Sunday, May 10, 2015

Emotional Focused Couples Therapy

E) Techniques
Stage 1: The De-escalation of Negative Cycles of Interaction
Step 1. Creating an alliance
Step 2. Identifying the negative interactional cycle
Step 3. Accessing the unacknowledged emotions
Step 4. Reframing

Skills used: • Empathy – a necessary prerequisite for and an integral part of all EFT interventions.
• Focus on accessing and expanding primary emotional responses, which are often presented as secondary, reactive responses.
• Reflection
• Validation
• Implicit emotions explicit
• Placing secondary emotions in context
• Empathic conjecture/interpretation
• Evocative responding (reflections/questions)

Stage 2. Changing Interactional PositionsStep 5. Promoting identification with disowned attachment emotions, needs
Step 6. Promoting acceptance of partner’s experiences
Step 7. Facilitating expression of needs and wants and creating emotional engagement

Skills used:• Safe working distance
• Heightening
• Focus on primary attachment emotions
• Deepen each client’s engagement with primary, underlying emotion
• Seeding attachment softening Disquisition

Stage 3. Consolidation and Integration
Step 8. Facilitating the emergence of new solutions to old relationship problems
Step 9. Consolidating new positions and new cycles of attachment behaviors

Skills used:• Tracking and reflecting
• Enactment
• Externalization
• Reframing
• Restructuring interactions
• Heightening new responses

Techniques Specific to Difficult Therapeutic Impasses• Diagnostic picture or narratives
• Specific “picture” painted by therapist of couple’s positions
• Presents limited choices of future
• Individual sessions
• Address specific emotional responses that block engagement
• Useful when crisis occurs

The “How” of InterventionsRISSSC
Repeat
key words and phrases
Image to capture and hold emotion
Simple words and phrases
Slow pace
Soft voice
Client’s Words in a collaborative, validating way