Tesis: "Emotionally Focused Couple Therapy"

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Dalgleish, Tracy L. "Examining Predictors of Change in Emotionally Focused Couples Therapy". Thèse, Université d'Ottawa / University of Ottawa, 2013. http://hdl.handle.net/10393/23999.

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Emotionally Focused Couple Therapy (EFT; Johnson, 2004) is an empirically validated approach to couple therapy that uses attachment theory to understand the needs and emotions of romantic partners. In EFT, relationship distress is conceptualized as resulting from negative affect, emotional disconnection, and unmet attachment needs. Although EFT is recognized as one of the most researched and effective approaches to couple therapy, little research has examined theoretically related characteristics of couples to changes in marital satisfaction throughout EFT. The present doctoral thesis examined this area of literature. Thirty-two couples were provided approximately 21 sessions of EFT. The goal of the first study was to identify intake characteristics related to change in marital satisfaction over the course of EFT. Couples completed self-report measures of marital satisfaction, attachment security, relationship trust, and emotional control at pre- and post-therapy and after each therapy session. Individuals higher on self-report attachment anxiety and higher levels of emotional control had greater change in marital satisfaction over the course of EFT. The goal of the second study was to examine intake levels of attachment security and its relationship to the occurrence of the blamer-softening event, a key change event in EFT, and changes in marital satisfaction. Results indicated that the occurrence of a blamer-softening event significantly predicted positive changes in marital satisfaction. Results also suggested that the occurrence of a softening event significantly moderated the relationship between attachment avoidance at intake and change in marital satisfaction from pre- to post-therapy. For couples who completed a blamer-softening event, partners with lower levels of attachment avoidance were more likely to have positive changes in marital satisfaction. However, this relationship was not evident for attachment anxiety. Overall, results from this thesis suggest that attachment security is a key characteristic of couple partners for therapists to consider when implementing EFT. Therapists may benefit from assessing attachment security at the start of therapy to help inform them of the emotion regulating strategies used by couple partners. This information may help therapists to tailor specific interventions such that couples may begin to develop more secure attachment bonds.

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2

Burgess, Moser Melissa. "The Cognitive-affective and Behavioural Impact of Emotionally Focused Couple Therapy". Thèse, Université d'Ottawa / University of Ottawa, 2012. http://hdl.handle.net/10393/23175.

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Emotionally Focused Couple Therapy (EFT; Johnson, 2004) addresses relationship distress by facilitating the development of new patterns of interaction between partners. These new patterns of interaction are based on partners' vulnerable acknowledgement and expression of attachment needs. Partners' engagement in these new patterns of interaction is thought to improve their relationship-specific attachment bond. Although previous studies have shown EFT to result in excellent relationship satisfaction outcomes (Johnson, Hunsley, Greenberg & Schindler, 1999), research had yet clearly to demonstrate if and how EFT facilitates increases in partners' relationship-specific models attachment security over the course of therapy. To address this research gap, the current study employed Hierarchical Linear Modelling (HLM; Singer & Willet, 2003) to investigate the pattern of change in couples' (n=32) self-reported relationship satisfaction and relationship-specific attachment over the course of EFT. Couples reported significant linear increases in their relationship satisfaction and significant linear decreases in their relationship-specific attachment avoidance over the course of therapy. Couples who completed the blamer-softening therapeutic change event (n=16) demonstrated significant linear decreases in their relationship-specific attachment anxiety after completing this event. Decreases in relationship-specific attachment anxiety predicted increases in couples' relationship satisfaction over the course of therapy. Couples also demonstrated significant increases in the security of their pre-post-therapy relationship-specific attachment behaviour, as coded Secure Base Scoring System (Crowell, Treboux, Gao, Fyffe, Pan & Waters, 2002). The current study also used HLM (Singer & Willet, 2003) to examine how the completion of blamer-softening impacted softened couples' relationship-specific attachment anxiety, and whether the completion of blamer-softening had a similar impact on softened couples' relationship-specific attachment avoidance and relationship satisfaction. Softened couples reported an immediate increase in relationship satisfaction and immediate decrease relationship-specific attachment avoidance at the softening session. Further, softened couples' post-softening decreases in relationship-specific attachment anxiety were initially preceded by an increase at the softening session. These results provided an understanding of how EFT leads to increases in couples' relationship-specific attachment security. These results provide support for the use of attachment theory in the treatment of relationship distress, and also provide an illustration of how attachment can shift over the course of a therapeutic intervention.

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3

Hall, Pauline A. "Integrating Art Therapy and Emotionally Focused Therapy with Couples: A Conceptual Framework". Digital Commons at Loyola Marymount University and Loyola Law School, 2021. https://digitalcommons.lmu.edu/etd/1003.

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This qualitative study examines how art interventions are aligned and integrated with emotionally focused therapy (EFT; Johnson, 2020) in the treatment of relational distress with couples. EFT is a brief humanistic evidence-based treatment, grounded in attachment theory, with experiential and systemic approaches to intervention that engage underlying emotion to create more secure bonds. Notably scant literature exists blending art-based and verbal approaches in EFT, despite the importance of verbal imagery in EFT intervention and the experiential nature of expressive therapies. In this study, NVivo qualitative data analysis software facilitated thematic analysis of semi-structured interviews with five clinicians who integrate the two approaches. Theory-driven analysis with skills of the Emotion-Focused Therapy-Therapist Fidelity Scale (EFT-TFS; Denton et al., 2009) examined alignment and divergence from the EFT model. Patterns in the data revealed a conceptual framework for integrating art interventions with EFT that prioritized fidelity to the EFT model. This framework provides structure and language to describe art interventions in a granular way at the session level, with considerations for the progression of treatment through the steps and stages of EFT in the context of considerations for the therapeutic alliance. This framework has wide applications in clinical practice, teaching, and empirical inquiry integrating art interventions with EFT.

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Thompson, Heather. "The Evolution and Implementation of an Integrated Approach to Emotionally Focused Couple Therapy: A Case Study". DigitalCommons@USU, 2010. https://digitalcommons.usu.edu/etd/718.

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There are a number of advantages to working within an integrated model framework when doing family therapy; however, few therapists test what they articulate as their model against what they really do. The purpose of this study was to test how well one therapist practiced her explicated theoretical integration in a clinical setting. Quantitative and qualitative data were gathered to answer three research questions: the level of adherence to the integration, client change, and change within the integrated model over the course of the study. The sample included three couples; data from 25 video-coded sessions, the Revised Dyadic Adjustment Scale and Outcome Ratings Scale, client case notes, and a reflection journal were analyzed to answer the research questions. Results indicate that the therapist remained true to the described integrated model; that all couples experienced change, some positive, some negative; and small changes to the model occurred. Other findings, limitations, and clinical implications are discussed.

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5

Palmer, Deborah. "Emotionally focused therapy with couples impacted by childhood sexual abuse". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp05/MQ62816.pdf.

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6

Vaughan, Peter Christopher. "The impact of emotionally focused couples therapy on marital interaction". Thesis, University of British Columbia, 1986. http://hdl.handle.net/2429/26621.

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This study has addressed the continued debate regarding the effectiveness of "non-behavioral" marital psychotherapy. It provides empirical support for the effectiveness of Emotionally Focused Couples Therapy (EFCT), an "affective systemic" therapy model, by investigating changes of in-therapy interaction as a function of therapy. Specifically, the question under examination was: During EFCT, is the interaction of couples in the latter stages of the therapeutic experience significantly more positive than the interaction of couples in the beginning stages of the therapeutic experience? The sample for this study consisted of 22 couples. A modification of the pretest-posttest control group design was used as the experimental design. The data consisted of audio recordings of the 22 participating couples' interaction during marital therapy sessions. Episodes marked by the presence of negative interactional patterns were chosen from the 2nd session of therapy and were compared to equivalent episodes from the 7th session. Two measures were used. The DAS, a self-report measure, was used to determine the level of marital distress experienced by the participating couples before and after treatment. And the SASB, an observer-rated coding system, was used for the analysis of the marital interaction. Cohen's Kappa, a coeffient of agreement for nominal scales, was used to determine the interrater reliability between the SASB coders. This study investigated eleven hypotheses regarding the effectiveness of Emotionally Focused Couples Therapy in bringing about positive change in couples' behavior and interaction during the therapy session. Eight of the eleven hypotheses were supported by statistically significant findings. EFCT was demonstrated to be effective in bringing about significant positive change in the frequency of negative/disaffiliative behaviors, the frequency of autonomous positive/affiliative behaviors, the occurrence of negative sequences, and the occurrence of positive sequences. EFCT was also demonstrated to be effective in bringing about significant positive change in positive other-focused behaviors, positive self-focused behaviors, negative reciprocal sequences, and negative complimentary sequences. However EFCT was not demonstrated to be effective in bringing about significant positive change in positive controlling behaviors, negative controlling behaviors, and positive complimentary sequences. In conclusion, this study has found substantial support for the assertion that Emotionally Focused Couples Therapy does indeed help couples to positively change the nature of their interaction in therapy.
Education, Faculty of
Educational and Counselling Psychology, and Special Education (ECPS), Department of
Graduate

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7

MacIntosh, Heather B. "Emotionally focused therapy for couples and childhood sexual abuse survivors". Thesis, University of Ottawa (Canada), 2005. http://hdl.handle.net/10393/29231.

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The purpose of this study was to explore the use of Emotionally Focused Therapy for Couples (EFT) with childhood sexual abuse survivors (CSA) and their partners. Ten couples participated in this exploratory study. In assessing outcomes the concept of the reliable change index was utilized to determine whether the treatment did have an impact on couples over the course of the therapy. Qualitative coding strategies were utilized to relate the process of change in couples to the identified outcomes. A case study replication methodology was utilized to examine the use of EFT with these couples thematically. Half of the couples in this study reported clinically significant increases in mean relationship satisfaction over the course of the therapy. Similarly, half of the CSA survivors reported clinically significant decreases in trauma symptoms on a self-report measure and a statistically significant decrease in trauma symptoms was identified on a standardized interview measure of trauma symptoms in the group of survivors. Very little change was identified over the course of therapy on a self-report measure of attachment. Thematic analyses identified numerous areas where trauma survivors were challenged in fully engaging in the therapy process. In particular, trauma symptoms such as affect dysregulation and hypervigilance, shame, anger, emotional numbing and dissociation were identified to play a role in the challenges that survivors experienced in fully engaging in the EFT therapy process. The EFT model and therapist behaviours were also analyzed observationally and results of these thematic analyses yielded clinical recommendations for working with CSA survivors and their partners in EFT for traumatized couples. Recommendations for future study were articulated.

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8

Halchuk, Rebecca E. "Functional and Structural Neural Effects of Emotionally Focused Therapy for Couples". Thèse, Université d'Ottawa / University of Ottawa, 2012. http://hdl.handle.net/10393/23263.

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There is increasing acknowledgement that problematic interpersonal relationships and negative emotions are key factors in the development and maintenance of various forms of psychopathology. Emotionally Focused Therapy (EFT) for couples centers on changing attachment behaviours as a means to improve distressed relationships by helping partners access underlying emotions and foster positive interactions that promote accessibility and trust. EFT is a highly effective therapeutic approach that encourages the development of adaptive emotion regulation observed in secure attachment. The development and emergence of non-invasive neuroimaging techniques, in particular functional magnetic resonance imaging (fMRI), provides a unique opportunity to investigate neural adaptations underlying successful psychotherapeutic change. Eighteen distressed couples received an average of 23 sessions of EFT, and the resulting functional and structural differences in the neural processing of threat were investigated before and after therapy using MRI methods. Female participants engaged in a stressful task in which they were confronted with the threat of electric shock, while they held their partner’s hand, a stranger’s hand, or were alone in the scanner. Results offered preliminary evidence that EFT can significantly impact emotional dysregulation, promote attenuation of neural threat by their partner, and result in structural change in a key region of emotion circuitry. Moreover, physiological data demonstrated that following EFT for couples, female partners were effectively soothed by their male partners, as demonstrated by decreased cortisol levels.

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9

James, Paul S. "A communication skills training component in an emotionally focused couples therapy". Thesis, University of British Columbia, 1989. http://hdl.handle.net/2429/29337.

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The purpose of this constructive outcome study was two-fold: first, to investigate the effectiveness of two treatments, an Emotionally Focused couples therapy (EFT) and an Emotionally Focused therapy plus a communication skills training component (EFT+CT), compared to a wait-list control group; second, to investigate whether or not the addition of a communication skills training component (CT) would enhance the effectiveness of an Emotionally Focused couples therapy (EFT). Forty-two moderately distressed volunteer couples were assigned randomly to one of two treatment conditions or to a wait-list control group. Couples in the EFT condition received 12 one-hour sessions; couples in the EFT+CT condition received eight hours of EFT and four hours of CT. Treatments were administered by 14 therapists, seven of whom were nested in each condition by random assignment. Ratings of therapists' interventions confirmed the treatment integrity of EFT in both treatment conditions and the treatment integrity of the CT component in the EFT + CT condition. Tests of equivalence showed that both treatment conditions were equivalent on pre-test levels of the dependent variables, demographic variables, therapist characteristics, and the quality of couples' working alliance with their therapists. The first hypothesis was supported for certain outcomes but not for all. Both treatments achieved superior gains at post-test compared to the wait-list control group on a global measure of marital adjustment and a measure of target complaint improvement. The EFT+CT group also achieved superior gains at post-test on a measure of communication compared to the wait-list control. Although there were trends toward both treatments achieving superior gains on measures of intimacy and passionate love at post-test compared to the wait-list control, these measures failed to reach significance. Results indicated that the second hypothesis was not supported. There were no significant differences between EFT and EFT + CT at the post-test or four-month follow-up on a summary measure of marital adjustment or its four components (i.e., consensus, affectional expression, cohesion, satisfaction), nor on measures of communication, intimacy, and passionate love. The only significant difference was that the EFT condition maintained its gains in target complaint improvement at the four-month follow-up more effectively than the EFT+CT condition did.
Education, Faculty of
Educational and Counselling Psychology, and Special Education (ECPS), Department of
Graduate

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10

Millikin, John W. "Resolving Attachment Injuries in Couples Using Emotionally Focused Therapy: A Process Study". Diss., Virginia Tech, 2000. http://hdl.handle.net/10919/27740.

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The current study identified attachment injuries in couples and developed a preliminary model for the resolution of attachment injuries using Emotionally Focused Therapy (EFT). An attachment injury occurred when one partner betrayed or broke the trust of the other in a specific incident and that incident became a clinically recurring theme or stuck-point of task resolution. Couples with attachment injuries were identified by an expert clinician and the researcher. Subjects were couples with moderate to mild distress. The attachment injuries were resolved using EFT, an empirically validated approach to couples therapy. The model (N = 3) was developed using task analysis. Audiotaped segments of "best sessions" of marker events were reviewed by raters to determine change events throughout the therapy process. A rational, conceptual map of expected change was compared to an empirically developed map. The marker events emerged at the assessment, de-escalation, and resolution phases of treatment. Pre- and post-tests measured overall resolution of the attachment injury and process measures identified in-session changes. The results of this study yield a proposed theoretical model of change for couples who sustain an attachment injury.
Ph. D.

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11

Hattori, Kyoko. "Emotionally Focused Therapy for Japanese Couples: Development and Empirical Investigation of a Culturally-Sensitive EFT Model". Thèse, Université d'Ottawa / University of Ottawa, 2014. http://hdl.handle.net/10393/30516.

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In this doctoral thesis, a culturally-sensitive couple therapy model was developed and empirically investigated. In particular, a Western-based couple therapy, Emotionally-Focused Couple Therapy (EFT), was modified to enhance the cultural relevancy of this model to the Japanese population. An extensive literature review was conducted to examine the status of psychotherapy and couple research in Japan, and cultural differences between Western and Japanese couples, with a particular emphasis on important couple variables, including emotional expression, communication, conflict resolution, and attachment. Study objectives included an empirical investigation into cultural differences on key relationship variables of trust, attachment, communication, and conflict resolution, and the use of these findings to guide adaptations of EFT to enhance cultural relevance, and an exploration of the adapted EFT model with three Japanese couples. This study is significant in that it is the first to empirically evaluate the cross-cultural validity of EFT. This dissertation consists of two studies that have been combined in one article for the purpose of publishing the document in a Japanese journal. Both studies were combined in one article for various reasons. First, study one findings are integral to the development of the culturally-sensitive EFT model that is empirically investigated in the second study. Second, the article included in this dissertation will be translated and prepared for publication in a Japanese journal. Including both studies in one article is important given the lack of familiarity in the Japanese research community about key relationship variables, and particularly their applicability to a couple therapy system (i.e., EFT), and their use to measure change in a couple therapy outcome study.

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12

Kennedy, Nikki. "Conversations for Connection: An Outcome Assessment of the Hold Me Tight Relationship Education Program for Couples". Thesis, Université d'Ottawa / University of Ottawa, 2017. http://hdl.handle.net/10393/36059.

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Hold Me Tight: Conversations for Connection is a relationship education program based on Emotionally Focused Therapy (EFT; Johnson 2004), an empirically supported model of couple therapy with roots in attachment theory. Currently, relationship education is mostly provided through skills-based programs with a focus on teaching communication, problem-solving and conflict resolution skills from the social-learning perspective. The HMT program is different; it targets attachment and emotional connection – aspects central to relationship functioning as identified in the literature. The present study is the first outcome study of the HMT program. The purpose of the study was to examine the trajectory of change for relationship satisfaction, trust, attachment, intimacy, depressive symptoms and anxiety symptoms. Couples who participated in this study were from several cities across Canada and the United States. The trajectory for the outcome variables were modeled across baseline, pre-program, post-program and follow-up in a sample of 95 couples participating in 16 HMT program groups. Results of a four-level Hierarchical Linear Modeling (HLM: Raudenbush & Bryk, 2002) analysis demonstrated a significant cubic growth pattern for relationship satisfaction, trust, attachment avoidance, depressive and anxiety symptoms demonstrating no change from baseline to pre-program and improvements from pre-program to post-program. Scores returned to pre-program levels at follow-up. Follow-up analyses demonstrated that the changes from pre- to post-program were significant with a large effect size. We also looked at couples’ reported ability to engage in the conversations from the program and found that mean scores declined from post-program to follow-up. The results of this initial pilot study suggest that the HMT program is a promising alternative to existing relationship education programs with results comparable to skills-based relationship education programs. The decrease in scores from post-program to follow-up suggests that booster sessions following the completion of the program could be necessary to help couples maintain gains. Limitations and areas for further study are discussed.

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13

Wiebe, Stephanie. "A Two-Year Longitudinal Study of Emotionally Focused Therapy for Couples: Maintenance and Predictors of Relationship Change". Thesis, Université d'Ottawa / University of Ottawa, 2014. http://hdl.handle.net/10393/31846.

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Emotionally Focused Therapy for Couples (EFT) is an evidence-based couple therapy with excellent outcomes (Johnson, Hunsley, Greenberg & Schindler, 1999) and strong results in follow-up (Cloutier, Manion, Walker & Johnson, 2002). Although EFT strives to create lasting change for couples through the creation of secure attachment bonds, research has had yet to clarify how couples maintain changes across time. According to EFT, relationship satisfaction improvements are associated with and arise from the creation of secure attachment bonds that allow couples to turn to each other in times of stress, fostering resilience in the relationship across time (Johnson & Whiffen, 1999). One goal of this study was to test this assumption by modeling the trajectory of how relationship satisfaction and self-reported and behaviourally measured attachment security progress during the course of two years after finishing therapy. The trajectory of relationship satisfaction, and relationship specific self-reported and behaviourally measured attachment were modeled across pre-therapy, post-therapy and 6, 12, 18 and 24 months follow-up in a sample of 32 couples who received an average of 21 sessions of EFT. Results demonstrated a significant growth pattern using Hierarchical Linear Modeling (HLM: Raudenbush & Bryk, 2002) demonstrating increases in relationship satisfaction and secure base behaviour, and decreases in attachment anxiety from pre to post therapy that levelled off during the follow-up period. Although these results demonstrated strong EFT outcomes across follow-up, there was variability in outcomes. A second goal of this study was to investigate predictors of relationship satisfaction across follow-up. Results indicated that decreases in relationship specific attachment anxiety and avoidance, and increases in trust as well as depth of experiencing during therapy predicted higher relationship satisfaction across follow-up.

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14

Edfast, Erica y Sundin Maria Lundström. "”Det ger ju en närhet tycker jag att man öppnar sig” : Pars upplevelse av Emotional Focused Couple Therapy". Thesis, Umeå universitet, Psykoterapi, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-118503.

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Syfte: Studien syftade till att undersöka hur par som fullföljt parterapin Emotionally Focused Couple Therapy (EFT) hos certifierade EFT-terapeuter i Sverige, upplevt parterapin. Två frågeställningar belystes; vilken upplevelse paren har av förändring i relationen samt vad paren upplevde som verksamt i EFT-behandlingen. Metod: Åtta individuella telefon intervjuer genomfördes och analyserades med kvalitativ innehållsanalys. Resultat: Analysen utmynnade i två teman Den egna förändringen samt Terapin och terapeutens agerande, med tre subteman vardera. Konklusion: Det visade sig att deltagarnas upplevelser av förändring och vad som upplevdes som verksamt stämmer överens med vad som framkommit i tidigare internationell forskning. Alliansens betydelse diskuteras, samt arbete med parsexualitet inom ramen för EFT. Sammantaget tyder studien på att EFT även är tillämpbar på svenska förhållanden.

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15

Brown, Emily Margaret. "The Application of Emotionally Focused Therapy in Treating Couples who have Experienced the Death of a Child: A Grounded Study for the EFT Therapist". Thesis, Virginia Tech, 2016. http://hdl.handle.net/10919/80906.

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This qualitative study sought to understand how Emotionally Focused Therapists (EFT) apply the EFT model with couples that have experienced the death of a child. Criterion sampling and snowball sampling were used to recruit participants within the United States and internationally. Semi-structured interviews were conducted with 5 participants, all of whom were women therapists. The data were analyzed using the Grounded Theory Method and two processes emerged. To convey and organize the processes and concepts of each, two diagrams of the actions and experiences noted in the interviews during analysis were created (Figure 1 and Figure 2). Figure 1 represents an external, multi-directional process of how EFT clinicians apply the EFT model with their clients. This figure encompasses 'how' clinicians adjust their approach to the model to meet the needs of their clients and work with couples that have experienced the death of a child. Figure 2 represents an internal process model of how applying the EFT model impacts the therapist on a personal level. This will be discussed through a self-of-the-therapist lens.
Master of Science

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16

Schade, Lori Kay. "A Longitudinal View of the Association Between Therapist Behaviors and Couples' In-Session Process: An Observational Pilot Study of Emotionally Focused Couples Therapy". BYU ScholarsArchive, 2013. https://scholarsarchive.byu.edu/etd/3682.

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This is a longitudinal couples therapy process study using coded data from eleven couples to identify which therapist behaviors (warmth, listener responsiveness, communication, dominance) influenced positive couples exchanges (warmth and listener responsiveness) over time in Emotionally Focused Couples Therapy (EFT). A mixed effects model was used to examine within- and between-individual variability. Men and women were modeled separately. A series of two-level multilevel models of change were examined, where Time is Level 1 and Individual is Level 2. Results indicated no significant relationship between variables of therapist warmth, listener responsiveness, communication, and dominance with couple listener responsiveness. Where client warmth was an outcome variable, the only significant relationship was between therapist warmth toward husband and husband warmth toward wife. Findings demonstrated that 62.9% of the variance in husband warmth toward wife was accounted for by therapist warmth to husband across time in therapy. Specifically, therapist warmth toward husband was significantly and positively related to husband warmth toward wife over time in therapy. Clinical implications and directions for future research are discussed.

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17

Talitman, Eran. "Predictors of outcome in Emotionally Focused Marital Therapy". Thesis, University of Ottawa (Canada), 1995. http://hdl.handle.net/10393/9877.

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The present study assessed the impact of client/relationship variables in predicting outcome in a dynamic/experiential approach to marital therapy. On the basis of an examination of the theoretical assumptions underlying this approach, three predictor variables were assessed: attachment, self-disclosure, and trust. Outcome criteria included (1) marital satisfaction level, (2) marital satisfaction gains, (3) intimacy level, and (4) therapist rating of improvement. It was hypothesized that couples presenting with higher levels of attachment, self-disclosure and trust would be more likely to be maritally satisfied, as indicated by a higher level of marital satisfaction and intimacy at posttreatment and at follow-up. It was also hypothesized that couples presenting with lower levels of attachment, self-disclosure and trust would be most likely to make the largest gains in marital satisfaction at posttreatment and at follow-up, and receive a high rating of improvement from their therapist at termination. Thirty-four couples were provided with 12 sessions of Emotionally Focused Marital Therapy (EFT). Couples were assessed at pretreatment, posttreatment, and at a three-month follow-up. Couples who were most likely to be maritally satisfied at termination indicated a higher level of couple-therapist alliance at the end of the third session. Couples who were most likely to be maritally satisfied at follow-up consisted of: (a) females who indicated a higher level of faith (trust) in their partner at intake, and (b) partners who indicated a higher level of the therapeutic alliance at the end of the third session. Couples who were most likely to make the largest gains in marital sitisfaction at termination indicated a higher level of therapeutic alliance by the end of the third session. Couples who were most likely to make the largest gains in marital satisfaction at follow-up: (a) indicated a lower level of marital satisfaction at intake, (b) consisted of males who indicated a lower level of use of attachment figure at intake, and (c) indicated a higher level of couple-therapist alliance at the end of the third session. There were two additional criteria of outcome: intimacy level and therapist rating of improvement. Results revealed four significant predictors of the level of intimacy. First, the couple's general level of intimacy at intake was the strongest predictor of the couple's general level of intimacy at follow-up. Couples with a higher level of intimacy at intake tended to have a higher level of intimacy at follow-up. Second, couples who established a higher level of alliance with the therapist by the end of the third session tended to show a higher level of intimacy at follow-up. Third, one aspect of trust, the females' level of faith significantly predicted those males who were likely to have the highest level of intimacy at follow-up. Fourth, the females' level of apathy self-disclosure at intake significantly predicted her follow-up level of intimacy. The fourth criteria of outcome was the therapist rating of improvement at posttreatment. There was only one significant predictor of therapist rating of improvement. Couples who had established a higher level of alliance by the end of the third session were most likely to have been rated as improved by therapists. (Abstract shortened by UMI.)

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18

Sims, Ann E. B. "Working models of attachment, the impact of emotionally focused marital therapy". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape10/PQDD_0018/NQ46545.pdf.

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19

Swank, Lauren Elizabeth. "Repairing alliance ruptures in emotionally focused therapy: A preliminary task analysis". Thesis, Virginia Tech, 2010. http://hdl.handle.net/10919/35127.

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Prior research has shown the therapeutic alliance to be positively related to therapeutic outcome in couple therapy (Johnson & Talitman, 2007; Knoblock-Fedders, Pinsoff, & Mann, 2007). It is common for the therapeutic alliance to vary over the course of therapy. Alliance ruptures can be defined as â deteriorations in the relationship between therapist and patientâ (Safran & Muran, 1996, p. 447). If managed successfully, these moments of alliance rupture can positively impact therapy (Safran & Muran, 1996; Sprenkle, Davis, & Lebow, 2009). As a result, researchers have begun to develop models of alliance rupture repair to help further our understanding of how this process is achieved in various therapeutic approaches (Aspland, Llewelyn, Hardy, Barkham, & Stiles, 2008; Binder, Holgerse, & Nielsen, 2008; Safran & Muran, 1996). The purpose of this study was to conduct a preliminary, discovery-oriented task analysis (Greenberg, 2007) in order to develop a model of alliance rupture repair in Emotionally Focused Therapy (EFT), a couple therapy approach which encourages emotional reconnection and restructuring of couple interactions developed by Susan Johnson and Les Greenberg (Johnson, 2004). By conducting a thought experiment with four experienced certified EFT therapists, a rational model of alliance rupture repair in EFT was formulated. The rational model was then compared with the analysis of alliance rupture repair sequences during the process of one coupleâ s therapy with a certified EFT therapist to develop a rational-empirical model of alliance rupture repair in EFT. The final model and treatment implications are discussed.
Master of Science

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20

Sherriff, Alden Louise. "A process comparison of peak and poor sessions in emotionally focused marital therapy". Thesis, University of British Columbia, 1989. http://hdl.handle.net/2429/28147.

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Psychotherapy research has in the past been primarily focused on outcome, that is whether a particular therapy has been successful in promoting change in the client. More recently it has sought to explicate the processes through which change happens. This study examines the process of therapy for 16 couples who received 8-10 sessions of Emotionally Focused Couples Therapy (EFT) (Greenberg & Johnson, 1986). Two sessions were chosen for each couple, a peak and poor session as assessed by the couple on post-sessional questionnaires. The couples were rated both on the depth of their in-session experience (Experiencing Scale, Klein, Mathieu, Gendlin & Kiesler, 1969) and their interactions (Structural Analysis of Social Behavior, Benjamin, 1974). Peak and poor sessions were compared. Results showed that depth of experience was greater and that interaction was more affiliative and autonomous in peak sessions than in poor. Clinical implications of this research are discussed.
Education, Faculty of
Educational and Counselling Psychology, and Special Education (ECPS), Department of
Graduate

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21

Elbe, Norma-Jean. "Booster sessions : a strategy for maintaining change in an emotionally-focused marital therapy". Thesis, University of British Columbia, 1991. http://hdl.handle.net/2429/30547.

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The primary purpose of this follow-up study was to was investigate whether couples who had regressed after receiving an Emotionally Focused couples therapy combined with a communication skills training component (EFT+CT) would increase in scores on measures of marital adjustment, communication, and target complaint improvement after receiving four booster sessions in communication skills training. The secondary purpose was to investigate whether receiving the booster sessions would enhance the maintenance of the EFT+CT couples' gains. A comparative crossover control design was used to test the hypotheses in this study. Ten volunteer couples from the EFT+CT condition in James' (1988) study were randomly assigned either to a first-booster group (FB), or a delayed booster group (DB). Both groups were measured at pre-test and then the booster sessions were administered to the FB group while the DB group served as an untreated wait-list control. Both groups were measured again at post-test. Next, a treatment crossover occurred at which time the booster sessions were administered to the DB group and the FB group entered a four month follow-up period. Final measures were taken for both groups at the end of the follow-up period. The booster sessions were administered by four therapists who were randomly assigned to couples in each group. Ratings of therapists' interventions confirmed the treatment integrity of the CT booster sessions in both groups. Tests of equivalence showed no significant differences between the FB and DB groups at pre-test on the measure of marital adjustment. The results indicated that the primary hypothesis was partially supported. A statistically significant Time main effect was found on measures of marital adjustment and target complaint improvement when the collapsed pre-test and post-test scores for the FB and DB groups were compared. The results supported the secondary hypothesis. No significant differences were found on the dependent measures, for the FB group, between the booster post-test and follow-up occasions or between booster post-test and EFT+CT post-test occasions. As an exploratory study, this investigation provides provisional support for the efficacy of booster sessions in increasing and maintaining moderately distressed couples' treatment gains following an Emotionally Focused marital therapy.
Education, Faculty of
Educational and Counselling Psychology, and Special Education (ECPS), Department of
Graduate

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22

Novak, Josh. "A Longitudinal Study of Therapist Emotion Focused Therapy Interventions Predicting In-Session Positive Couple Behavior". BYU ScholarsArchive, 2015. https://scholarsarchive.byu.edu/etd/4410.

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This is a longitudinal multilevel analysis using third party coded data of 15 couples therapy sessions to identify which therapist Emotion Focused Therapy interventions (Management of Couple's Interaction, Working with Primary Emotion, Managing Defensive Responses, Reframing the Problem in Terms of the Cycle, and Placing Emerging Emotions into the Cycle) influenced husband-to-wife and wife-to-husband exchanges of Positive Behaviors (warmth, prosocial behaviors, communication, assertiveness, and listening). A mixed effects model was used to examine within- and between-individual variability. Men and women were modeled separately. A series of two-level multilevel models of change were examined, where Time is Level 1 and Individual is Level 2. Results indicated no significant relationship between Management of the Couple's Interaction, Managing Defensive Responses, and Reframing the Problem in Terms of the Cycle with both wife-to-husband and husband-to-wife positive behavior. Findings demonstrated that 44.5% of the variance in wife-to-husband positive behaviors and 66.5% of the variance in husband-to-wife positive behaviors was accounted for by the therapist Working with Primary Emotion and Placing Emerging Emotions in the Cycle. Specifically, these therapist interventions were significantly and negatively related to wife-to-husband and husband-to-wife positive behaviors over time in therapy. Clinical implications and directions for future research will be discussed.

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23

Stewart, J. Wade. "A Pilot Study of Solution-focused Brief Therapeutic Intervention for Couples". DigitalCommons@USU, 2011. https://digitalcommons.usu.edu/etd/1061.

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Over the years, many interventions have been used to ameliorate couple distress and increase relationship satisfaction. These interventions have been getting shorter in duration. The purpose of this pilot study was to test the feasibility and impact of a brief intervention using a solution-focused approach (SFBT) for couples. The brief intervention included two two-hour consultations. Data were collected from 30 couples and were analyzed using a repeated measures design. The analyses yielded mixed results. There were statistically significant improvements in the areas of individual well-being and relationship knowledge. There were no significant differences in terms of marital satisfaction, communication skills, and readiness to change, although positive trends were observed in this pilot phase. Implications for future research and development are discussed.

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24

Drank, Jillian Amanda. "The Severity of Recurrent Violence During and Following Couples\' Participation in Domestic Violence-Focused Couple Therapy". Thesis, Virginia Tech, 2013. http://hdl.handle.net/10919/50925.

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This study explores the severity of psychological and physical aggression that recurred during and following couples\' participation in Domestic Violence-Focused Couple Therapy. The overall recurrence of violence was found to be quite high. Chi Square tests revealed a difference in severity of violence during the time couples (N=41) were participating in the program in that more couples reported minor only violence at post-test than at pre-test and fewer couples reported severe violence at post-test than at pre-test for both psychological and physical aggression. Also, more couple reported no physical aggression at post-test than at pre-test and fewer couples reported severe physical aggression at post-test than at pre-test. It was also found that much of the violence that recurred during and following participation in the program was coded in the same category of severity at pre-test and post-test and at post-test and follow-up and few couples reported an increase in the severity of the violence they experienced. Implications for treating couples experiencing interpersonal violence and suggestions for further research are discussed.
Master of Science

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25

Corbridge, Claire. "The role of emotional inhibition in bulimic disorders : evaluation of a schema-focused model of emotionally-driven eating in bulimia". Thesis, University of Southampton, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.299411.

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Baker, Bethany. "“They Let Me Loose, Will You Hold Me Tight?” Adult Adoptees and Their Romantic Partners' Experience of Attachment After Participating in the HMT Program". Antioch University / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1630015535934381.

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27

Davis, Stephanie Young. "A Pilot Study Examining the Role of Treatment Type and Gender in Cortisol Functioning". BYU ScholarsArchive, 2017. https://scholarsarchive.byu.edu/etd/6513.

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This pilot study examined the effectiveness of Emotionally Focused Couples Therapy (EFT) compared to Treatment As Usual (TAU) in improving cortisol functioning among distressed couples. It also investigated the role of gender in cortisol functioning. Measures for cortisol were collected at five time points, both at pre- and posttreatment. Data were collected from a total of 60 couples, 20 of which received EFT and 40 of which received TAU. Overall, results from a two-way analysis of variance suggest that there are no significant differences between men or women, nor among couples in EFT and TAU, in posttreatment cortisol functioning. Directions for future research are discussed.

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28

Garcia, Samira Y. "Enhancing the Couple Alliance and Developing a Dyadic Orientation in Discursive Couples Therapy: A Conversation Analysis of Therapists'". NSUWorks, 2016. http://nsuworks.nova.edu/shss_dft_etd/21.

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The purpose of this study is to develop an interpretative understanding of how discursive therapists’ linguistic actions enhance the couple alliance. Additionally, this study includes an exploration of whether these models hold up to a common factors conversation in the practice of couples therapy. The couple alliance is the central relationship in couples therapy. Previous research suggests that therapists’ actions might have an effect on enhancing this alliance by creating a dyadic orientation. In postmodern/discursive models of practice, therapists’ actions have gone mostly unexplored, leaving therapists with little understanding of what is done in the process of couples therapy that enhances the couple alliance and creates a dyadic orientation. Results from a Conversation Analysis of couple’s cases in Narrative Therapy, Solution-Focused Brief Therapy, and Collaborative Language Therapy suggest the linguistic actions of discursive therapists appear mostly congruent with the claims they make regarding couples therapy. These actions may produce an enhanced couple alliance based on the empirically supported characteristics of a strong couple alliance. Findings also support model-dependent common factors of discursive couples therapy. In all three approaches the couple alliance appears to be enhanced by: (a) developing a symmetrical structure of the dialogue, (b) developing a contextual understanding of the self and the partner, (c) expanding the changes to the larger system, and (d) using thematic summaries. These findings have implications for practice and training in discursive couples therapy. Recommendations for future research include utilizing deductive reasoning in outcome studies to explore the effectiveness of a discursive couples therapy common factors approach to enhance the couple alliance.

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29

Conroy, Julia. "Tracking the Cycle: A Glimpse into EFFT". Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/secfr-conf/2019/schedule/12.

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Emotionally Focused Therapy has been shown to produce statistically significant and sustainable change in couples (Wiebe, Johnson, Lafontaine, Burgess Moser, Dalgleish, & Tasca, 2017). This change has also been shown to extend to the family system through the use of Emotionally Focused Family Therapy (Stavrianopoulos, Faller, & Furrow, 2014). The methodology focuses on developing resilience through the co-regulation of the family system by developing secure attachment bonds (Wiebe & Johnson, 2017). EFFT strives to develop a high level of security within families that promotes more fluid communication patterns and more flexible problem solving strategies (Johnson & Lee, 2005). One of the most important steps in developing this security is by clarifying the current interactional cycles taking place, which typically leave the attachment needs of the family unmet (Johnson & Brubacher, 2016). Clinicians who help clients track their interactional cycles lay the foundation for effective change.

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30

Riverwood, Rachel Sachs. "Divine Narcissism: Raising a Secure Middle-Aged Adult". Antioch University / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1630013506860972.

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Lavis-Sorokowski, Mildred. "Emotionally focused couple therapy". 2003. http://hdl.handle.net/1993/22671.

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32

Tsai, Wan-Yin y 蔡婉吟. "A Study of Emotionally Focused Couple Therapy on an Unemployed Couple". Thesis, 2015. http://ndltd.ncl.edu.tw/handle/64725894436455115827.

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碩士
實踐大學
家庭研究與兒童發展學系家庭諮商與輔導碩士班
103
This current study aimed to investigate the application of Emotionally-Focused Couple Therapy in understanding the marital issues of an unemployed couple. The purpose of this study was to enrich our knowledge of unemployed couples. The qualitative research approach was adopted. An unemployed married couple was recruited and provided with eight sessions of Emotionally-Focused couple therapy. A post-session interview was conducted to collect verbal data through the Brief Structured Recall method after each session. Texts from the post-session interview were then analyzed with the Template Analysis Style method. From data analysis and interpretations, four categories of marital issues faced by this unemployed couple emerged: first, personal issues for one party triggered by unemployment experiences would affect interaction between the couple; secondly, a vicious circle was found in the interaction of unemployed couple; thirdly, limited emotional connection between the unemployed couple; fourthly, changes of family roles taken by each party due to employment stresses and the influences entailed by these changes. Based on the research result, the researcher indicated four aspects that need special attentions when counseling unemployed couples on marital and relational issues 1. The issue of unemployment was both personal and systemic 2. The circular interaction between unemployed couple tended to develop gradually toward a negative direction 3. Many implicit gender role pressures hidden behind the issue of unemployment require further understanding 4. Positive affections and strengths were shown in the couple’s seemly negative interactions Five suggestions were made by the researcher from the research process and conclusions: 1. The importance of offering unemployed couples couple and marriage therapy: special regards should be paid to the impacts of issues entailed by unemployment on couple relationship 2. Appropriate counseling goals and tasks should be assigned to unemployed couples according to the stage they were located on the interactive circle 3. Be careful about the psychological stresses and impacts on the unemployed couples brought by gender roles and stereotype 4. Redefine behaviors and actions in negative interactions between unemployed couples in order to identify unique strength and resilience of them 5. Future studies on counseling process for practitioners were suggested for the purpose of integration between research and practices These suggestions were made for the reference of marriage and couple therapists in future practices in working with unemployed couples. Finally, in terms of future research directions, more outcome research or process research on unemployed couples were suggested, diversity of research cases was needed, and the Brief Structured Recall method was recommended in data collection when studying couples with special issues. Keywords: Unemployed Couple; Emotionally Focused Couple, Brief Structured Recall

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33

SHIH, WEI-YU y 施惟友. "An effect Study of Emotionally Focused Couple Therapy on a Premarital Couple". Thesis, 2018. http://ndltd.ncl.edu.tw/handle/ywsyd9.

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碩士
國立臺北教育大學
心理與諮商學系碩士班
106
This research mainly discusses the issues of premarital couples with Emotionally Focused Couple Therapy （EFT） and its effects when applied on premarital couples. With this research, the author expects to form more related research progress on premarital couples. This research takes qualitative research approach and method in which Thematic Analysis was conducted on the texts of 5 EFT data and post-interview data of a premarital couple. The results of this research were separated into 2 parts. First, issues on the intimacy of premarital couples include: 1） Influence due to premarital uncertainty; 2） the negative interaction of the couple treating each other as guests; and 3） influence on marital relationship due to family intergenerational transmission. Secondly, EFT effect on improving the relationship of premarital couples include: 1） Promotes mutual acceptance by expanding primary family experience; 2） mutual understanding due to experience expansion; 3） the presentation of deepened affection connection due to attachment necessity under hidden interactions; and 4） the increasing of sense of safety in order to face premarital uncertainty together. According to the process and result of this research, the author proposed 5 inspirations to premarital couple therapy operators, including: 1） Premarital uncertainty in a kind of anxiety response and will be presented in negative interactions; 2） the negative interaction of premarital couples has special features and needs to be approached actively; 3） helps couples to present the positive meanings hidden in their sense of uncertainty to enhance their sense of safety; 4） the phenomenon of intergenerational transmission is both a personal and relationship agenda and should be regarded as the suspension of relationship influence by relationship agenda; and 5） expands the experience trauma from their primary family and deepens their affection connection to ease their pain. Finally, research and practical suggestions were provided as a reference according to the results and reflections of this research.

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Fu, Yi-Shan y 傅一珊. "The Empathic Reflection of Emotionally Focused Couple Therapy: Working with the Adoptive Couples". Thesis, 2015. http://ndltd.ncl.edu.tw/handle/r7xfza.

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碩士
國立臺北教育大學
心理與諮商學系碩士班
103
This research discusses the practical situation and characteristics of empathic reflections while focusing on the adoptive couples of Emotionally Focused Couple Therapy (EFT). This research used qualitative methodology, and analyzes the dialogue between the psychological therapists and the adoptive couples. The results shows six ways and four features of empathic reflection in EFT. In addition, two emotional characteristics of the adoptive couples were found. 1. The six ways of empathic reflection: (1) Focusing on the experience of interaction. (2) Internal narration. (3) Summarizing first and reflecting on the primary emotions. (4) Reflecting the emotional contents and the needs of attachment at the same time. (5) Using metaphors. (6) Using question form. 2. The four features of empathic reflection：(1) Integrating the system thinking in technology. (2) Repeating the empathic reflection to reach the primary emotions (3) Varied emotion language. (4) Describing the detail interaction to increase awareness of emotions. 3. The two emotional characteristics of the adoptive couples: (1) Emotional unawareness of external issues. (2) Decreasing attention of emotional engagement caused by abortion or infertility issue. This research shows a more deep application for the empathic reflection of EFT, and the use of systematic interaction to accomplish the systematic theory which emphasized in EFT. The empathic reflection of EFT mainly integrates the Attachment Theory, the System Theory, and Theory of Emotion. You can know more detailed manners from this study. In this research, the empathic reflection of EFT focuses on the emotions of couples’ interaction, and reflects the whole experience and the interaction process of the clients, including awareness, thinking, behavior, and interaction type etc. It can help adoptive couples to rebuild the experience of emotion.

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35

Lu, Mei-Li y 呂美莉. "The challenges of counselors practicing skills of empathic reflections in Emotionally Focused Couple Therapy". Thesis, 2015. http://ndltd.ncl.edu.tw/handle/67714793162808284570.

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碩士
實踐大學
家庭研究與兒童發展學系家庭諮商與輔導碩士班
103
A focus group research was used to explore the experiences and challenges of counselors practicing skills of empathic refection in Emotionally Focused Couple Therapy. In May 2015, two focus groups were conducted to identify the challenges participants experience as practicing empathetic reflection skills. Eight participants, psychology counselors who completed either introductory or advanced training programs provided by International Centre for Excellence in EFT (ICEEFT), were randomly assigned to two groups of four each. The group responses were analyzed and categorized as below. Content analysis revealed three challenges emerge during training: a) Insufficient understanding of internal working model and attachment strategies, impeding participants to grasp client’s perceptions of attachment. b) Insufficient training of empathetic reflection skills, impeding participants to identify client’s emotions and precisely describe the context and interaction. c) Insufficient emotional self-regulation and peer support, impeding participants to apply empathetic reflection skills to approach clients. Participants overcame these challenges by: 1. Further studying theories and techniques. It consisted of exploring the literature , attending workshops, using the negative interaction cycle to conceptualize clients, studying session video, and increasing consulting experience. 2. Receiving constant supervision. 3. Relating theories to personal experiences. Results of this research suggest trainers and learners to: 1. Redesign training programs to better meet learners’ needs. Strengthen empathic refection skills, extend training period, and merge introductory and advanced programs. 2. Cultivate more supervisors. 3. Build up peer supervision groups. 4. Work with academic institutions, conducting empirical researches on Chinese couples and families.

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36

Sotero, Sílvia Cristina da Silva. "Emotionally Focused Therapy e mudança na conjugalidade: Um estudo de revisão sistemática". Master's thesis, 2019. http://hdl.handle.net/10316/94779.

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Dissertação de Mestrado Integrado em Psicologia apresentada à Faculdade de Psicologia e de Ciências da Educação
ResumoA Emotionally Focused Therapy - EFT é uma abordagem baseada na Teoria da Vinculação, reconhecida como uma das Terapias de Casal mais testadas empiricamente e mais eficazes nessa área. Wiebe e Johnson (2016) publicaram uma revisão da literatura onde destacaram a influência da EFT em três dimensões da conjugalidade: perdão, satisfação sexual e vinculação. Este estudo pretende verificar se a eficácia da EFT se confirma nestas dimensões e se se verifica mudança em outras dimensões da conjugalidade.Seguindo as diretrizes PRISMA, foram pesquisadas, sistematicamente, seis bases de dados, a partir das quais foram extraídos 11 estudos que cumpriram os critérios de inclusão. Os estudos demonstraram a influência da EFT no perdão, satisfação sexual, vinculação, confiança, satisfação conjugal e na intimidade recreativa dos casais. Verificou-se, também, a manutenção de alguns dos resultados em follow-up.Os resultados encontrados reiteram o contributo da EFT na promoção da mudança nos casais em sofrimento e sugerem a sua adoção na prática clínica.ResumoA Emotionally Focused Therapy - EFT é uma abordagem baseada na Teoria da Vinculação, reconhecida como uma das Terapias de Casal mais testadas empiricamente e mais eficazes nessa área. Wiebe e Johnson (2016) publicaram uma revisão da literatura onde destacaram a influência da EFT em três dimensões da conjugalidade: perdão, satisfação sexual e vinculação. Este estudo pretende verificar se a eficácia da EFT se confirma nestas dimensões e se se verifica mudança em outras dimensões da conjugalidade.Seguindo as diretrizes PRISMA, foram pesquisadas, sistematicamente, seis bases de dados, a partir das quais foram extraídos 11 estudos que cumpriram os critérios de inclusão. Os estudos demonstraram a influência da EFT no perdão, satisfação sexual, vinculação, confiança, satisfação conjugal e na intimidade recreativa dos casais. Verificou-se, também, a manutenção de alguns dos resultados em follow-up.Os resultados encontrados reiteram o contributo da EFT na promoção da mudança nos casais em sofrimento e sugerem a sua adoção na prática clínica.
Abstract Emotionally Focused Therapy - EFT is an approach based in Attachment Theory, recognized as one of the most tested empirically and effective Couple Therapies in this area. Wiebe and Johnson (2016) published a literature review highlighting the influence of EFT on three dimensions of conjugality: forgiveness, sexual satisfaction and attachment. This study aims to verify whether the effectiveness of EFT is confirmed in these dimensions and whether there is a change in other dimensions of conjugality.Following the PRISMA guidelines, six databases were systematically searched, from which 11 studies that met the inclusion criteria were extracted. The studies demonstrated the influence of EFT on forgiveness, sexual satisfaction, attachment, trust, marital satisfaction and recreational intimacy of couples. We also found that some of the results were maintained in follow-up.The results confirm the contribution of EFT in promoting change in suffering couples and suggest its adoption in clinical practice.Abstract Emotionally Focused Therapy - EFT is an approach based in Attachment Theory, recognized as one of the most tested empirically and effective Couple Therapies in this area. Wiebe and Johnson (2016) published a literature review highlighting the influence of EFT on three dimensions of conjugality: forgiveness, sexual satisfaction and attachment. This study aims to verify whether the effectiveness of EFT is confirmed in these dimensions and whether there is a change in other dimensions of conjugality.Following the PRISMA guidelines, six databases were systematically searched, from which 11 studies that met the inclusion criteria were extracted. The studies demonstrated the influence of EFT on forgiveness, sexual satisfaction, attachment, trust, marital satisfaction and recreational intimacy of couples. We also found that some of the results were maintained in follow-up.The results confirm the contribution of EFT in promoting change in suffering couples and suggest its adoption in clinical practice.

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37

LIU, KUAN-LIN y 劉冠林. "Reframing skill in Emotionally Focused Couple Therapy:Working with the Adoptive Couples". Thesis, 2017. http://ndltd.ncl.edu.tw/handle/5gd94c.

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碩士
實踐大學
家庭研究與兒童發展學系家庭諮商與輔導碩士班
105
Abstract The purpose of this study was to investigate the practical situation and characteristics of reframing skill while focusing on the adoptive couples of Emotionally Focused Couple Therapy (EFT); to gather more knowledge regarding reframing through exploratory research; also, to explore the forms and probable characteristics of the reframing skill conducted by the EFT counselling therapists in the country. We conducted qualitative analysis on the collected data based on discovery-oriented approach. Two dyads of counselling psychologist - adoptive couple who were undergoing agency adoption participated in the study, and the transcription collected from such counselling sessions was the data subject to textual analysis. Five forms and five characteristics of reframing were discovered in this study: Five forms of reframing: 1. reflecting the inconsistency between attachment needs and surface behavior; 2. transmitting the meaning of the attachment signals behind the primary emotions; 3. constructing mutually the nature of the couple’s issue; 4. redefining the vicious circle of the interaction of the couple; 5. enriching the significance of the existence of the couple’s relationship. Five characteristics of reframing: 1. basing the new perspectives mainly on the attachment theory; 2. implementing system thinking, sharing and taking the mutual responsibility; 3. expanding the couple’s experience by incorporating the mental process of interpersonal interaction; 4. experiential cognitive change and behavioral integration; 5. enriching the significance of the existence of the couple’s relationship. It was found that, when we take the core nature of reframing of the EFT to the practical level, which means consistently interpreting the attachment signals and constantly exploring and reframing the negative cycle, and then accomplishing the process of delivery, transmission, receipt and response, in another word, a good interaction between “pitch and catch”, then reframing is no longer restrained to the technical level applied merely to “block the bullet” or to define the issues. Instead, it can be considered the essence and attitude of the therapist, the same as the “validation skill” of the EFT. In addition, we saw a splendid series of new possibilities generated by the incorporation of EFT, a western school, into Chinese culture. With the participation of the view of destiny from Chinese culture, we can assist the couples by expanding their spiritual perspective and their views about the meaning of existence, then, the strength to reinterpret and practice effectively attachment needs and the meaning of existence is built. The conclusions of this study present a wider variety of the forms of reframing skill of the EFT, with an intention to offer a reference to the practical work, and furthermore to expand the application of reframing skill and introduce greater benefits. Keywords: adoptive couple, reframing, Emotionally Focused Couple Therapy

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38

Cline, Gabriel A. "Predictive factors of Emotional Acceptance". 2009. http://proquest.umi.com/pqdweb?did=1934063441&sid=5&Fmt=2&clientId=14215&RQT=309&VName=PQD.

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Thesis (Ph.D.)--University of Nebraska-Lincoln, 2009.
Title from title screen (site viewed March 2, 2010). PDF text: iv, 90 p. ; 2 Mb. UMI publication number: AAT 3386753. Includes bibliographical references. Also available in microfilm and microfiche formats.

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39

McKinnon, Jacqueline M. "Revealing underlying vulnerable emotion in couple therapy : impact on session outcome /". 2008. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&res_dat=xri:pqdiss&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&rft_dat=xri:pqdiss:MR45956.

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Thesis (M.A.)--York University, 2008. Graduate Programme in Psychology.
Typescript. Includes bibliographical references (leaves 58-63). Also available on the Internet. MODE OF ACCESS via web browser by entering the following URL: http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&res_dat=xri:pqdiss&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&rft_dat=xri:pqdiss:MR45956

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Mutter, Kelvin Frederick. "Focusing on emotions in pastoral marital counselling: an evangelical assessment". Thesis, 2005. http://hdl.handle.net/10500/2233.

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This dissertation evaluates the degree of "fit" in employing Emotionally Focused Couple Therapy [EFCT] within the context of congregational ministry and/or a Christian counselling center to counsel evangelical couples who have experienced an "attachment injury." The present study introduces and examines the possibility that, given an appropriate level of theological reflection, EFCT is an appropriate counselling methodology for use by evangelical clergy and counselors. Beginning with an examination of the values, assumptions and practices of EFCT this study explores three dimensions of the interface between EFCT and ecclesiastical practice: a) a theological reflection on the values and assumptions that inform the practice of EFCT; b) a comparison of EFCT with the marital counselling theories of Howard Clinebell, Jr., Larry Crabb, Jr., H. Norman Wright, and Everett L. Worthington, Jr., noting how each of these theories conceptualizes and treats both the marital dyad and emotional experience; and, c) an examination of Christians' perceptions of, and receptivity to, this model. The research demonstrates that the pastoral adaptation of EFCT highlighted in this study was rated favorably but not superior to the other four models. Specifically, it is noted that those who had previously experienced marital counselling, pastoral or otherwise, appeared to be attracted to the EFCT model as it was presented, even though the exemplar did not explicitly incorporate either the use of scripture, prayer, religious homework, or spiritual themes such as forgiveness and mutuality in marriage. The fact that even in the absence of an explicitly spiritual emphasis EFCT received high ratings suggests there is something within the model that speaks to the committed evangelical believer. The study concludes that even though EFCT may not be known within the evangelical community the perspective it offers "fits" with the values of this part of the Christian community and seems to appeal to those who have previously experienced marital difficulties. As a result, it may be stated that EFCT offers a mode of intervention that is suitable for use with evangelical Christians.
Practical Theology
D. Div. (Pracical theology)

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