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11 Cards in this Set

  • Front
  • Back

Emotionally Focused Therapy: Therapist

Process consultant


Choreographer


Collaborator

EFT: People of Influence

Sue Johnson


Les Greenberg

EFT: Overview of Treatment

3 Stages:


1) De-escalation of negative cycles


2) Change interactional patterns and creating engagement


3) Consolidation and Integration


Primary Therapeutic Tasks


1) Creating and Maintaining alliance


2) Assessing and formulating emotion (critcally attachment emotions)


3) Restructuring interactions

EFT: Therapeutic Relationship

Empathetic Attunement


Acceptance


Genuineness


Continuous monitoring of alliance '


Joining the system


RISSSC - (repeat, images, simple, slow, soft, Clients' words)



EFT: Case Conceptualization and Assessment

Intrapsychic & Interpersonal issues


Primary and Secondary Emotions


Negative Interactional Cycle - Pursue/Withdraw


Attachment History


Attachment Injury

EFT: Treatment Goals

• Creating secure attachment for both partners


• Developing new interaction patterns that nurture and support each partner


• Increasing direct expression of emotions - especially those related to attachment needs

EFT: Interventions

• Reflection of emotion


• Validation


• Evocative responding - reflections and questions


• Heightening


• Empathetic conjecture and interpretation


• Tracking and reflecting interaction patterns


• Reframing problems contextually


• Enactments, restructuring, choreography


• Turning emotional experience into new response


• Self-disclosure

EFT: Attachment Theory Base

Attachment needs continue into adulthood - not just infancy and early childhood


• Bowlby's attachment theory: avoidant, insecure, secure attachment styles


EFT: Symptomology - Negative Interaction Cycle

Pursue/Withdraw: one pursues connection, other withdraws.


Withdraw/Withdraw: typically one burned-out pursuer becomes a withdrawer after repeated attempts and failures to connect


Attack/Attack: Withdrawer that erupts in anger when provoked by partner's pursuit, reverts back to withdraw position


Complex cycles: Multimove cycle that involves high levels of anxiety and avoidance

EFT: Primary and Secondary Emotions

Primary: Initial reactions to situation, represent attachment fears and needs. Usually more vulnerable emotions - e.g. feeling abandoned, alone, etc.


Secondary: Emotions about the primary emotion, not the actual situation. Often takes the form of anger, frustration, withdrawal

EFT: Contraindications

• Different agendas for the relationship and/or therapy


• Separating couples (one partner has emotionally left relationship)


• Abusive relationships - all forms


• Untreated addiction