James Macdonald’s scientific contributions

... To address these difficulties, EFT therapists are encouraged to use structured approaches and gradual pacing when working with complex trauma (Paivio & Pascual-Leone, 2023) and to balance emotional connection with support in emotion regulation for clients with personality disorders (Pos & Paolone, 2019). Moreover, recent studies have emphasized the critical role of addressing alliance ruptures in EFT, as unattended ruptures can impair therapy progress (Adler et al., 2018;Kramer et al., 2014;Macdonald et al., 2023). This aligns with research consistently showing that difficulties in forming or repairing the alliance are strongly associated with poorer outcomes (Eubanks et al., 2018;Falkenström et al., 2014;Westra et al., 2011). ...

Reference:

Growth in challenging situations: A qualitative investigation of therapists’ experience of delivering emotion-focused therapy