The path to a secure bond: Emotionally focused couple therapy

University of Ottawa, Department of Psychoeducation and Psychology, Gatineau, QC J8X3X7, CA.
Journal of Clinical Psychology (Impact Factor: 2.12). 05/2006; 62(5):597-609. DOI: 10.1002/jclp.20251
Source: PubMed


Emotionally focused therapy (EFT) for couples combines experiential and systemic techniques to expand emotional responses and cycles of interaction. This approach has also been used to treat depression, chronic illness, and anxiety disorders. EFT appears to translate well across culture and class, focusing on universal key emotions and attachment needs. From the EFT perspective, adult love is a hardwired, adaptive attachment response. The therapist's in-session focus is on the processing of emotions and key interactional patterns as they occur in the present, because emotional experiences are the primary instruments of change in this approach. The therapist is a relationship consultant who offers a safe platform whereby each partner can distill, expand, and transform experience and find new ways to connect with the other. The case presented here illustrates the three stages of EFT: de-escalation, restructuring interactions, and consolidation.

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    • "The therapist begins to identify the interactional patterns which maintain relationship distress, and help the couple to recognize any unacknowledged emotions underlying these patterns. The therapist works to reframe the couples' presenting problems in terms of these interactional patterns , or the emotional cycle by which attachment needs are unmet (Johnson & Greenman, 2006). "
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    ABSTRACT: Research has documented associations between relationship quality and eating disorders; however few have explored treating eating disorders with couple therapy. Emotionally focused therapy (EFT) is a compelling framework for treating couples where one partner has an eating disorder. A feminist approach to EFT offers the possibility of adding to the knowledge base of etiological factors that contribute to the development of eating disorders. A case example is given demonstrating how EFT can be adapted to address the fear, shame, and secrecy often associated with eating disorders within the context of larger social schemes which contribute to eating disorders.
    American Journal of Family Therapy 07/2014; 43. DOI:10.1080/01926187.2014.956620 · 0.54 Impact Factor
    • "They call for a focus in future research on complex attachment injuries to be sure that the same steps toward resolution apply to more distressed relationships than the ones in their sample. They also point out one of the important limitations of the task-analytic method: the inability to make causal links among process, task resolution, and treatment outcome (Makinen & Johnson, 2006). Without large, randomized control studies, it is not possible to rule out the possibility that other factors beside treatment might affect observed out- comes. "
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    ABSTRACT: The focus of this article is on the link among theory, process, and outcome in the practice of Emotionally Focused Therapy (EFT) for couples. We describe the EFT model of change and the EFT perspective on adult love as the reflection of underlying attachment processes. We outline the manner in which theory and research inform EFT interventions. This leads into a detailed review of the literature on the processes of change in EFT. We highlight the client responses and therapist operations that have emerged from process research and their relation to treatment outcomes. We discuss the implications of this body of research for clinical practice and training. Este artículo se centra en el vínculo entre la teoría, el proceso y los resultados en la práctica de la terapia focalizada en las emociones (TFE) para parejas. Describimos el modelo de cambio de la TFE y su perspectiva del amor adulto como el reflejo de procesos de apego subyacentes. Describimos la manera en la cual la teoría y la investigación guían las intervenciones de la TFE. Esto conduce a una revisión detallada de la literatura sobre los procesos de cambio en la TFE. Destacamos las respuestas del paciente y las actividades del terapeuta que han surgido de la investigación sobre los procesos y su relación con los resultados del tratamiento. Debatimos las consecuencias de este corpus de investigación para la práctica clínica y la capacitación. 本文重点关注夫妻情绪取向治疗(EFT)实践中理论、过程与结果之间的联系。我们描述了EFT模式的变化,也描述了将成年人爱情作为反映潜在情感过程的EFT视角。我们概述了理论与研究以何种方式展示EFT干预。这就要求我们对EFT变化过程的文献进行详尽的回顾。我们特别强调过程研究中出现的客户反响和治疗师的操作,及其与治疗结果的关系。我们讨论了这部分研究对临床实践和培训的意义。
    Family Process 03/2013; 52(1). DOI:10.1111/famp.12015 · 1.73 Impact Factor
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    • "If such a finding is observed, it suggests that context matters less than the act of putting effort into the relationship. As such, working at one's relationship may lead to trust, love, relational security, interdependence, and beneficial behaviors such as good communication and agreed-upon boundaries (Huston, Caughlin, Houts, Smith & George, 2001; Johnson & Greenman, 2006). "
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    ABSTRACT: Relationship satisfaction and stability are two commonly studied outcomes in marriage and family research. Majority of studies address socio demographic variability and differences across union type in these outcomes. We extend this literature by addressing how the amount of effort one puts into their relationship is associated with stability and satisfaction. Specifically, we focus on how effort impacts these measures of quality in four union types: premarital cohabitation, first marriage, post-divorce cohabitation, and second marriage following divorce. Furthermore, we make union type comparisons in the strength of effort's association with satisfaction and stability. Using data from 8,006 respondents in the Relationship Evaluation Survey, our results show that effort was strongly and positively associated with satisfaction and stability in all four unions. Although effort is more strongly associated with satisfaction in first marriage than cohabiting relationships, no union type differences in the role of effort on stability were observed. Clinical and research implications of these findings are discussed.
    Journal of Marital and Family Therapy 11/2012; DOI:10.1111/jmft.12007 · 1.01 Impact Factor
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