Strengths of Emotionally Focused Therapy

  • EFT is based on clear, explicit research-based conceptualizations of individual growth, health and dysfunction and of relationship distress and adult love.

  • EFT is collaborative and respectful of clients, combining experiential Rogerian techniques with structural systemic interventions.

  • Change strategies and interventions are specified.

  • Key moves and moments in the change process have been mapped into three stages of therapy and key change events that predict success at the end of therapy.

  • EFT has been validated by over 30 years of empirical research. There is also research on the change processes and predictors of success.

  • EFT has been applied to many different kinds of problems and populations.

EFT for Couples (EFCT)

EFT is a short term (8 to 20 sessions) structured approach, originally developed for couple therapy and based on attachment science, formulated in the 1980’s. Interventions in EFCT integrate a humanistic, experiential approach to restructuring emotional experience and a systemic structural approach to restructuring interactions. A substantial body of research now exists on the effectiveness of EFCT. This research shows large treatment effect sizes and stable results over time. EFCT is used successfully with many different kinds of couples in private practice, university training centers and hospital clinics. Preliminary research exists for couples dealing with depression, with anxiety resulting from trauma, with medical illness and with forgiveness dilemmas. EFCT is used with varied cultural groups and educational levels across North America, Australia, New Zealand, Europe, Africa and Asia. It is used with traditional and non-traditional couples, including same-sex couples.

Goals:

  • To expand and re-organize key emotional responses and, in the process, the organization of self.

  • To create a positive shift in partners interactional positions and patterns.

  • To foster the creation of a secure bond between partners.

 

EFT for Individuals (EFIT)

EFIT is an attachment science-based approach to individual therapy that, like the other EFT interventions, EFCT for couples and EFFT for families, offers an integration of humanistic experiential interventions focused on reshaping intrapsychic experience and systemic interventions focused on reshaping patterns of engagement with significant others. Emotion is given precedence across treatment modalities given its powerful role in structuring both inner experience and motivation and key interactional patterns in relationships. Emotion links and organizes core experience and interaction.

Goals:

  • To offer corrective experiences that positively impact models of self and other and shape stable, lasting change.

  • To offer transformative moments where vulnerability is encountered with balance.

  • To enable clients to move into the accessibility/openness, responsiveness and full engagement that characterises secure attachment with others.

  • To enable clients to shape a coherent sense of a competent self that can deal with existential life issues and become a fully alive human being.

 

EFT for Families (EFFT)

EFFT follows the principles and practices of Emotionally Focused Therapy to restore connection and promote resilience in family relationships. The principle goal of EFFT is to re-establish more secure family patterns where attachment and caregiving responses are effective and emotional bonds are repaired. These resources inform a network of security that provides the flexibility and closeness necessary for families to promote individual growth and meaningful relationships across generations.

The EFFT Approach

The EFT process of change in EFFT focuses on stabilizing a family’s negative interaction pattern, restructuring parent and child interactions, and consolidating the felt security gained through these new patterns of connection. Following principles of attachment science, the EFFT therapist guides the family to new patterns of parental availability, responsiveness and coherent attachment communications as they face developmental change and life challenges. In EFFT, the focus is on addressing blocks in parental caregiving responses and understanding the child or adolescent’s behavior in terms of attachment needs or fears. These blocks result from constrained, stuck responses to misattunement and injuries in family relationships. The EFFT therapist tracks the generational influences impacting these blocks and works through rigid patterns that disrupt attachment communication between parents, siblings and between parent and child. Work with parents focuses on the building of a coherent parenting team. The process of EFFT often moves quickly as family members become more responsive, accessible, and engaged with previously unacknowledged attachment-related emotions and needs.

Goals:

  • Accessing and expanding awareness of unacknowledged feelings associated with the family’s negative pattern.

  • Reframing family distress and child problems within relation blocks reinforcing this distress.

  • Promoting awareness and access to underlying caregiving intentions and disowned attachment related needs.

  • Facilitating the sharing of unmet attachment needs and effective caregiving responses.

Dr. Sue Johnson Introducing EFT