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Susan Johnson Leslie Greenberg |
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EFT research grew out of research that studied couples in therapy and the process by which they accomplished what goal? |
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Creating successful repair in their relationship bond |
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EFT accepts Gottman's view of two primary couple characteristics: What are they (2)? |
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1) Flooding by negative emotions 2) Trapped in narrow, constricting interactions |
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What assumption did Bowlby take from Darwin, applied to attachment theory? |
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Natural selection favors successful survival strategies, close relationships are KEY to survival |
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EFT perspective on close relationships (3): |
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1) "Nurturant solace" is protective factor against disease 2) Emotional isolation is more dangerous than smoking 3) Nurturant relationships are KEY source of oxytocin in adults |
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Attachment theory proposes what significant view about relationships (4): |
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1) Seeking and maintaining contact with significant other is innate 2) Fear of isolation is inherently traumatizing 3) Life stress automatically activates attachment responses 4) Separation from s.o. creates predictable stress reactions that are mostly automatic |
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Johnson reports that emotional separation triggers what area of the brain? |
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Amygdala, leading to stress response |
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In EFT, emotion is most commonly understood as (3): |
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1) Generally healthy and adaptive 2) Pulling or triggering responses from others 3) Needing to be developed and differentiated |
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EFT- Problems with emotions are usually enacted under what two conditions? |
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1) Context of vulnerability 2) Perceived danger/threat |
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Attachment theory says that humans build their "internal working model of self and other" through what primary activity? |
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EFT integrates what two important psychotherapy approaches? |
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1) De-escalating 2) Changing Interactional Positions 3) Consolidation and Integration |
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1) Negative cycle de-escalation 2) Withdrawer engagement 3) Blamer softening |
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The "heart of change" in EFT includes: (2) |
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1) Unfolding key emotions 2) Enacting new responses from partner |
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What are the two basic "key moments of bonding" in EFT? |
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1) One partner reaching for support 2) Other partner is responsive |
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What are the EFT incorporated therapeutic priorities from individual and relationship theories? (4) |
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1) Intrapsychic focus on how individuals process experience 2) the "within and between" of couples 3) Interpersonal focus on interaction patterns and cycles 4) key attachment-oriented emotional responses |
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EFT sees sexual problems as: (2) |
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1) Loss of connection with partner 2) "the canary in the mine" as separation distress |
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EFT thoughts about touch: (5) |
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1) the skin is the human's largest sense organ 2) skin-to-skin is the language of sex and attachment 3) lack of touch slows brain development in children 4) touch is vital from birth to death 5) Males are vulnerable to "touch hunger" |
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Partners have two specific ways of protecting self in relationship: |
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Basic relationship patterns: 1) Find the Bad Guy 2) Protest Polka 3) Freeze and Flee |
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1) mutual blame/acuse-acuse 2) demand-withdraw/criticize-defend 3) withdraw/withdraw |
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What are the 7 Universal Emotions of EFT? |
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Anger, Fear, Surprise, Joy, Shame, Hurt, Sadness |
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What happens to the brain in each stage?: Appraisal Physiological Arousal Reappraisal Action Tendency |
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Appraisal- rapid amygdala activation Physiological Arousal- change of heart rate, blood flow, hormones, muscle readiness Reappraisal- neocortex involves cognitively Action Tendency- initial whole-body response w/ available information |
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Emotions can be differentiated into 3 categories (define): Primary Secondary Instrumental Emotion |
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Primary- here and now limbic response Secondary- Initial coping response to limbic arousal Affective display with purpose to change other |
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EFT perspective on how to engage therapy: (4) |
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1) Emotion evoked as vividly as possible, through therapist's effort to create a safe working distance 2) Engaging emotion and exploring the not-yet-clear edges 3) Discovery of new emotional experience 4) Emotion is expanded and restructured from bottom up, not top down (elevator!) |
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3 EFT "tasks" for therapeutic intervention |
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1) Foster safe therapeutic alliance (track and reflect) 2) Accessing, unfolding, expanding emotional response in attachment 3) Choreographing new response (dance) |
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What is the best goal of EFT therapeutic alliance? |
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Definition
To resonate with client's own immediate "felt sense" of experience |
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EFT believes what about clients? |
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They are valid, honored and prized, even when certain behaviors are provoked |
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What is the greatest challenge of EFT therapeutic alliance? |
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Validating each partner's felt-sense without invalidating the other |
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Which does the therapist engage first? Primary or secondary emotion? |
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Secondary- which is automatic and repeatedly expressed in their negative cycle. |
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The 5 "skills" used in EFT therapy regarding primary/secondary emotion: |
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1) Make implicit secondary emotions explicit 2) Place secondary emotions in context of negative cycle 3) Equally validate each secondary emotion 4) focus on primary attachment emotions 5) Deepen client's engagement with primary underlying emotion |
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How does the EFT therapist "track and reflect" the couple's interaction? (4) |
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Definition
1) Pause 2) Replay the interaction 3) Further describe the negative cycle 4) Provide summary of dance |
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EFT- 3 Actions to solidify the dance (second order change) |
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1) Enact present positions to expand truth 2) "catch" client in new way of dancing 3) Turn new patterns into new responses |
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4 most common reframes of EFT |
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1) Anger is an attachment protest 2) Withdrawal is fear 3) Pursuit/blame is fighting for relationship 4) Negative cycle is couple's shared enemy |
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EFT- 4 steps of Stage One |
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1) Create Alliance 2) Identify Negative Cycle 3) Access primary emotions 4) Reframe problem as negative cycle |
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What are 3 goals of EFT assessment in Steps 1 and 2? |
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Definition
1) Track the negative interaction 2) Enter each partner's "felt sense" 3) Hypothesize attachment needs |
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What is the couple watching for in Step 2? |
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How the responses of each partner contribute to the pattern |
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What is the primary contrainment of EFT? |
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When exposing vulnerability places a partner at risk |
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What are the most important outcomes of the first sessions in EFT? (2) |
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1) both partners feel understood and acknowledged by therapist 2) A sense of HOPE and ability to change dead-end fights and cycles |
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Step 3- why is it important to ACCESS the "music" underlying the dance? (2) |
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1) The emotions are usually unacknowledged 2) The emotions are not usually included in interactions |
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What is the first focus for accessing underlying emotion in Stage 3? |
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To better relate to the specific position each partner takes in the relationship |
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What are the 4 couple FEARS in the 9-step process? |
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1) Facing one's own self-criticism 2) Revealing aspects of self that are uncomfortable 3) Anticipating partner's negative response to own disclosure 4) Moving toward unpredictable change |
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What 2 specific actions must the therapist be ready to encounter in Step 3 of EFT? |
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1) Rapid shift focus from accessing one partner to the other 2) Helping partner process own negative response to other's disclosure |
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What are the EFT 3 reframes of Step 4? |
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1) Seeing problematic behaviors as positions in negative cycle 2) Reframing negative cycle as enemy 3) Viewing each response as underlying emotion |
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EFT- What is the Step 4 change? (term and definition) |
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De-escalation: the couple can describe their interaction and how they manage it |
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2 signs that a "raw spot" has been touched? |
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1) rapid shift in emotion in interaction 2) reaction to another that seems out of proportion to context |
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