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J Marital Fam Ther. 2021 Aug 01; doi: 10.1111/jmft.12544. Epub 2021 Aug 01.

Impact of repeating somatic cues on the depth of experiencing for withdrawers and pursuers in emotionally focused couple therapy.

Journal of marital and family therapy

Sari Kailanko, Stephanie A Wiebe, Giorgio A Tasca, Aarno A Laitila

Affiliations

  1. University of Jyväskylä, Finland.
  2. University of Saint Paul, Ottawa, Ontario, Canada.
  3. University of Ottawa, Ottawa, Ontario, Canada.

PMID: 34333810 DOI: 10.1111/jmft.12544

Abstract

Emotionally Focused Couple Therapy, an experiential modality, views emotion central to therapeutic change. In this exploratory study, we examined therapists' repetition of somatically focused interventions (therapist verbalizing somatic cues, such as facial expressions) and their impact on clients' emotional experiencing in-session. We also assessed difference for withdrawing versus pursuing partners. The sample included 13 EFT therapists who worked with one couple each for a single session. From transcripts we coded therapists' repetition of somatically focused interventions and clients' depth of experiencing pre-and post-intervention. Multilevel modeling demonstrated that a higher number of repetitions of somatically focused interventions predicted greater increase in depth of experiencing, unlike length of time spent repeating interventions. Somatically focused interventions resulted in greater increase in depth of experiencing for withdrawing as compared to pursuing partners. The results of this exploratory study suggest that such interventions may be a specific technique of EFT therapists that enhances emotional experiencing especially among withdrawing partners.

© 2021 The Authors. Journal of Marital and Family Therapy published by Wiley Periodicals LLC on behalf of American Association for Marriage and Family Therapy.

References

  1. Bowlby, J. (1988). A secure base. Basic Books. - PubMed
  2. Bradley, B., & Furrow, J. L. (2004). Toward a mini-theory of the blamer softening event: Tracking the moment-by-moment process. Journal of Marital and Family Therapy, 30(2), 233-246. https://doi.org/10.1111/j.1752-0606.2004.tb01236.x - PubMed
  3. Bradley, B., & Furrow, J. J. (2007). Inside blamer softening: Maps and missteps. Journal of Systemic Therapies, 26(4), 25-43. https://doi.org/10.1521/jsyt.2007.26.4.25 - PubMed
  4. Brubacher, L. L., & Wiebe, S. A. (2019). Process-research to practice in emotionally focused couple therapy: A map for reflective practice. Journal of Family Psychotherapy, 30(4), 292-313. https://doi.org/10.1080/08975353.2019.1679608 - PubMed
  5. Burgess Moser, M., Johnson, S. M., Dalgleish, T. L., Wiebe, S. A., & Tasca, G. A. (2018). The impact of blamer-softening on romantic attachment in emotionally focused couples therapy. Journal of Marital and Family Therapy, 44(4), 640-654. - PubMed
  6. Buss, A. H., & Plomin, R. (1986). The EAS approach to temperament (67-80). In R. Plomin & J. Dunn (Eds.), The study of temperament (pp. 66-80). Psychology Press. - PubMed
  7. Carryer, J. R., & Greenberg, L. S. (2010). Optimal levels of emotional arousal in experiential therapy of depression. Journal of Consulting and Clinical Psychology, 78(2), 190-199. https://doi.org/10.1037/a0018401 - PubMed
  8. Dalgleish, T. L., Johnson, S. M., Burgess Moser, M., Wiebe, S. A., & Tasca, G. A. (2015). Predicting key change events in emotionally focused couple therapy. Journal of Marital and Family Therapy, 41(3), 260-275. https://doi.org/10.1111/jmft.12101 - PubMed
  9. Elliott, R., Watson, J. C., Goldman, R. N., & Greenberg, L. S. (2004). Learning emotion- focused therapy: The process experiential approach to change. American Psychological Association. - PubMed
  10. Gendlin, E. T. (1961). Experiencing: A variable in the process of therapeutic change. American Journal of Psychotherapy, 15(2), 233-245. https://doi.org/10.1176/appi.psychotherapy.1961.15.2.233 - PubMed
  11. Gendlin, E. T. (1964). A theory of personality change. In P. Worchel & D. Byrne (Eds.), Personality change (pp. 100-148). John Wiley & Sons. - PubMed
  12. Gendlin, E. T. (1969). Focusing. Psychotherapy: Theory, Research and Practice, 6(1), 4-15. https://doi.org/10.1037/h0088716 - PubMed
  13. Greenman, P. S., & Johnson, S. M. (2013). Process research on emotionally focused therapy (EFT) for couples: Linking theory to practice. Family Process, 52(1), 46-61. https://doi.org/10.1111/famp.12015 - PubMed
  14. Hofmann, S. G., Heering, S., Sawyer, A. T., & Asnaani, A. (2009). How to handle anxiety: The effects of reappraisal, acceptance, and suppression strategies on anxious arousal. Behaviour Research and Therapy, 47(5), 389-394. https://doi.org/10.1016/j.brat.2009.02.010 - PubMed
  15. Jaouich, A., Rogan, K., Fitzpatrick, M., Desbois, A. C., & Janzen, J. (2006). Experiencing decision tree: Modifications to the experiencing. McGill University. - PubMed
  16. Johnson, S. M. (2004). The practice of emotionally focused couples therapy (2nd ed). Brunner-Routledge. - PubMed
  17. Johnson, S. M. (2009). Attachment theory and emotionally focused therapy for individuals and couples, perfect partners. In J. H. Obegi & E. Berant (Eds.), The attachment theory and research in clinical work with adults (pp. 410-433). The Guilford Press. - PubMed
  18. Johnson, S. M. (2019). Attachment: An essential guide for science-based practice. In S. M. Johnson (Ed.), Attachment theory in practice: Emotionally focused therapy (EFT) with individuals, couples, and families (pp. 1-23). Guildford Publications. - PubMed
  19. Johnson, S. M. (2020). The practice of emotionally focused couple therapy: Creating connection (3rd ed). Routledge. - PubMed
  20. Johnson, S. M., & Greenberg, L. S. (1988). Relating process to outcome in marital therapy. Journal of Marital and Family Therapy, 14(2), 175-183. https://doi.org/10.1111/j.1752-0606.1988.tb00733.x - PubMed
  21. Johnson, S. M., & Whiffen, V. E. (1999). Made to measure: Adapting emotionally focused couple therapy to partners' attachment styles. Clinical Psychology: Science and Practice, 6(4), 366-381. https://doi.org/10.1093/clipsy.6.4.366 - PubMed
  22. Kailanko, S., Wiebe, S. A., Tasca, G. A., & Laitila, A. A. (2020). The impact of therapists’ somatically-focusedsomatically-focused interventions on the depth of clients’ experiencing in emotionally focused couple therapy [Unpublished manuscript]. - PubMed
  23. Klein, M. H., Mathieu, P. L., Gendlin, E. T., & Kiesler, D. J. (1969). The experiencing scale. A research and training manual (Vol. I). Wisconsin Psychiatric Institute. - PubMed
  24. Lee, N. A., Spengler, P. M., Mitchell, A. M., Spengler, E. S., & Spiker, D. A. (2017). Facilitating withdrawer re-engagement in emotionally focused couple therapy: A modified task analysis. Couple and Family Psychology: Research and Practice, 6(3), 205-225. https://doi.org/10.1037/cfp0000084 - PubMed
  25. Madison, G. (2014). Palpable existentialism: A focusing-oriented therapy. Psychotherapy in Australia, 20(2), 26-33. - PubMed
  26. McRae, T. R., Dalgleish, T. L., Johnson, S. M., Burgess-Moser, M., & Killian, K. D. (2014). Emotion regulation and key change events in emotionally focused couple therapy. Journal of Couple & Relationship Therapy, 13(1), 1-24. https://doi.org/10.1080/15332691.2013.836046 - PubMed
  27. Ogden, P., & Fisher, J. (2015). Sensorimotor psychotherapy: Interventions for trauma and attachment. W.W. Norton & Company, Inc. - PubMed
  28. Ogden, P., Minton, K., & Pain, C. (2006). Trauma and the body: A sensorimotor approach to psychotherapy. W.W. Norton & Company, Inc. - PubMed
  29. Pascual-Leone, A., & Yeryomenko, N. (2017). The client “experiencing” scale as a predictor of treatment outcomes: A meta-analysis on psychotherapy process. Psychotherapy Research, 27(6), 653-665. https://doi.org/10.1080/10503307.2016.1152409 - PubMed
  30. Pinquart, M., Feußner, C., & Ahnert, L. (2013). Meta-analytic evidence for stability in attachments from infancy to early adulthood. Attachment & Human Development, 15(2), 189-218. https://doi.org/10.1080/14616734.2013.746257 - PubMed
  31. Porges, S. W. (2011). The polyvagal theory: Neurophysiological foundations of emotions, attachment, communication, and self-regulation. Norton. - PubMed
  32. Rheem, K. D. (2011). Analyzing the withdrawer re-engagement change event in emotionally focused couple therapy: A preliminary task analysis. Argosy University. - PubMed
  33. Schore, A. N. (1994). Affect regulation and the origin of the self: The neurobiology of emotional development. Erlbaum. - PubMed
  34. Schore, A. N. (2011). The right brain implicit self lies at the core of psychoanalysis. Psychoanalytic Dialogues, 21(1), 75-100. https://doi.org/10.1080/10481885.2011.545329 - PubMed
  35. Schore, J. R., & Schore, A. N. (2008). Modern attachment theory: The central role of affect regulation in development and treatment. Clinical Social Work Journal, 36(1), 9-20. https://doi.org/10.1007/s10615-007-0111-7 - PubMed
  36. Schore, J. R., & Schore, A. N. (2014). Regulation theory and affect regulation psychotherapy: A clinical primer. Smith College Studies in Social Work, 84(2-3), 178-195. https://doi.org/10.1080/00377317.2014.923719 - PubMed
  37. Singer, J. D., & Willett, J. B. (2003). Applied longitudinal data analysis: Modeling change and event occurrence. Oxford University Press. - PubMed
  38. Wiebe, S. A., & Johnson, S. M. (2016). A review of the research in emotionally focused therapy for couples. Family Process, 55(3), 390-407. https://doi.org/10.1111/famp.12229 - PubMed
  39. Wiebe, S. A., Johnson, S. M., Burgess Moser, M., Dalgleish, T. L., & Tasca, G. A. (2017). Predicting follow-up outcomes in emotionally focused couple therapy: The role of change in trust, relationship-specific attachment, and emotional engagement. Journal of Marital and Family Therapy, 43(2), 213-226. https://doi.org/10.1111/jmft.12199 - PubMed

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