Thursday, May 29, 2014

Emotional Focused Couples Therapy


Introduction
Emotion is the music of the dance between partners, learn to change the music and change the dance.
What is EFT?
•        EFT expands experience and interactions.
•        It is the accessing and reprocessing of emotional response underlying partner’s interactional position. The reprocessing of inner experience is used to expand the interpersonal context. In turn the structuring of new interactional events expands and redefines each partner’s inner experience.
•        It facilitates a shift in positions towards accessibility and responsiveness- which are the building blocks of secure bonds.
•        It creates new interactional events that redefine the relationship as a source of security and comfort for each of the partners.
•        When EFT is successfully implemented, each partner experiences the other as a source of security, protection, ad comfort.
•        Each partner can then assist the other in regulating negative affect and constructing a positive and potent sense of self.
EFT Structure
•        Step 1: Assessment- Create an alliance and delineate conflict issues in the core struggle
•        Step 2: Identify negative interactional cycle.
•        Step 3: Access unacknowledged emotions underlying interactional positions.
•        Step 4: Reframe the problem in terms of underlying emotions and attachment needs.
•        Step 5: Promote identification with disowned needs and aspects of self and integrate these into relationship interactions.
•        Step 6: Promote acceptance of the partners experience and new interaction patters.
•        Step 7: Facilitate the expression of needs and wants and create emotional engagement.
•        Step 8: Facilitate the emergence of new solutions to old relationship problems.
•        Step 9: Consolidate new positions and new cycles of attachment behaviors.
Foundations of Marital and Family Therapy
1940
Theodore Lidz
Study of families of schizophrenics
Introduced concepts of
Schism= division of family into two antagonistic and competing groups.
Skew= one partner in marriage dominates the family as a result of serious personality disorder in one of the partners.
1950
Nathan Ackerman
The Psychodynamics of Family Life
Began treating client mental disorders through family process dynamics.
Gregory Bateson
Formulated controversial yet influential theory of dysfunctional communication called the double-bind.
Two seemingly contradictory messages may exist on different levels and lead to confusion or schizophrenic behavior on the part of the individuals receiving those messages.
Milton Erickson
Established Brief Therapy
Carl Whitaker
Risked violating the conventions of traditional psychotherapy
Published work in dual therapy or conjoint couple therapy.
Murray Bowen
Began holding therapy sessions with all family members present as part of a research project on schizophrenics.
Elaborated theory on the influence of previous generations on mental health of families.
Emotional Reactivity    
Found that when troubled families were brought together they had difficulty maintaining their identities
Described this as an undifferentiated family ego mass
Worked to help them establish appropriate relationship boundaries and avoid projecting or triangulating.
1960s
Jay Hayley
Began to formulate Strategic Family Therapy.
Emphasis on gaining and maintaining power during treatment.
Edited Family Process, first journal in field of family therapy.
Salvador Minuchin
Used his own form of family therapy with urban slum families
Reduced recidivism rate for delinquents in school.
Training local members of the black community as paraprofessional family therapists.
Cultural differences often makes it difficult for white middle class therapists to relate successfully to urban black and Hispanics.
Virginia Satir
Social work background
Gained prominence in Mental Research Institute
Unique in being only woman pioneer of family therapy.
Focused on importance of self esteem, compassion, and congruent expression of feelings.
John Bell
Started using group therapy as a basis for working with families
Structural program of treatment that conceptualized family members as strangers.
1970s
R.D. Laing
Coined the term mystification
Describes how some families mask what is going on between family members by giving conflict and contradictory explanations of events.
Rachel Hare-Mustin
Feminist Approach to Family Therapy
Goal of working with a families
Facilitate the growth of a strong woman who have enhanced control over resources
Increase the ability of women to work together politically to make societal changes.
1980s
Women came to forefront
Monica McGoldrick
Carolyn Attneave
Peggy Papp
Peggy Penn
Cloe Madanes
Fromma Walsh
Betty Carter
1990s
Steve deShazer
Narrative theory
Bill OHanlon
Solution Focused




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