrors for twenty years. After his EMDR sessions, the terrors ceased.
In 1989, the Journal of Traumatic Stress finally published her controlled study.
The establishment read it. Many still refused to believe it.
In 1990, she presented her findings at a major conference. The audience was hostile.
In 1991, she published another paper. The academic critics called it a placebo.
In 1992, she started the EMDR Institute to train clinicians directly, bypassing the academic gatekeepers who refused to fund her work.
For a century, psychiatry tried to talk the brain out of its trauma. The brain just needed a physical mechanism to digest it.
By 1995, the pressure from clinical results was too massive to ignore. The Department of Defense launched an independent study on combat veterans to verify her claims.
The military’s results were undeniable. Eighty-four percent of veterans with single-trauma PTSD no longer met the clinical criteria for the diagnosis after just three 90-minute sessions.
The establishment quietly began to change its guidelines.
The American Psychiatric Association eventually endorsed it in 2004. The Department of Veterans Affairs adopted it as a top-tier treatment. The World Health Organization formally recommended EMDR in 2013 for both children and adults.
Today, it is the gold standard for treating combat veterans, assault survivors, and disaster victims worldwide.
Shapiro died in 2019 at the age of 71.
The exact neurological reason why rapid eye movement strips the terror from a memory is still debated by neuroscientists. Current theories suggest it mimics the rapid eye movement of REM sleep, allowing the brain to finally file the memory away in the past where it belongs.
The mechanism works, even if the academics haven't entirely mapped the wiring yet.
In VA hospitals across the country this morning, a clinician will sit across from a veteran, hold up two fingers, and ask them to follow the movement with their eyes.
Francine Shapiro: the woman who rewired how we heal.
Source: Francine Shapiro. "Eye Movement Desensitization and Reprocessing: Basic Principles, Protocols, and Procedures."
Verified via: The EMDR Institute, The Department of Veterans Affairs (National Center for PTSD).
(Some details summarized for brevity.)
See less
Posts
No comments:
Post a Comment