The Course of Treatment in EFT for Depression (Ch 5)

Question 1

What are the 2 overarching principles of EFT treatment?

Answer 1

1. Facilitating the therapeutic relationship

2. Promoting therapeutic work

Question 2

What are the 3 subprinciples of Facilitating the therapeutic relationship

Answer 2

• Empathic attunement
• Bonding
• collaboration

Question 3

What are the 3 subprinciples of Promoting therapeutic work

Answer 3

• differential experiential processing
• growth and choice
• task completion

Question 4

How does EFT view the EFT therapist?

Answer 4

As an emotion coach

Question 5

What are the 3 major phases of therapy?

Answer 5

o Bonding and awareness
o Evocation and exploration
o Transformation (constructing alternative through generating new emotions and reflecting to create meaning)

Question 6

Describe the transfrormation phase of EFT

Answer 6

The transformation of one emotion by accessing another. A maladaptive emotional state can be transformed best by undoing it with another more adaptive emotional state.

co-activation of the more adaptive emotion along with or in response to the maladaptive emotion helps transform the maladaptive emotion

It suggests that developing the ability to link negative and positive emotional states and to make transi- tions between these emotions is an important part of therapeutic change

Question 7

What does the therapist do in Phase 1: Bonding and Awareness

Answer 7

• attends to, empathizes with, and validates the client’s feelings and current sense of self;
• provides a rationale for working with emotion;
• promotes awareness of internal experience; and
• establishes a collaborative focus.

Question 8

In developing a focus for therapy, it is important to shift the focus of session content from what to what?

Answer 8

From talking about the client’s symptoms and reactions to situations
-> To exploring the client’s agency in the creation of the problematic experience.

The focus thus becomes one of taking responsibility for one’s agency in the construction of one’s personal reality

Question 9

What does the therapist do in Phase 2: Evocation and Exploration

Answer 9

• establishes support for contacting emotions
• evokes and arousesproblematic feelings,
• undoes interruptions, and
• helps the client access primary emotions.

Question 10

Describe why Establishing support for contacting emotions is important

Answer 10

The client needs to be ready for evokation, so the therapist needs to assess whether they have the sufficient internal support

for some clients the primary focus often needs to be on building supports for promoting contatc with emotions

Question 11

What are two deficits that prevent a client from experiencing emotion?

Answer 11

1. Anxiety about inner feelings

2. Lack of ability to name an emotional experience

Question 12

What procedures are useful for addressing anxiety about inner feelings?

Answer 12

a type of graded exposure or de- sensitization process

Question 13

Describe the procedures involved in evoking and arousing the problematic feelings?

Answer 13

page 107-109

Question 14

What is the goal of evocation and exploration?

Answer 14

to access new primary experience as a basis for reorganization of the self

The goal, once these feelings are evoked, is to slow down and unpack the generating se- quences, to differentiate feelings, and to get at underlying primary emotions and associated automatic perceptions and appraisals and, finally, at the client’s needs

Therapists in the evocation and exploration phase predominantly fo- cus on helping clients take ownership of their core experience. The new core feeling arrived at is either a primary adaptive emotion or the maladaptive emotional experience generated by a core dysfunctional emotion scheme.

Question 15

Interventions used to facilitate client exploration always need to involve a balance between what and what?

Answer 15

Process directiveness
and
Empathic responding

Question 16

What does a client need to do when they have accessed a core emotional experience?

Answer 16

Need to decide whether it is a healthy experience.

If the core emotion will enhance their well-being, then they can stay with this experience and be guided by the information it provides.

If this core emotion will not enhance it is maladaptive
-> then they need to transform the feeling.

Question 17

What does identifying maladpative feelings gelp clients do?

Answer 17

Articulate the destructive beliefs and the unmet needs that form a part of them.

Question 18

What are beliefs?

Answer 18

language-basedrepresentations of core emotion schemes that need to be changed (if negative)

Question 19

What does the therapist do in Phase 3: Transformation

Answer 19

• helps the client generate new emotional responses to transform core maladaptive schemes,
• encourages reflection to make sense of experience, and validates new feelings
• supports an emerging sense of self.

Question 20

What is the first step in transformation?

Answer 20

Helping clients access their opposing internal emotional resources and use these to:

1. transform the maladaptive emotion
2. challenge the dysfunctional beliefs

Question 21

Does the therapisr directly challenge negative voices associated with maladpative emotions?

Answer 21

No, the therapist helps the client access an alternative, more adaptive self-organization to challenge the maladaptive state

Question 22

Working with emotion means not only working with emotion but also working with?

Answer 22

motivation and goals

Emergence of new feelings results in the establishment of new needs and goals. To meet these new needs and goals, the client must access new resources

Question 23

Clients transform maladaptive emotion states by…

Answer 23

By fully experiencing them, and by accessing other more adaptive emotions.

In time, the more adaptive emotion transforms the maladaptive emotion by integrating with it to form a new scheme.