EFT – three steps

 
  • Stabilisation
  • Restructuring
  • Integration
 

Stages and Steps in the EFT process

1. Stabilization (Assessment and De-escalation Phase) Step 1: Assessment Step 2: Identify negative cycle and attachment issues Step 3: Access underlying attachment emotions Step 4: Reframe the problem into cycle, attachment need and fears — Partners are no longer victims of the cycle, they are now allies against it.

  • During this stage the therapist creates a comfortable and stable environment for the couple to have an open discussion about any hesitations the couples may have about the therapy, including the trustworthiness of the therapist. The therapist also gets a sense of the couples positive and negative interactions from past and present and is able to summarize and present the negative patterns for them.

2. Restructuring the bond (the change phase) Step 5: Access implicit needs, fears, models of self Step 6: Promote acceptance by other-expand the dance Step 7: Structure emotional engagement-express attachment needs and wants

  • This stage involves restructuring and widening the emotional experiences of the couple. This is done through couples recognizing their attachment needs, and then changing their interactions based on those needs. At first their new way of interacting may be strange and hard to accept, but as they become more aware and in control of their interactions they are able to stop old patterns of behavior from reemerging.

3. Integration/Consolidation Step 8: New positions in the cycle/enact new stories Step 9: New solutions to pragmatic issues

  • Focuses on reflection of new emotional experiences and self-concepts. It integrates the couple’s new ways of dealing with problems within themselves and in the relationship. It is the attachment bond that is formed through EFT therapy, which is the newfound strength of the couple[8].[9]

Tom & Viv

I enjoyed the movie.  The couple fail to use the “divinely flawed” aspect of their relationship to heal their wounds.  Painful to watch.
 
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http://eliotswasteland.tripod.com/  Web version of notes – bit like the iPad ap. 
 
 
 
 
 
Though the filmmakers present ample evidence of Viv’s antisocial behavior — at one point she pulls a rubber knife on Virginia Woolf in order to steal her taxi — they never really manage to get into Tom’s mind to the extent that his motives become clear. “Tom & Viv” is a handsome, literate film in the Merchant-Ivory mode, but there’s a hole right at the center of it — right where the poet himself should be.

Discernment Phase of Couple Therapy

William Doherty brings a wonderful insight into Couple Therapy. The video shows the nature of the problem he addresses. The article in the Psychotherapy Networker brings forward his way of attending to that problem.

With the thorough and useful Imago dialogue approach there are a few things I find myself bringing from other modalities to the work. Warm up – from psychodrama is one. I work for a while with the couple in the warm up phase so that the dialogue topic is related to what the couple together agree is of value to work on in the relationship. This is a bit different from what can happen where the topic is the frustration one partner has with the other – dialogues about that may get there the long way around, a good warm up, which may include some psych ed, from me can be circumvent the potentially derailing process.

But that is not the main idea of this post.

William Doherty’s idea of the Discernment Phase of therapy creates a much larger space for a warm up with clients who may not be in agreement on what is needed. He gives me as the therapist permission – in a relational way – to see each party on their own if that is needed in a phase that is not yet couple therapy. I love the word discernment here. It is so much more engaging of the client therapist relationship than assessment.

This paragraph sums up the essence.

A central strategy of this work is that although the couple comes in together each time, most of the work goes on in separate conversations with each spouse. In the first 40 minutes of the initial session, I see them together and get both their stories and perspectives on the marriage. After asking what they hope to get from seeing me, I inquire about their divorce narratives (how they got to this point), their repair narratives (how they tried to solve their problems and what outside help they sought), and a question about the best of times in their relationship history. I then spend more than an hour seeing each of them separately. During that time, I focus on each one’s agenda (leaving or saving the marriage, along with other agendas) and try to open up a deeper understanding of each one’s contributions to the marital dynamics and areas of potential change. At the end of each individual conversation, I help the partner prepare a summary to be shared with the other partner at the end of the session.

Here is a pdf of the Psychotherapy Networker article.

william-doherty-discernment.pdf

Thanks Yvonne for pointing this article out to me.

Psychological Eclecticism and Nothing

I recall being advised by my then supervisor, about 30 years ago, to look around for a psychotherapy modality that grabbed me and then to learn it thoroughly and not become prematurely eclectic. I followed that advice. Psychodrama was that modality for me and I am steeped in its traditions and have practiced it for decades and hope to do that for a few more.

However I have more than a passing familiarity with a some other fields of practice, I have a grasp of Archetypal Psychology and I am qualified in Imago Relationship Therapy. I have grappled with my multiple perspectives, and have written a paper about my tension with Imago for the AANZPA Psychodrama Journal: The Imago Affair. I’ve been thinking about this more of late.

Continue reading “Psychological Eclecticism and Nothing”

Dialogues and mirroring – Psychodrama and Imago

In an earlier post I tried to capture a thought I had about dialogues. I was pleased to know someone read it and emailed me to say they were a bit confused. No wonder, I just pour out something I think about late at night — when I should be fast asleep!

I will describe more clearly how I work with couples by unpacking what I think are important ideas in a snippet from the earlier post.

I like to distinguish the words of the initiator of the dialogue, the protagonist, from the response by the person who is listening, the receiver, who I encourage to think of themselves as an auxiliary.

The problem is that I’m using language from two psychotherapeutic modalities. I imagine this makes no sense to anyone really, as there are very few psychodramatists who are also Imago Relationship Therapists. Even to someone who has that background it is still a muddled sentence.

Let me start again. First I’ll use Imago terms and then I’ll describe the same work using psychodrama language.

Continue reading “Dialogues and mirroring – Psychodrama and Imago”

How do I respond, can I say anything?

When learning to dialogue people often ask how to respond to their partner after they have listened to their first “send”. What do I say, can I say anything? 

Response is central to relating. Is everything a response to the previous thing? Perhaps, but I like to distinguish the words of the initiator of the dialogue, the protagonist, from the response by the person who is listening, the receiver, who I encourage to think of themselves as an auxiliary. In responding as an auxiliary, we are not asking for anything. Of course the sender (or protagonist) might listen and mirror the response, but as a responder it is useful to keep the mind-set of an auxiliary, then the response is a form of mirroring in that the protagonist can see how they impact on the other person.

A response will reveal to the protagonist who how they are received. A response may also reveal something about the listener. Self disclosure as it is known in counselling jargon. As long as the auxiliary stance is maintained it can be useful, as long as its not all ‘Me, me, me.’ Good self disclosure on the part of the listener means the protagonist will know they are speaking with a person.  A response that is well done will have the protagonist nodding, relaxing, learning about themselves and ready to open up more about themselves. They will not feel alone and trust will build. A full response will enliven the dance, create a rich space between the two, filled with meaning.

To encourage this when they ask: What do I say, can I say anything? I offer something like this:

What was most exciting to you in what you just heard.
What touched you most deeply.
One thing I have learned about you.
What I found valuable in what I heard.

Enlarge on your response.

Small phrases in the form of lead lines or instructions are essential tools in counselling and therapy. It is astounding the difference wording can make. In this post I reflect on an instruction to the person who is responding in a dialogue.

Enlarge on your response.

I like this instruction. I typically use this in couple therapy when one partner says something like, ‘I like listening to what you said.’ I could use a lead line such as, ‘One thing I liked about it…’ or ‘When you talked about my parenting I felt…’, sometimes that is fine. However the instruction, ‘Enlarge on your response.’ is more open ended. They might say, ‘When you say you learn a lot from the way I parent our children my heart leaps with joy.’ Anything is possible with the idea of enlargement.

It is a challenging instruction, and if I think the person is not able to meet the challenge of the instruction I will guide them with a lead line that prompts them to give something more.