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Emotional Focused Therapy

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by

Richard Wong

on 9 July 2016

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Transcript of Emotional Focused Therapy

Foundation Strength of EFT Stages 1 Stage 2 Intervention Basic Principles Relationships are attachment bonds. Effective therapy should address the security of the bond, accessibility and responsiveness of each partner.
Change involves a new experience of the self, new experience of the other and new relationship events
Rigid interaction patterns create and reflect absorbing emotional states. It's systemic.
Emotion is the target and agent of change
The therapist is a process consultant
Partners are viewed as coping as optimally as they can given their current circumstances i.e. non-pathologizing. Partners are not sick/unskilled, they are only stuck in habitual ways of dealing with emotions Emotion Theory + Attachment Theory Emotional Focused Therapy
Step 1: Assessment
Step 2: Identify negative cycle and attachment issues
Step 3: Access underlying attachment emotions
Step 4: Reframe the problem into cycle, attachment need and fears — Partners are no longer victims of the cycle, they are now allies against it. Step 5: Access implicit needs, fears, models of self

Step 6: Promote acceptance by other-expand the dance

Step 7: Structure emotional engagement-express attachment needs and wants Leisie Greenburg (1) an empirically supported humanistic treatment that arose out of emotion theory and attachment theory.
(2) views emotions as centrally important in the experience of self, in both adaptive and maladaptive functioning, and in therapeutic change.
(3) a change occurs by means of awareness, regulation, reflection, and transformation of emotion taking place within the context of an empathetically attuned relationship.
Step 8: New positions in the cycle/enact new stories

Step 9: New solutions to pragmatic issues Stage 3 Focuses on reflection of new emotional experiences and self-concepts. It integrates the couple’s new ways of dealing with problems within themselves and in the relationship. It is the attachment bond that is formed through EFT therapy, which is the newfound strength of the couple. Integration/Consolidation Restructuring the bond This stage involves restructuring and widening the emotional experiences of the couple. This is done through couples recognizing their attachment needs, and then changing their interactions based on those needs. At first their new way of interacting may be strange and hard to accept, but as they become more aware and in control of their interactions they are able to stop old patterns of behavior from reemerging. Stabilization (Assessment and De-escalation Phase) During this stage the therapist creates a comfortable and stable environment for the couple to have an open discussion about any hesitations the couples may have about the therapy, including the trustworthiness of the therapist. The therapist also gets a sense of the couple's positive and negative interactions from past and present and is able to summarize and present the negative patterns for them. regulation awareness corrective experience of emotion Increasing awareness of emotion, or naming what one feels. EFT therapists help patients approach, accept, tolerate, and symbolize emotions rather avoid them. emotional expression From secondary emotions, overcoming avoidance to experience and express previously constricted primary emotions. In addition to symbolizing emotion in words, reflection on emotional experience helps one make sense of their experience. EFT therapists helps develop new narratives to explain experience. transformation finding emotion by emotion, a chain of change. This applies most specifically to transforming primary maladaptive emotions such as fear, shame, and the sadness abandoned or alone with other adaptive emotions. Sub-dominant Emotions in the present. Focusing on what is needed. Therapists can help the client access new subdominant emotions in the present by a variety of means, including shifting attention to different aspects of the situation or to emotions that are current being expressed byt are only 'on the periphery' of a client's awareness. mobilizing, activating new emotions. A key way of changing an emotion is to have a new lived experience that change a feeling. 1. EFT is based on clear, explicit conceptualizations of marital distress and adult love. These conceptualizations are supported by empirical research on the nature of marital distress and adult attachment.
2. EFT is collaborative and respectful of clients combining experiential Rogerian techniques with structural systemic interventions.
3. Change strategies and interventions are specified.
4. Key moves and moments in the change process have been mapped into nine steps and three change events.
5. EFT has been validated by over 20 years of empirical research. There is also research on the change processes and predictors of success.
6. EFT has been applied to many different kinds of problems and populations.
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