DUYGUSAL ZEKA (EQ)
16 Mayıs 2023
ÇOCUKLARDA BİLİŞSEL GELİŞİM
22 Mayıs 2023
ÇOCUKLARDA EMDR TERAPİSİ
Rahatsız edici yaşam olayları, zihinde anlamlandırılamadığında beyinde ilgili bağlantı noktalarına bağlanamaz.
Bağlantı noktalarına bağlanamayan bu anılar olumsuz duygu, düşünce ve görüntülere sebep olarak kişinin günlük hayatını etkileyebilir.
Çocuklarda travmanın algılanış biçimi, anne ve babasının olayı nasıl algıladıklarıyla ve verdikleri tepkilerle ilişkilidir. Eğer karşılaşılan olay ilk kez yaşanan bir olaysa çocuklar anne babalarının tepkilerine bakarak kendi duygularına yansıtırlar. Ebeveynler duygularını düzenleme becerilerinde zorluk yaşıyorsa çocuğun da duygu düzenleme becerileri gelişemez. Örneğin, deprem yaşayan her çocuk depremi travmatik bir olay olarak algılamaz; fakat deprem sırasında anne çığlık atar ve korku ifadeleri gösterirse çocukta deprem kavramı travmatik olarak kodlanabilir.
Davranışsal, bilişsel, psikodinamik yaklaşımların her birinden bir parça barındıran fizyolojik temelli EMDR (Göz hareketleriyle duyarsızlaştırma ve yeniden işleme) terapisi, iki yönlü uyaranlar aracılığı ile beynin sağ ve sol yarım kürelerini aktive ederek bu olumsuz deneyimlerin beyinde ilgili noktalara bağlanmasını, bilginin işlemlenmesini sağlar.
Çocuklarda EMDR terapisi; güvensiz bağlanma gerçekleştiren, travmatik bir deneyim yaşayan, depresyon, sınav kaygısı, doğum komplikasyonları, yas, taciz, duyguları düzenleyememe, davranış bozuklukları gibi sorunlar yaşayan çocuklarda kullanılabilir. “Ben sevilmeyen, değersiz biriyim” gibi olumsuz düşünce ve inançlar, “Ben sevilen, değerli biriyim” gibi olumlu düşünce ve inançlara dönüştürülür. EMDR terapisi, birkaç aylık bir bebeğe dahi uygulanabilir ve yetişkinlere kıyasla travmatik anıların izleri daha hızlı bir şekilde kaybolur.
Küçük çocuklar, yaşadıkları olumsuz deneyimleri ve günlük hayatlarına yansıyan olumsuz yönleri sözel olarak ifade etmede zorluk yaşayabilirler. Olumlu ve olumsuz düşüncelerin ve rahatsızlık seviyelerinin belirlenmesinde resimler, oyunlar, hikayeler kullanılır. Hedefe ulaşmada daha küçük adımlarla ilerlenir. Çocukla EMDR terapisi, sadece çocuğu ilgilendiren bir süreç değil, ebeveynin de etkin bir şekilde rol aldığı bir terapi yöntemidir. Ebeveynin çocuğa aktardığı duygusal düzenleme becerisi, travmatik deneyimlere karşı verdiği tepkiler de seansta çalışılan konulardır.
Terapide öncelikle çocuklara olumsuz duyularla baş etmek için bazı egzersizler öğretilir
Kendini kötü hissettiğinde kullanabileceği balonla nefes egzersizi, kendini en güvende hissettiği yerin, eşyanın, kişinin resmedilmesi gibi egzersizlerle çalışılır. Anne kucağı, çocuğun çok sevdiği bir oyuncağı ya da oyun terapi odasında oluşturduğu eğlenceli yerler de güvenli yer olarak seans arasında ya da sonunda kullanılabilir.
EMDR terapisi çocuklarda tek başına kullanılabileceği gibi diğer terapi çeşitleriyle birleştirilerek de kullanılabilir. Oyun terapisi sırasında, iyileştirici hikaye okurken, resim çizerken çocuğa işitsel, dokunsal ya da göz hareketleri gibi çift yönlü uyaranlar verilerek seanslar gerçekleştirilir. Bazen seanslara ebeveynler de dahil edilebilir, çift yönlü uyaranın ebeveynden verilmesi istenebilir. Böylece, ebeveyn çocuk arasındaki güvenli bağlanma ve empati duygusu da gelişmektedir.
Çocuklar, EMDR terapisi sayesinde olumsuz anılara, travmatik deneyimlere karşı duyarsızlaşır
Yani olumsuz yaşam olayı hatırlanır fakat olumsuz duygu ve düşünceleri beraberinde getirmez. Duyarsızlaşma gerçekleştikten sonra yine dokunsal, işitsel ya da göz hareketleri uyaranları kullanılarak, hikaye, oyun, resim gibi araçlar kullanılarak pozitif düşüncelerin yerleştirilmesi sağlanır.
Sonuç olarak çocuklarda EMDR terapisi; çocukların yaşadıkları olumsuz deneyimleri, içselleştirdikleri kendilerine ait olumsuz inançları işlemleyerek çocukların kendilerine ait olumlu düşünceler kazanmasını ve olumsuz yaşam deneyimlerine karşı duyarsızlaşmasını sağlamaktadır. EMDR terapisi ile geçmişte yaşanan rahatsız edici anılar işlemlenerek duyarsızlaştırılır, bugüne yansıyan belirtiler azaltılır ve gelecekte karşılaşılabilecek sorunlarla baş etme becerisi kazandırılır.
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