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Transcript of EFT Presentation
Agreements: Healthy Family Dance Cultural Critique EFT Defined Currently the only empirically validated couples therapy
Recovery rate is 70-73% in 10-12 sessions
Relapse is rarely a problem Healthy relationships operate like a dance Marriage Covenant fosters healthy
Gen. 2:24- therefore a man shall leave his father and his mother and hold fast to his wife, and they shall become one flesh.
(McFee & Monroe, 2011) Important Distinction:
- All cultures experience the same emotions.
- Cultural variance comes in the in the expression of those emotions and their ability to understand and articulate them.
(Karakurt, 2009) Agreements Continued: Techniques model habits of a healthy relationship
Romans 12:15- rejoice with those who rejoice, mourn with those who mourn.
1 Peter 3:8- Finally, all of you, have unity of mind, sympathy, brotherly love, a tender heart, and a humble mind.
(McFee & Monroe, 2011) Agreements Continued The accepting stance of the Therapist
Hebrews 4:16- Let us then approach the throne of grace with confidence, so that we may receive mercy and find grace to help us in our time of need. Disagreements: Humanistic Tradition
2 Tim. 3:16- All Scripture is breathed out by God and profitable for teaching, for reproof, for correction, and for training in righteousness.
(McFee & Monroe, 2011) Role of a Culturally Sensitive
Therapist in EFT - - To be familiar with cultural & gender specific tendencies surrounding emotions
- To normalize the need for connection and care
- Be aware of over suggesting expression prescribed by your own culture
(Karakurt, 2009 & Gehart, 2010, p. 262) Les Greenberg Susan Johnson Short-term intervention used to reduce stress on adult love relationships and create more secure attachment bonds.
Belief that emotion is the key organizer of inner experiences and key interactions with others. Healthy Family Each member is emotionally tuned into each other and they are able to coordinate moves together in harmony Therapeutic Change 1st and 2nd order change First order change: primary emotions are revealed and members can take emotional risks Second order change: members can articulate their vulnerable wants and experience acceptance Healthy relationships rely on secure emotional bonds and responsiveness from each other Emotions communicate our inner feelings and wants Examples of secure bonds:
quality of attachment
ability to share emotions
trust Role of the Therapist The therapist does: Help the couple reprocess their emotional experiences
Help the couple restructure their relationship interactions
Follow and lead the therapeutic alliance The therapist does NOT: Teach communication skills
Create insight into the past and/or future
Employ paradox or problem presciptions Gehart 2010 Role of the Therapist 3 EFT Therapist Tasks Creating and Maintaining an Alliance Task 1: Task 2: Assessing and formulating emotion Task 3: Restructuring interactions Gehart 2010 Role of the Therapist General Principles of EFT The EFT Therapist focuses on: Task 1:
Creating and Maintaining an Alliance The Therapeutic Relationship Joining the System
Continuous Monitoring of the System
Genuineness Task 2:
Assessing and Formulating Emotion Goal Most Crucial Aspect Accessing the emotional experience underlying interactional positions Unfolding new aspects of self not currently operating in the relationship Task 2:
Assessing and Formulating Emotion Attending Refocusing Immediacy Expression Analysis Intensification Symbolization Establishing Intents Task 3:
Restructuring Interactions Goal Most Crucial Aspect Using the emotional experience and expression to evoke new response and change interactional positions Redefining of interactional cycles in terms of the emotional experience as to aid the couple in the redefinition of the relationship Task 3:
Restructuring Interactions Tracking Interactions
Directing and Choreographing
Repositioning Key Interventions Reflection of Emotion Goal: Help client more fully experience emotions
Attend to poignant emotions
Reflect to client deep understanding and acceptance
Reflections should highlight unmet attachment needs Validation Communicates that the client's emotions are understandable and understood
Conveys that each partner is entitled to his/her experience and emotional responses Key Interventions Evocative Responding:
Reflections and Questions Used to bypass superficial issues and identify unexpressed emotions and needs
Offered tentatively to allow client to correct or rephrase Heightening Heighten key emotions and interactions that play a crucial role in maintaining the couple's negative cycle 1. The present experiences of each partner in the relationship
2. Accessing primary emotional experiences
3. The interactive process rather than the problematic issues
4. Restructuring the interaction, using the newly accessed primary emotions to motivate new behavior Key Interventions Empathetic Conjecture and Interpretation Typically addresses defensive strategies, attachment longings, and attachment fears Tracking and Reflecting Interaction Patterns Helps the couple understand the nature of their relationship Key Interventions Enactments, Restructuring, and Choreography Typically addresses defensive strategies, attachment longings, and attachment feers Graduated from University of British Columbia in 1984 with her doctorate in Counseling Psychology.
Founder of Centre for Emtionally Focused Therapy.
Head of the Ottawa Couple and Family Institute and a professor at the University of Ottawa. EFT Combines:
Humanistic Experience http://www.goodtherapy.org/famous-psychologists/leslie-greenberg.html
http://www.goodtherapy.org/famous-psychologists/sue-johnson.html Born in Johannesburg, South Africa in 1945.
Graduated with his Ph.D. in Psychology from the University of York in Toronto, Canada in 1975.
Professor at the University of British Coumbia in the Department of Counseling Psychology in 1985. EFT Co-Founders Assumptions of EFT Secure attachment bonds
Adaptive actions resulting from emotion
Emotion is the target for positive change
Negative emotions: Primary vs. Secondary
Missing the connection: Operating out of secondary emotion
Circular patterns of insecure attachments, negative interaction, rigid interaction and non-absorption of emotion
Attachment needs are universal but can vary by culture
New experiences/events will lead to positive change Bowlby's Attachment Theory Bonds Emotional Engagement
Emotional Responsiveness Attachment is an innate motivating force.
Secure dependence complements dependency.
Attachment offers a safe haven and secure base.
Emotional accessibility and responsiveness builds bonds.
Fear and uncertainty activate attachment needs.
Process of separation success is predictable.
Finite number of insecure attachment styles (anxious, avoidance and combination of both).
Involves working model of self and others.
Isolation and loss are inherently traumatizing. http://www.pathwaystherapy.net/articles/what%20is%20emotionally%20focused%20couples%20therapy.pdf Key Interventions Turning the New Emotional Experience into a New Response After one partner explores an emotional experience, the other partner has an opportunity to respond in a new way
Creates a positive interaction cycle
Each partner is better able to understand himself/herself and their partner Self-Disclosure Used to build rapport and intensify validation of client responses
Used infrequently, and must be kept to a minimum by the therapist Role of the Therapist Greensberg & Johnson 1988 http://trieft.org/wp-content/uploads/2011/05/Generic_Externship_Pp1.pdf Gehart 2010 Greensberg & Johnson 1988 Greensberg & Johnson 1988 Greensberg & Johnson 1988 Greensberg & Johnson 1988 Gehart 2010 Gehart 2010 Gehart 2010 Gehart 2010 Gehart 2010 Reframing Problems Contextually Problems are reframed in the broader context of the relationships
Negative interactions are framed as the enemy (Johnson 2007) (Johnson & Wittenborn 2012) (Johnson & Talitman 1997) So You Think You Can Dance? Unhealthy Families Cycles Incident One partner:
Pursue Other Partner:
Stonewall (Johnson, 2004, p.62) (Johnson and Wittenborn 2012) (Johnson 2007) Gehart 2010