EFT Fundamentals Flashcards

Study the fundamentals of Emotionally Focused Therapy (85 cards)

1
Q

What is the most empirically validated approach to couple therapy?

A

Emotionally Focused Therapy - EFT

e.g. (Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook)

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2
Q

Who is the primary developer of Emotionally Focused Therapy?

A

Susan Johnson

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3
Q

EFT looks both within and between, what are more therapeutic /psychological terms for these?

A

intrapsychic/intrapersonal and interpersonal

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4
Q

The EFT therapist is a ——- consultant

A

process

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5
Q

The EFT therapist ———— bonding events in the session which powerfully redefine the relationship

A

choreographs

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6
Q

The EFT therapist sometimes follows and sometimes leads, rather than being an expert, the EFT therapist works with the couple as a ————

A

collaborator

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7
Q

The EFT therapist doesn’t work in the there-and-then but rather the —- — —

A

here-and-now

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8
Q

The goal of EFT is to create what?

A

a secure bond between the partners

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9
Q

Is teaching communication skills part of EFT?

A

no

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10
Q

In EFT is insight considered sufficient to create lasting change?

A

no

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11
Q

In EFT the relationship is not considered a rational bargain but rather a —-

A

bond

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12
Q

EFT synthesises two approaches to combine the intrapersonal and interpersonal. Name the two approaches.

A

experiential and systemic

Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook

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13
Q

How many stages are there in EFT?

A

3

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14
Q

How many steps are there in EFT?

A

9

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15
Q

How many steps are there in stage one of EFT?

A

4

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16
Q

How many steps are there in stage two of EFT?

A

3

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17
Q

How many steps are there in stage three of EFT?

A

2

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18
Q

What is stage one of EFT?

A

De-escalation of the negative cycles of interaction

Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook

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19
Q

What is step one?

A

Creating an alliance and delineating conflict issues in the core attachment struggle

(Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook)

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20
Q

What is step two?

A

Identifying the negative interactional cycle

Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook

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21
Q

What is step three?

A

Accessing the unacknowledged emotions underlying interactional positions

(Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook)

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22
Q

What is step four?

A

Reframing the problem in terms of: the negative cycle, underlying emotions, and attachment needs.
The cycle is framed as the common enemy and the source of distress.

(Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook)

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23
Q

What is stage two?

A

Re-structuring the bond

previously called changing interactional positions

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24
Q

What is step 5?

A

Promoting identification with disowned attachment emotions, needs and aspects of self and integrating these into relationship interactions.

(Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook)

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25
What is step 6?
Promoting acceptance of the partner's experience and new interaction responses. (Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook)
26
What is step 7?
Facilitating the expression of needs and wants, and creating emotional engagement and bonding events that redefine the attachment between the partners. (Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook)
27
What is stage three?
Consolidation | previously consolidation and integration
28
What is step 8?
Facilitating the emergence of new solutions to old relationship problems. (Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook)
29
What is step 9?
Consolidating new positions and new cycles of attachment behaviours. (Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook)
30
How many major change events are there in EFT?
three
31
In which stages do the EFT change events take place?
stages one and two
32
Which change event takes place in stage one?
negative cycle de-escalation
33
Which change events take place in stage two?
withdrawer engagement | blamer softening
34
Which change event takes place in stage three?
none
35
Is negative cycle de-escalation first or second order change?
first-order change: the way interactions are organised is still the same while elements of the cycle are somewhat modified (Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook)
36
Are withdrawer engagement and blamer softening first order or second order change?
second-order change: there is a change in the structure of the relationship itself (Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook)
37
Pursuer or withdrawer? | 'I am livid, he let's me down all the time and I am so lonely. He can't keep doing this to me.'
Pursuer
38
Pursuer or withdrawer? | 'I always disappoint her, whatever I try. I know I opt out and hide in the shed but I don't know what else to do.'
Withdrawer
39
In EFT who/what is the client?
the relationship
40
Who first articulated attachment theory?
John Bowlby
41
According to attachment theory what is the relationship between secure dependence and autonomy?
they are complementary
42
From the experiential or systemic root of EFT? | A focus on the necessity for a safe, collaborative therapeutic alliance.
Experiential | Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook
43
From the experiential or systemic root of EFT? | A focus on emotion
Experiential | Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook
44
From the experiential or systemic root of EFT? A focus on a corrective emotional experience. Change not being primarily the result of insight, ventilation of emotion, or improved skills.
Experiential | Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook
45
From the experiential or systemic root of EFT? | Looking at context as a whole and how its elements interact.
systemic | Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook
46
From the experiential or systemic root of EFT? | A focus on the process of interaction and how it is organised into stable self-maintaining patterns.
systemic | Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook
47
From the experiential or systemic root of EFT? | Causality is circular with no one behaviour simply causing another.
systemic | Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook
48
From the experiential or systemic root of EFT? | The therapist's task is to change the negative rigid interactional cycle the couple consistently engage in.
systemic | Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook
49
From the experiential or systemic root of EFT? The goal of interventions is to create a system that supports belonging and autonomy and fosters contact, while allowing for individual differences and desires.
systemic | Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook
50
What is both a crucial target and agent of change in couple therapy?
emotion | Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook
51
Is the creation of new emotional experience considered the most important factor in intrapsychic or interpersonal change?
both - intrapsychic and interpersonal | Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook
52
In EFT change occurs primarily through what two new things?
New emotional experience and new interactional events | Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook
53
In EFT does change occur primarily through catharsis, insight, or negotiation?
none change occurs primarily through new emotional experiences and new interactional events (Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook)
54
EFT couple assessment takes place during which steps?
1 & 2 | Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook
55
In EFT assessment, what is the therapist's primary focus?
Gaining an understanding of clients' emotional experience of their partner and their relationship. (Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook)
56
What is it that traps and distances the couple?
The negative interactive cycle. | Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook
57
Which skill is being used when the EFT therapist uses the clients words to clarify and deepen understanding?
empathic reflection | Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook
58
Which skill is being used when the EFT therapist joins with the client, using the client's words and images?
empathic reflection | Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook
59
What 3 skills are most used in steps 1 &2?
Reflection Validation Reframing & catching the bullet (Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook)
60
Attachment offers both a safe haven and a what?
secure base
61
Attachment offers both a secure base and a what?
safe haven
62
In early sessions what types of emotions may only be able to be guessed at?
primary emotions | Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook
63
What skill is used to affirm the client's experience and convey to each partner that their emotions and experiences are legitimate and understandable in the context of their experience?
Validation | Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook
64
When clients are validated what are they more able to do with their feelings of shame and self-judgement?
regulate them | Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook
65
In stage one what does the EFT therapist do with secondary emotion?
validate it and place it in the context of both the client's experience and the cycle (Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook)
66
The EFT therapist has to take care that the validation of one partner doesn't do what?
invalidate or alienate the other partner | Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook
67
If the EFT therapist rushes into reframing what might it do?
invalidate the client | Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook
68
When a client directs hurtful comments at the other the EFT therapist will interrupt, what skill is this called?
'catching the bullet' | Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook
69
When the EFT therapist 'catches the bullet' she bypasses the aggression and instead focuses on what?
the underlying pain | Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook
70
Which skill is 'catching the bullet' one kind of?
reframing | Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook
71
What types of emotions does the EFT therapist want to discover and differentiate from one another?
secondary and primary | Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook
72
Which type of emotions might or might not be discovered in the first session?
primary | Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook
73
What is the client usually less able to do when his/her story is interrupted by strong affect? e.g. crying, flushing, biting lips, turning away, clenching fists.
continue speaking | Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook
74
What does an EFT therapist do when the client's story is interrupted by strong affect?
focus on the response, give the message that it is safe and appropriate to share this experience here (Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook)
75
What is understood as 'being scripted by unmet attachment needs and attachment fears'?
negative interactive cycles | Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook
76
In the cycle, what is it that 'not only reflects the person's experience but also creates it'?
each partner's position | Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook
77
What is the most common negative cycle and interactive positions?
pursue / withdraw | Johnson et al, 2005, Becoming an Emotionally Focused Therapist - The Workbook
78
why do we need to have a map to romantic love? | SJ 2017 PCEP
so our interventions are 'on target' | SJ 2017 PCEP
79
the essential element is that the therapist knows how to move into the emotional channel and …. SJ 2017 PCEP
stay there WITH the client, discovering, ordering and distilling that client's experience SJ 2017 PCEP
80
What is Step One of the EFT Tango? | SJ 2017 PCEP
The therapist 'reflects present process' both within and between and invites fuller engagement, capturing the essence of what is happening in the session
81
What is Step Two of the EFT Tango? | SJ 2017 PCEP
The therapist 'deepens a partner's reality'
82
What is Step Three of the EFT Tango? | SJ 2017 PCEP
The therapist distils what has emerged in Step Two and shapes the partner's a new formulation of their emotions, the new emotional music, into 'new steps in an enactment'
83
What is Step Four of the EFT Tango? | SJ 2017 PCEP
The therapist 'processes the enactment' - 'What does it feel like to say this?' and validates the risk taken and also asks if the partner can take in the message and validates any difficulty.
84
What is Step Five of the EFT Tango? | SJ 2017 PCEP
The therapist moves to a meta-level and reflects the process, 'integrating the new dance' that has occurred. Therapist gives the message 'you are capable, competent and can make sense of your emotions and of love and loving'.
85
The therapist does the 5 steps of the EFT Tango again and again through therapy, what changes? SJ 2017 PCEP
it gathers intensity