Couples Midterm COPY

Question 1

EFT 5 Main Tenets

Answer 1

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

Question 2

EFT draws from 4 theories

Answer 2

Experiential Humanistic Attachment Systemic

Question 3

Role of EFT Therapist (4)

Answer 3

→ safe, egalitarian relationship → tracking and exploring emotions → expand emotional responses and turn towards → Awareness of emotions and impact of actions on partner

Question 4

What factors should be considered in risk assessment with offenders? 4

Answer 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

Question 5

What 3 steps does the “duty of care” require clinicians to be competent to perform?

Answer 5

○ 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)

Question 6

What EFT is:

Answer 6

“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.”

Question 7

Goals of EFT

Answer 7

We want to get close, but we’re afraid to. Relax defensive fears so genuine emotions can emerge

Question 8

The Process of Change in EFT

Answer 8

● 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

Question 9

Duties: (Tasks?) of EFT

Answer 9

1. Form the alliance 2. access emotional experience in session. teach clients to recognize and communicate about emotional experience in session 3. Restructure and reunderstand key interactions through an EFT lens

Question 10

Ethical considerations in regards to couples (6)

Answer 10

1. Multiple relationships 2. avoiding harm 3. confidentiality and disclosures 4. clarifying therapist role 5. testimonials 6. secret keeping

Question 11

Abuse- red flags

Answer 11

denial, minimizing, power/control personality d/o, substance abuse childhood abuse, parental rejection, over controlled

Question 12

Implications of substance abuse for IPV

Answer 12

3 reasons it’s bad: control, unpredictable behaviors, dull pain

Question 13

how are duties of care discharged?

Answer 13

care- be competent beforehand protect- safety planning, psych hospitalization warn- be alert to overt and subtle threats report- know when and how to report