W-14 Individual Poster Presentation Discussion
Emotionally-Focused Therapy
Abstract
Relationships between adults are characterized by significant challenges especially due to widening responsibilities that limit the time available for nurturing those relationships. Relationship failures emerge as a potential source for emotional distress in individuals.
When not contained in the early stages, such distress progresses to depression or triggering other mental conditions that affect the overall function of the individual. In such circumstances, the relationship may not survive. Emotionally-Focused Therapy (EFT) is designed to address issues within adult relationships to prevent possible breakdowns that lead to mental health issues.
Overview
Definition: EFT is a time-based short-term therapy designed to improve relationship bonds and attachment in adults by focusing on emotions.
Primarily, EFT is designed on the premise that most adult relationships fail or experience bottlenecks due to poor or lacking communication.
Thus, in nurturing the emotional bond, EFT enables improved communication while limiting maladaptive responses of that past that limited communication.
Evidence (EBP)
Wittenborn et al. (2019):
Sought to examine the efficacy of EFT on 16 couples on outcome measures of relationship satisfaction and depression
Findings:
EFT attained improvements in relationship satisfaction across men and women participants
Men reported greater improvements in depressive symptoms
Relationship satisfaction preceded changes in depressive symptoms
Sayadi & Madani (2017):
Sought to examine the effectiveness of EFT on burnout and marital commitment in 30 infertile couples
Findings:
Post-test scores on marital commitment improved significantly with EFT
Significant improvements also noted in the subscales of marital commitment namely personal commitment, moral commitment, and structural commitment
Name: School of Nursing
Current Trends
Introduction of neuroscience techniques to improve EFT outcomes
MRIs are used as a measure or to demonstrate importance of secure attachment
Thus, the effects of EFT can be traced by learning the brain code pattern changes on MRI over time
Treatment Guidelines/ Recommendations
No current guidelines exist on the utilization of EFT
However, emphasis is on using the three-phased approach namely;
Identifying the cause of maladaptive emotions
Transforming the maladaptive emotions
Development of new positive identities
Conclusion
Skill deficit, past traumas and emotional avoidance are the primary causes of problematic relationships
Each of these affects the emotional competence of the individual thus limiting their optimal demonstration of emotional bonding and attachment
EFT seeks to improve the overall emotional competence
Background
Developers: Sue Johnson and Les Greenberg
Period: 1984
Foundational principles
Existing theories had ignored the central role that emotional change plays in attachment and bonding
The traditional theories emphasized on two area namely (1) cognitive and behavioral change (2) conscious understanding
EFT on its parts centers on the following elements as the foundational areas for emotional attachment;
Awareness, understanding, and acceptance of emotion
Importance of emotional change during psychotherapy
The visceral experience of emotion
There are three key stages in EFT;
Deescalation –
Focused on identifying the negative interaction patterns or triggers that cause the conflict
The individuals in the relationship recognize their insecurities and fears
(b) Restructuring –
The individuals in the relationship are trained and learn how to share emotions
The outcome in this stage is to help each partner become more responsive to the emotions of the other
(c) Consolidation -
The therapist works with the individuals on new techniques for communication that align with the new found emotional l responsiveness
The old behaviors of interaction are replaced by new desired behaviors
Populations
Married couples with bonding and attachment relationship problems
Infertile couples seeking to sustain relationship
Couples with issues of
Addiction
PTSD
Chronic illness cases
Depression
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References
Feuerman, M. (202). What is emotionally focused therapy? Verywell Mind. https://www.verywellmind.com/emotionally-focused-therapy-for-distressed-couples-2303813
Greenberg, L. S. (2017). Emotion-focused therapy, Revised Edition. American Psychological Association.
Sayadi, M., & Madani, Y. (2017). Effectiveness of emotionally focused couple therapy on marital commitment and couple burnout in infertile couples. J Educ Community Health, 4(3), 26-37.
Wittenborn, A. K., Liu, T., Ridenour, T. A., Lachmar, E. M., Mitchell, E. A., & Seedall, R. B. (2019). Randomized controlled trial of emotionally focused couple therapy compared to treatment as usual for depression: Outcomes and mechanisms of change. Journal of marital and family therapy, 45(3), 395-409.