Change events D - EFT Couple Therapy Switzerland

Welcher der folgenden Punkte beschreibt am besten das Therapeuten-Thema, das den bindungsbezogenen Affekt erweitert?

Zunächst versucht der Therapeut, die Erfahrung des mehr tadelnden Partners, die aus der Arbeit in Schritt 5 stammt, wieder aufzunehmen.

Der Therapeut versucht, die Erfahrung des sich zurückziehenden Partners, die aus der Arbeit in Schritt 5 stammt, wieder aufzunehmen, um die Bindungsängste, Verletzungen und Sehnsüchte genauer zu verstärken.

Der Therapeut versucht, einen Vertrag zu erstellen, in dem Belohnungen und Konsequenzen für das Verhalten jedes Partners festgelegt werden.

Der Therapeut konzentriert sich auf vergangene Ausnahmesituationen, in denen das Paar Konflikte gelöst hat.

Welche der folgenden Aussagen veranschaulicht am besten eine typische Therapeutenverstärkungsreaktion bei der Arbeit mit dem Thema des expandierenden bindungsbezogenen Affekts?

“Lucinda, you mentioned that sometimes you guys don’t argue and fight around this issue. What are you doing differently in those times?”

“Lucinda, this reminds me of the conflict you had with your mom when you were a child, always wanting her approval and affection.”

“You feel so alone, so emotionally disconnected right now. It matters not how hard you try, your sense is that it’s just not safe to turn to him.”

“Why don’t you tell him to stop, tell him that you’ve had enough? Can you enforce such a boundary with him now?”

Which choice best surmises how the therapist seeks to experientially reenter this partner’s position in the cycle?

Therapist initially seeks to intensify immediate experiencing by using an evocative response when Jon “fidgets” in his chair

Therapist confronts Jon and challenges his commitment and thinking.

Therapist heightens Jon’s sense of reaching behavioral goals set forth in last week’s contract

Therapist purposely ignores secondary emotion and attends to primary.

Write an evocative response to Jon’s last statement. The objective is to get Jon presently experiencing what he is describing.

Write a response that first heightens Jon’s statement. The goal is to expand his present experiencing. Follow that with an evocative response that checks in with him to be sure you are on track

Write a response that uses Jon’s own words to continue expanding his present experiencing of his withdrawn position in the relationship.

Choose the heightening responses from the list below: (more than one correct answer)

“You’re trapped on a leash. You feel like you have to just sit there and ‘take your medicine,’ you say. Like a dog that pissed on the carpet.”

“Have you noticed your thought pattern when this happens? What do you tell yourself?”

“What do you do when you feel like a dog? What action do you take?”

“Has there been a time when you didn’t feel like a dog? What was different about those times?”

“A dog on a leash. A dog on a leash that has once again messed up, once again not come through, once again come up short.”

“Why don’t you stand up to her? Why do you take being treated like a dog? ‘Here boy, here boy!’ Does that make you feel at home?”

In the therapist’s first response above, what is the name of the intervention used?

Heightening

Restructuring interaction

Reframing

Evocative responding

In the therapist’s second response above, what intervention is used?

Heightening

Evocative responding

Finding the exception

Restructuring interactions

10.

In the vignette on page 205, circle each occurrence of primary emotion. Clients often do not use actual word labels such as “sad,” etc. Be sure to circle implicit referrals or metaphors alluding to emotional states. “The sky seems so dark,” for example, would be a metaphor describing sadness. Compare your response to the one provided in the Answer Section.

11.

Which of the following best describes the goals of the expanding attachment-related affect theme?

Prepares the way for a concrete and specific behavioral contact between spouses

Builds toward cycle de-escalation that is crucial for positive outcomes in EFT.

The expansion of attachment-related fears and needs poignantly reconnects the withdrawing partner to what is longed for. This empowers one to ask for attachment needs to be honored and met.

By making fears and needs explicit, the other spouse is not left guessing why her husband acts as if he is from Mars.

12.

Choose the EFT restructuring interactions intervention from the list below that might be the therapist’s next step in the previous example:

“Do you ever share this with her at home? You don’t because your childhood wounds are too great.”

"You’d really like to be able to share this with her, but it needs to be safe, right?”

“I’d like you to communicate clearly with her now. Be sure to use ‘I’ statements, and if you start blaming or speaking for her, I will stop you and we’ll discuss it. Okay?”

“Would you please turn now and share with her how scary this is for you, how badly you don’t want to defend and withdraw. Would you please turn to her and share this in your own words now?”

“What do you think she is thinking right now? Why don’t you ask her?”

13.

Select the response below that validates and expands Jon’s immediate and burgeoning fear of turning and sharing with Rosalita before he’s again asked to directly share.

“It’s okay. Go ahead and risk. You can do it. I know you can. I’ve seen the strength of your family, the strength you’ve shown in here. You can do it.”

“Right. Sharing your fear with her is really scary. And why wouldn’t it be? She could belittle you, she could attack you, right? It’s very scary for you to risk opening up to her like this. She means so much to you. Would you please turn to her now and tell her a little bit about how scary this is for you, this is no easy task. Would you let her in on that now please?”

“Has there ever been a time when you did share this with her? What was different about that time?”

“You see your mother in her, and you fear that you won’t be good enough for her. You were never really good enough for your mom’s acceptance.”

14.

Looking at your own response above, list the EFT interventions you employed. When finished, compare and contrast your chosen interventions with typical ones listed in the answer section.

15.

Choose the best answer. In the above segment the therapist is:

Supporting Jon’s turning and sharing with his spouse.

Inquiring about Jon’s family of origin.

Using transference effectively.

Assessing for contempt in the relationship.

Supporting Jon’s engaging position with validation and processing it with evocative responding.

16.

Jon’s previous sharing of his attachment fears and needs with Rosalita is presented above. In preparation for processing with Rosalita, go back and underline all of the instances where Jon shares his primary emotion and associated metaphors. When finished, circle where Jon is stating and asking for his attachment wants/needs to be met. When finished, compare your answer to those provided in the answers section.

17.

The therapist picks up on Rosalita’s sadness for Jon and recognizes the compassion she is feeling for him in the moment. Choose the best restructuring interaction from the list below.

“You feel sad for him now, yes. When he shows this part of him, when he risks like this, it brings up a sadness and compassion in you, yeah?” (she nods) “Would you please turn to him and share this with him now, in your own words?”

“If it was safe to talk to him right now, what would you say?”

“Have you ever let him know that you feel compassion for him? How did you do that?”

“Tell him about this sadness.”

18.

Choose the reframing in the context of attachment needs and wants intervention from the list below

“Rosalita, what’s it like to share this with him?”

“You’re not used to seeing this part of Jon that is afraid of losing you, that longs for you. What you see is him withdrawing in fear and to protect, right? So this is kind of new for you. You’re not used to hearing about how much you impact him, and how much he needs you.”

“Suppose he was able to show this side of himself more this week. How do you think your response would be different?”

“You’re able to have compassion on him right now Rosalita. You weren’t able to before—your memories of your father kept you from doing that. But here you were able to do it, to respond to him.”

19.

In the segment above the therapist is primarily:

Finding exceptions to the problematic cycle

Making insights into past key attachment events that keep each spouse stuck in their defenses

Looking to externalize the struggle between the couple

Choreographing a new positive interactional cycle by reframing behavior in the context of attachment needs and wants.