Couples Midterm Flashcards
Gottman 5 tools
- Softened Start-Up
- Accepting Influence
- Repair & De-Escalation
- Compromise
- Physiological Soothing
Gottman 7 questions
- Overall, where is each in the marriage?
- What is the nature of the marital friendship
- What is the nature of the sentiment override (+ or -) Sentiment override
- How do they, and can they soothe?
- What is the nature of the conflict and its regulation?
- In what ways do they honor dreams and create shared meaning?
- What potential sources of resistance exist?
EFT 5 Main Tenets
1) All behavior has a communicative aspect
2) Alliance is critical
3) Behavior must be considered in context
4) Corrective emotional experiences
5) Emotion moves the individual and communicates to others, which results in
(predictable) responses from partner
EFT draws from 4 theories
Experiential
Humanistic
Attachment
Systemic
Role of EFT Therapist (4)
→ safe, egalitarian relationship
→ tracking and exploring emotions
→ expand emotional responses and turn towards
→ Awareness of emotions and impact of actions on partner
What factors should be considered in risk assessment with offenders? 4
○ Dispositional risk factors- impulsiveness, hostility
○ Clinical risk factors- Substance abuse, BPD, ASPD, (also possibly NPD, but less
so)
○ Historical Risk Factors- Previous behavior biggest predictor of future
performance
○ Contextual Risk Factors- what is going on in environment? Separation,
pregnancy, victim’s substance use high risk times
What 3 steps does the “duty of care” require clinicians to be competent to perform?
○ Duty to protect (safety planning with victims, avoid inappropriate psychiatric
hospitalization of offenders or victims)
○ Duty to warn & protect (Tarasoff)
○ Duty to report (child abuse, etc)
What EFT is:
“Emotionally focused couple therapy (EFT) is a short-term, systematic, and tested intervention to reduce distress in adult love relationships and create more secure attachment
bonds.”
Goals of EFT
We want to get close, but we’re afraid to. Relax defensive fears so genuine emotions
can emerge
➔ Processes of EFT:
a. alliance, id cycle, underlying emotions,
deescalate
b. Engage the withdrawer
c. Soften the pursuer/blamer
d. new emotional bonding events/cycles of interaction
e. Consolidate new cycles of trust, connection and safety, apply
The Process of Change in EFT
● Negative Cycle De-escalation (end of Stage 1)
→ Withdrawers start to engage more
→ Hostile partners start to blame less
● Withdrawer Engagement (Stage 2)
→ Withdrawer starts to assert their own needs
● Blamer Softening (Stage 2)
→ Blamer begins showing vulnerability
Duties: (Tasks?) of EFT
- Form the alliance
- access emotional experience in session. teach clients to recognize and communicate about emotional experience in session
- Restructure and reunderstand key interactions through an EFT lens
What were the myths about marriage and divorce that Gottman debunks?
◆ Active listening model ◆ Anger as a dangerous emotion ◆ Quid pro quo ◆ Affairs Cause Most Divorces ◆ Monogamy is for Women ◆ Gender Differences Cause Divorce ◆ Marital friendship
Ethical considerations in regards to couples (6)
- Multiple relationships
- avoiding harm
- confidentiality and disclosures
- clarifying therapist role
- testimonials
- secret keeping
Abuse- red flags
denial, minimizing, power/control
personality d/o, substance abuse
childhood abuse, parental rejection, over controlled