Reprocessing
Accelerated Resolution Therapy (ART) as an Integration within the ShiftGrit Core Method™
Overview
Accelerated Resolution Therapy (ART) is a brief, directive, eye-movement-based psychotherapy used primarily to treat trauma- and stress-related conditions. It combines elements drawn from several established approaches, including the lateral eye movements associated with Eye Movement Desensitization and Reprocessing (EMDR), within a standardized, protocol-driven format intended to be delivered in a small number of sessions.
How it works
In an ART session, the client recalls a distressing memory while visually tracking the therapist's hand as it moves back and forth, producing sets of smooth-pursuit lateral eye movements thought to reduce the physiological and emotional intensity of the recollection. The approach then uses a technique often described as voluntary image replacement or rescripting, in which the client deliberately substitutes the distressing mental images with preferred or neutral ones; proponents hold that the factual memory is retained while its disturbing sensory and emotional charge is diminished.
What it is used for
ART has been studied most extensively for post-traumatic stress disorder (PTSD), including combat-related and refractory presentations, and has also been examined for co-occurring depression and anxiety symptoms and for complicated or prolonged grief. It is applied clinically to a broader range of trauma- and stress-related concerns and was rated by the United States Substance Abuse and Mental Health Services Administration's National Registry of Evidence-Based Programs and Practices (NREPP) in 2015, though its formal evidence base remains narrower than that of longer-established trauma therapies.
Origins and evidence base
ART was developed in 2008 by Laney Rosenzweig, a licensed marriage and family therapist, who adapted eye-movement techniques she had learned through EMDR into a more standardized and directive protocol. The empirical literature is led by randomized controlled trials and related studies conducted by Kevin E. Kip and colleagues at the University of South Florida, including a 2013 trial of ART for combat-related PTSD; the overall evidence base is generally characterized as promising but still emerging, with a relatively small number of controlled trials and modest sample sizes.
Within the ShiftGrit Core Method™
Sometimes a hard memory settles into one vivid, distressing picture that the mind keeps replaying on its own, and that picture can get so loud it crowds out everything else. When that happens, Accelerated Resolution Therapy is one approach our clinicians may draw on. ART is an evidence-based method that uses gentle, guided eye movements to ease the charge carried by that image, and then invites a client to revise how the picture looks so it feels less overwhelming, while the true facts of what happened stay intact. Think of it as turning down the volume on a scene that has been playing too loudly to hear anything underneath. Across a client's time with us, the steady through-line is the ShiftGrit Core Method™, our evidence-informed way of working: Pattern Theory™, the way we deliver it, and the work that is designed to address the limiting belief sitting under a recurring pattern. ART and the Core Method™ are intended to work alongside each other here. When a clinician brings ART in, it can help quiet the picture so the belief beneath it is easier to surface, and the Core Method™ is built to take up that belief and work with it where it first took hold. The two approaches support each other, each doing what it is suited to.
Illustrative example
A client keeps reliving one upsetting scene from a past event, and each time it surfaces it can feed the belief "I am in danger" and the sense that they always have to stay on guard. Drawing on ART, our clinician guides gentle eye movements to help ease the charge attached to that scene, then invites the client to soften how the image looks while keeping the real memory of what happened. With the picture feeling less intense, the belief underneath is easier to reach, and the Core Method™ is designed to work with it where it first took hold. The two approaches support each other through this.
Based on: Kip KE, Rosenzweig L, Hernandez DF, Shuman A, Sullivan KL, Long CJ, Taylor J, McGhee S, Girling SA, Wittenberg T, Sahebzamani FM, Lengacher CA, Kadel R, Diamond DM. Randomized controlled trial of accelerated resolution therapy (ART) for symptoms of combat-related post-traumatic stress disorder (PTSD). Military Medicine. 2013 Dec;178(12):1298-1309. [source]




