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123 West Main Street
New York, NY 10001
|
www.carecounseling.com
|
P: 555.123.4568
F: 555.123.4567
123 West Main Street
New York, NY 10001
|
www.carecounseling.com
|
P: 555.123.4568
F: 555.123.4567
Emotion Focused Therapy (EFT)


was developed to help individuals resolve unpleasant
emotions


focuses on the constructive aspects of specific emotions,
primarily in the present rather than the past.

emphasizing the importance of past interpersonal
relationships as well as the self.

Central focus is on accessing and utilizing adaptive emotional
functioning within individuals to promote growth and change



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Proponent
of the
Approach
Conceptualized and published by Dr. Susan Johnson and Dr. Leslie
Greenberg in the 1980s and has been further developed by Dr. Johnson
since that time.


1. Leslie Greenberg
born in Johannesburg, South Africa on September 30, 1945.
initially studied engineering in college, receiving a bachelor's
degree in 1967
Five years later, Greenberg graduated with a PhD in psychology
from York University in Toronto, and he promptly began his
teaching career at the University of British Columbia.
presently a professor in the department of psychology at York
University and director of the university's Psychotherapy
Research Center.
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2. Dr. Sue Johnson
one of the originators and the main proponent of Emotionally
Focused Couples Therapy (EFT), now one of the best validated
couples interventions in North America.
Director of the Ottawa (Canada) Couple and Family Institute and
the International Center for Excellence in EFT
Clinical Psychology Professor at the University of Ottawa and
Research Professor in the Marital & Family Therapy Program at
Alliant University in San Diego, California.
a Fellow of the American Psychological Association.
She received her doctorate in Counseling Psychology from the
University of British Columbia in 1984.
a member of the editorial board of the Journal of Marital and
Family Therapy, the Journal of Couple and Relationship Therapy
and the Journal of Family Psychology.

Proponent
of the
Approach
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Brief History
of the
Approach

An empirically supported experiential treatment that
integrates elements of Person Centered and Gestalt Practice
with modern emotion theory and dialectical-constructivist
meta-theory.

Originally termed Process Experiential Therapy reflecting its
root in and embodying principles of a humanistic approach.

Was used earlier as the name of the couple therapy
approach.

Since the late 1900s, the term Emotion Focused Therapy has
come to applied to both the individual and couple therapy.

EFT was born out of contemporary psychological beliefs and
has developed into a widely accepted evidence-based
approach to therapy for the treatment of several imbalances
in relationships both external and internal.



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was created and should be used for conditions where there is
a non-working over-control of emotions despite the positivity
or negativity of those emotions.

in conditions where there is an under-control of emotions,
EFT can effectively be used as a second stage of treatment.

exactly as its name states and is focused on the constructive
use of emotions and how they can help individuals heal and
benefit from them.

EFT generally takes 16 to 20 therapy sessions.

Brief History
of the
Approach
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Basic Characters
and
Assumption

emotions are associated with a multimodal network of
information

accessing emotion in therapy accesses this information,

attention to, and exploration of, subjective internal
experience (feelings and meanings) is the primary source of
new information used in construction of new meaning.


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1. Emotion Awareness
help clients to make sense of their experience and
promotes assimilation into their ongoing self-narratives.

Involves overcoming avoidance of emotional arousal and
the promotion of emotional processing.

2. Emotion Regulation
Identifying and labeling emotions, allowing and tolerating
emotions, increasing positive emotions, reducing
vulnerability to negative emotions, self-soothing, breathing
and distinction

Not only to restraint of emotion, but at times its
maintenance and enhancement

3. Transforming Emotion
Process of changing emotion to emotion


Principles of Working with Emotion
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Therapeutic
Goal

Seek to enhance clients emotional intelligence, which
involves recognition of ones own and others emotional
states to solve problems and regulate behavior

Support patients with affect regulation and with
transforming their emotional memories into new ones.

Clients are helped to be better, experience, explore , make
sense of and flexibly manage their emotion.

Help people to become aware of what they are feeling and
find better ways of coping with their feelings

Client is to be more open to his or her experience, to engage
with strong emotion, to create a coherent and meaningful
frame and narrative about the self and key relationships

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Therapists
Function and
Role
To viewed as an expert in how and when to facilitate particular
kinds of exploration of experience but not as an expert on the
content of the clients experience

Works to guide the clients experiential processing in different
ways at different times to promote the type of cognitive and
emotional processing

Therapist help clients understand and transform their
schematic experience through careful emphatic listening and
expressive intervention.

Help the clients reflect on and reevaluate emotion schematic
memories and expose these structures to more adaptive
emotional response.



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Techniques
Used
1. Tracks and reflects the clients experience, with a clear focus
on emotions and key emotional responses to attachment
figures.

2. Validates emotion and the defenses used against
overwhelming emotion or feared responses

3. Evokes deeper engagement by tracking, reflecting, and
replaying moment-by-moment interpersonal process.

4. Follows the attachment model by addressing deactivating and
hyperactivating strategies, he or she will reflect and help to
better organize expressed emotions, placing them in a specific
context.


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5. Uses interpretation or conjecture. This is not the cognitive,
insight-oriented intervention usually associated with the word
interpretation.

6. The therapist reframes certain emotions and responses in
ways that lead to positive possibilities.

7. The therapist sets up enactment experiments.

8. The therapist helps the client or the couple process what
happened in the enactment and make sense of it.
Techniques
Used
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Phases
of
Treatment
Phase 1: Bonding and Awareness
Attending to, emphasizing with and validating the clients
feelings and current sense of self.
Providing rationale for working emotion
Promoting awareness of internal experience
Establishing collaborative focus

Phase 2: Evocation and Exploration
Establishing support for emotional experience
Evoke and arouse problematic feelings
Undoing interruption of emotion
Helping access primary emotion or core maladaptive
schemes

Phase 3: Transformation and Generation of Alternatives
Help generate new emotion response to core maladaptive
schemes
Promote reflection to make sense of experience
Validate feelings and support an emerging sense of self


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Advantages
of the
Approach
Effective for both depression, childhood abuse, emotional
trauma and couple in distress.

EFT is considered one of the most well-substantiated
therapies

brief work (8-12 sessions) and leads to as good or better
rates of improvement and recovery as other therapies.

Found effective in resolving interpersonal problems and
promoting forgiveness

Has more research than other treatment approach on the
process of change

having demonstrated a relationship between outcome and
empathy, the alliance, depth of experiences, emotional
arousal
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Disadvantages
If your looking for mediator, EFT is not be the best strategy.

Therapist emphasize the emotion weight of marital issues, not
the practical implication.

For couples who are just hoping to get an idea of the best way
to construct their marriage, EFT can be taxing work, couples
who are uncomfortable with sharing feeling may be put off by
it.

Ongoing violence in the relationship is contraindication for EFT

Extreme verbal abuse may also be prohibit, when one partner
is expressing his feelings in a violent or controlling way, a
therapist cant validate the approach
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Empirical Studies Conducted about
Effectiveness of the Approach
1. The Effectiveness of Instructing Emotion-focused Approach in Improving
The marital Satisfaction in Couples by Mehdi Rostamia et. al (2013)

emotion-focused intervention has been effective in increasing the
indicators of marital satisfaction in couples.
revealed that a change in method is more frequent in women than
men because women express emotional and sentimental reactions
and keep less negative emotions within.

2. Resolving attachment injuries in couples using EFT steps toward
forgiveness says that resolved couples by Johnson and Makinen

significantly more affiliative and achieved deeper levels of
experiencing than non resolved couples
Showed significant improvements in dyadic satisfaction and
forgiveness than no resolved couples.
support the attachment injury resolution model and suggest that
resolution during EFT is beneficial to couples.


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3. The Experience of Learning Emotionally Focused
Couples Therapy by Jonathan G. Sandberg and Andrea
Knestel


therapists appreciate the EFT framework and structure

clients endorse the usefulness of the model and that learning
the model has contributed to personal healing and improved
relationships for the trainees

the transition to EFT from another model can be taxing and
requires time, support, and additional supervision training to
increase comfort level and competency with EFT.

learning EFT can be a rewarding and worthwhile endeavor.
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Resources:
Sciencedirect

Ebscohost

Leslie S. Greenberg (2010), Emotion-Focused Therapy: An
Overview, Turkish Psychological Counseling and Guidance
Journal

Leslie S. Greenberg (2010), Emotion-Focused Therapy: A
Clinical Synthesis

Prochaska, James O. & Norcross, John C. (2011) System of
Psychotherapy, A theoretical Analysis Eight Edition, Chapter 6,
pp.162-168

http://www.emotionfocusedtherapy.org/FAQs.htm

http://www.emotionfocusedtherapy.org/FAQs.htm

www. goodtherapy.org/famous-psychologists/leslie-greenberg.html#

www.goodtherapy.org/emotion-focused-therapy.html#

http://www.goodtherapy.org/emotionally-focused.therapy.html#

http://focusedpsychiatryonline.org/article.aspx





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123 West Main Street
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Thank You