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    Case report: Online eye movement desensitization and reprocessing approach in children: a case series
    (Frontiers Media Sa, 2024) Akyol, Canan Citil; Kutlu, Mustafa; Korkmazlar, Umran
    Objective The aim of this study was to examine the use of Eye Movement Desensitization and Reprocessing (EMDR) in online counseling for children with single-incident trauma.Method A qualitative case study method was employed. The research was conducted with two volunteering children and their parents. The sessions were transcribed by the authors, and code names (Ipek and Eyl & uuml;l) were assigned to protect the participants' identities. & Idot;pek's traumatic memory was explored through drawing pictures with tactile bilateral stimuli and Eyl & uuml;l's traumatic experience was addressed using tactile bilateral stimuli during the EMDR therapeutic story technique. The Child Revised Impact of Events Scale (CRIES-8) was used for pre-test, post-test, and follow-up testing to support the session descriptions.Results The results indicated that post-traumatic symptoms were reduced and remained at a low level for an extended period in both clients.Conclusions It is suggested that future studies should explore various bilateral stimulation methods in online EMDR, conduct larger-scale studies with children who have experienced different types of traumatic events, and investigate the impact of various EMDR protocols on children.
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    School Counselors' Challenges with Shared Earthquake Trauma During the Counseling Process: The Wounded Healer
    (Springer, 2026) Atli, Abdullah; Akyol, Canan Citil
    Following large-scale disasters such as earthquakes, which constitute forms of collective trauma affecting millions of individuals and communities simultaneously, research remains limited regarding the challenges experienced by wounded healers-counselors who share traumatic experiences with their clients-during the counseling process. The purpose of this study was to explore the professional challenges encountered by school counselors who, as members of the same affected community, experienced trauma similar to that of their clients within a context of collective trauma. A qualitative phenomenological approach was employed, utilizing semi-structured interviews with 23 school counselors exposed to shared and collective post-earthquake trauma. Thematic analysis revealed three primary themes. The first theme, Empathy-Sympathy Cycle, captures the oscillation between empathy and sympathy that counselors experience when working with clients under conditions of shared and collective trauma. The second theme, Self-Disclosure Continuum Impacts the Collective Healing Process, describes how counselors' own traumatic experiences may lead to increased self-disclosure, resulting in blurred professional boundaries. The final theme, The Wounded Healer's Increasing Need for Professional Support, emphasizes the heightened necessity of professional support systems for counselors working within collective trauma contexts to safeguard both counselor well-being and therapeutic effectiveness. The findings provide important implications for policy development and institutional support mechanisms aimed at addressing the unique professional challenges of counselors working in settings characterized by shared and collective trauma. Our findings demonstrate that shared earthquake trauma enhanced counselors' empathy; however, the emotional burden frequently caused them to shift toward sympathy, creating an empathy-sympathy spiral. Additionally, counselors reported experiencing difficulties maintaining clear professional boundaries due to excessive self-disclosure. Finally, our research underscores the necessity for robust professional support services, including supervision, training, and personal therapy, to enable counselors affected by shared trauma to deliver effective and psychologically healthy counseling.