Emotionally Focused Therapy (EFT): Evidence-Based Interventions for Distressed Couples – Kathryn Rheem

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Emotionally Focused Therapy (EFT)—the only model of couple therapy that has been tested and shown to create lasting change in over 20 empirical studies.

In this recording, join EFT trainer Kathryn Rheem, Ed.D., LMFT, colleague of Dr. Sue Johnson, and learn the process for helping couples move from negative patterns of interaction to greater openness and deeper intimacy with each other.

Attachment distress and the resulting arguments between partners is one of the most powerful forces in our clients’ lives. This distress is emotionally disruptive, hard to contain, and unpredictable for clients and clinicians alike.

Emotionally escalated couples are frequently our most challenging clients. Emotionally Focused Therapy (EFT), based on adult attachment, offers a clear map to work with and shift escalated couples. Reactive emotion, a hallmark of attachment distress, is fast-moving, hard to contain, and keeps couples stuck in a negative pattern. Accessing and sharing vulnerabilities, a key to creating healthy attachment, can look easy but is challenging. Sharing vulnerabilities with each other creates the bonding moments needed to re-structure their bond.

1. Communicate the tenets of human bonding and how the tenets operate in adult love relationships for purposes of client psychoeducation.
2. Assess for attachment injury and trauma history in presenting couples as it relates to case conceptualization.
3. Summarize the EFT stages, steps and five moves of the Tango to be utilized in a clinical setting when working with couples.
4. Articulate the “stuck” places couples encounter that perpetuate negative cycles and emotional disconnection in love relationships, and utilize this information to improve clinical outcomes.
5. Increase treatment effectiveness by adapting the EFT model to different clients, including escalated, traumatized, and depressed partners.
6. Utilize clinical exercise to shape your reflections on the couple’s negative pattern of interaction as you implement the Five Moves of the Tango.

State of Couple Therapy: The New Science of Attachment

• The map to basic relationship emotions and needs
• Understand and contain distance and distress
• Shaping responsive bonding
• Understand love relationships – invaluable to the therapist

Emotionally Focused Therapy (EFT)

The Core Tasks

• Build an alliance
• Reprocess and distill emotion
• Choregraphing new interactions
• Videos and exercises

The Structure – Three Stages

• 1. De-escalation
• 2. Restructuring attachment
• 3. Consolidation
• Key change events

The Moves – EFT Tango: Experiential & Systemic

• Move 1: Track & reflect process
• Move 2: Assemble & deepen emotion
• Move 3: Choregraph engaged encounters
• Move 4: Process the encounter
• Move 5: Integrate, validate, summarize

Micro Interventions

• Reflection of emotional process
• Validation
• Evocative process questions
• Deepen and distill emotion
• Interpretation – conjecture
• Reflecting interactions – feedback loops
• Reframing
• Shape enactments
• Contain enactments that go awry

Difficult and Attachment Injured Clients: Discussion and Exercises

• Dysregulated, escalated, and shut down, dismissing clients
• Attachment injuries (i.e. affairs) – Relationship traumas that destroy trust
• A proven model for forgiveness and reconciliation

The New Era of Couple Therapy

• Growing into and applying the EFT model
• Gain confidence in EFT – Maximize effectiveness in your practice
• Key changes and challenges in the field of couple therapy

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