by Gary S. Aumiller, Ph.D.\u00a0 ABPP<\/span><\/p>\n \u00a0<\/p>\n In Berkely, California there are researchers who are working on what happens to the brain in intrusive recurring images, in fact they are working hard on mapping what the brain does when it has the images.\u00a0 They have gone as far as trying to replicate the images by stimulating those parts of the brain that light up when the image is shown.\u00a0 They haven\u2019t gotten quite that far yet as the stimulated images are mostly a blurry mess, but the basic shapes can be seen at times.<\/span><\/p>\n For the cop working crimes against children, and other sex crimes, the images are not blurry, in fact the recurrent images are like taking repeating concussive hits to brain.\u00a0 It exhausts guys and girls in this work and makes like post-concussive syndrome affects on the brain.\u00a0 They get punch-drunk with images that eat away their family life, their personal life, and of course, their ability to sleep.\u00a0 Their world is a much more dangerous place for women and children.\u00a0 And while they stay awake from the images, the lack of sleep doesn\u2019t burn off the dopamine in their brains and it gets even harder to fight the involuntary slipping into images.\u00a0 As psychologists, we work hard to try to suppress the nasty recurrent intrusive images, and we try to use a variety of techniques before the patient gets comatose with bad visions.<\/span><\/p>\n Most treatment for recurrent images require pairing exposure to the image with some other state to take away the negative effect of the image.\u00a0 For example, some treatments make the person imagine the image, then pair it with deep relaxation so they can build up new pairings.\u00a0 The key is these techniques depend on some sort of repeated exposure to the image.\u00a0 This technique has worked with many types of traumas police face.\u00a0 For example, working on the second Trade Center Bombing in New York, I had a group of people that would start by imagining being there, then relaxing.\u00a0 Then, they would see pictures of the Trade Towers taken at the scene and would change their image to some pleasant image or learn to relax.\u00a0 We would increase the stimulus, step-by-step until we got to the point where we would take a trip to the site of the Trade Center and I would have them show me where they were and relive the situation.\u00a0 Each stimulus had a pairing with relaxation or a positive image that would change their state from anxiety to a better feeling. \u00a0\u00a0On the Trade Center Bombing, it worked most of the time.\u00a0 But I don\u2019t find this technique as very powerful with the images of a person working on sex crimes.<\/span><\/p>\n EMDR or Eye Movement Desensitization Re-Processing is another technique used for images.\u00a0 Here the person is given bi-lateral stimulation of the brain through back and forth movement of the eyes, or even patting them on each side of their shoulders.\u00a0 That is paired with introducing images and the theory is the brain stimulation weakens the images.\u00a0 There is little research with cops and none that I am aware of with Internet crimes against children cops.\u00a0 But there is plenty of anecdotal evidence with police, including some that I have experienced with my cops.\u00a0 Some cops respond well to EMDR and it works.\u00a0 But, I have yet to have it work with sex crimes workers.\u00a0 Perhaps it is the persistence of the images, or the repetitiveness and similarity of the images, but whatever it is, I do not have luck using this technique.\u00a0 It may also be the images have been so completely ingrained in the people I see as many have been on the job way too long.<\/span><\/p>\n The idea of stimulation combined with exposure leads me to another technique used by people. \u00a0I have one psychologist friend that states he works with traumatized people by adding physical stimulation to the talking therapy he does.\u00a0 He says by exercising on a bike or a rowing machine, or even lifting weights while doing therapy, he creates a pairing that stimulates his cops while channeling their energy.\u00a0 You see, the pairing is very important in trying to get rid of images.\u00a0 My cops who work in internet crimes say they do better when they exercise as it makes the images are less intrusive.\u00a0 It is when they stop exercising, they start getting eaten alive by the images.\u00a0 This is definitely something to be explored.<\/span><\/p>\n With the internet crimes and sex offender detectives I am working with, I find putting them on normal exposure therapy is not that effective and it seems to vary depending on how long they have been doing the job and how intense the job has gotten.\u00a0 Unfortunately, the departments up here have kept the cops on the job multiple years and didn\u2019t transfer them right away when they requested it.\u00a0 The images are hard-set, and they are exacerbated by the resentment of the time spent locked in the unit. \u00a0Some are forced to retire completely as they are having trouble functioning.\u00a0 With these personnel, telling them to relax in the face of images or waving fingers in front of their face trying to get bi-lateral stimulation is too much exposure and that is what they need to avoid.<\/span><\/p>\n I work with these cops by getting them refocused on their future.\u00a0 I may have them do a guided fantasy of a future time without policing or if they are staying in policing without sex crimes.\u00a0 I may try hypnosis if they are susceptible to make it more out-of-the-body and a place they don\u2019t have to go again.\u00a0 I bring conversations to work after policing, or travel to places that are more interesting or relaxing.\u00a0 I have talked everything from marketing, to building a business, to running a campaign for a political office, to building an app on a computer or cell phone, all with the intent to get them into a different mode of thought.\u00a0 Most of these guys are obsessive, and nothing works better with an obsessive than getting them to change their obsession.\u00a0 I find that slowly the images they had while working sex crimes weakens, and become just another memory of their past, and then I can put it in perspective to make them positive images about who they have arrested and the number of people who are off the street because of them.\u00a0 I then slowly introduce them into exposure situations and see how they react.\u00a0 I use heart rate data and sleep cycles to let you know how they are doing.\u00a0 Before it was making them count the heart rate by hand before they went to bed or when they woke up, but with the current Fit Bit type applications out there, this is easy to access.<\/span><\/p>\n