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Gottman

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by

Amy Quinn

on 4 March 2013

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Transcript of Gottman

Gottman-Style Therapy Outline: The Gottmans
Underlying Process
7 Principles
How to conduct Gottman-style therapy The Gottmans 4 Horsemen 7 Principles 2 4 5 Underlying
Process What makes a lasting and sound relationship? Friendship =
love
trust
fidelity
admiration
positive affect
we-ness
positive sentiment override (vs. negative sentiment override - seeing everything in a negative light) Julie and John Criticism
Contempt
Defensiveness
Stonewalling Need to eliminate from
relationship Exercise Time! Essence of Pre-
Marital Program Gottman
Techniques There's an app for that...
http://www.gottman.com/60846/Phone-Apps.html Does your couple have a child?
Same messages in: John - Mathematics then Psychology
Julie - Psychology






1994 - The Gottman Institute: research and "love lab"

2002 - The Relationship Research Institute:
couples' program creation

3 levels of Gottman Certification training Role Play! When is Gottman therapy
contra-indicated? an ongoing affair
ongoing characterological domestic violence
an individual may need to start a medicine regimine before therapy Skills learned: Softened startup
Repair attempts
Flooding
Body language
Viewing past relationship memories in a positive light Conducting Gottman Therapy Plus - information on emotion coaching (naming and validating your child's emotions in all situations) Session 1: Intake Assessment (90 min.)
Welcome, disclosure statement, release of info
Authorization to allow filming
Couple's narrative - "What brings you in and what do you hope to accomplish?"
Oral History Interview
Family Histories
10-15 min. filmed conflict interaction - "Talk to each other as if you were home alone. Discuss a disagreement and where you might get stuck. Try and resolve this issue."
Explain individual interviews
Give questionnaire packet
Compliment and validate relationship difficulty Assessment (3 sessions)
Treatment
"Phasing Out" of therapy (meet less often to allow couple to test out strategies without therapist)
Termination (last session, summarize and say bye)
Outcome Evaluation (one session after 6 months, one after 12 months, one after 18 months, one after 2 years - helps combat relapse) Semi-structured - takes 20 min.
Examines:
Meta-emotion discrepancy (is one person emotion dismissing and another emotion coaching?)
Fondness/admiration/we-ness
Love maps
Glorifying the struggles
Stereotypic roles/traditionality
Disappointment/negativity Oral History Interview Assess for:
4 horsemen, soft/harsh startup/conflict-avoiders or conflict-engagers/repair attempts
Long eye closures/Eyelid fluttering
Facial expressions (fear, anger, etc.)
Body language (crossed arms, hips pointed away from partner)
Change in voice (getting higher)
Speech disturbances
Physiology
Measure heart rate and blood pressure (bad above 100 beats per min)
Examine physiological baseline, during discussion, and recovery Session 2: Individual Interviews (45 min. each)
No secrets policy
Have questionnaires turned in
What is on client's mind? Anything that might be pressing at the moment?
Personal reason for attending therapy?
Commitment to relationship?
Hopes/expectations for relationship?
Personal goals?
Cost/benefit analysis of relationship
Abuse?
Presence of betrayals (affairs, etc.)?
Family history
Psychopathology Session 3: Treatment Planning (90 min.)
Ask couple how they are doing
Anything pressing?
How is the assessment going?
Go through levels of the Sound Relationship House
Create a therapeutic alliance through use of common factors
Goals for therapy based on questionnaires:
initial crisis management
making conflict discussions constructive
improving friendship, emotional connection, and intimacy
improving shared meaning Treatment/Intervention Sessions Therapy assumptions:
Therapy is dyadic - have the couple talk to each other
Get to the underlying emotions
State dependent learning
Get into a state of Diffuse Physiological Arousal to be able to self-soothe out of flooding
Strengths-based
"Good enough relationship" Have each partner understand the other's viewpoint with Rapoport Intervention
Eliminate 4 horsemen
move from gridlock to dialogue with Dreams-Within Conflict intervention
Develop skills: soften start up, accepting influence, effective repairs, de-escalate quarrels, compromise, physiological soothing
Enhance friendship through love maps and the stress-reducing conversation
Create shared meaning by discussing rituals of connections and the shared purpose of building a life together
Full transcript