EMOTIONAL FOCUSED THERAPY


EFT suggests that it is important to access primary emotions.

A two-phase process of arriving and leaving is proposed. When the core emotion arrived at is adaptive then it is used as a guide to action which promotes leaving of that emotion. In this process often the symptomatic secondary emotions, such as, feeling upset, despairing, hopeless are evoked first in therapy, then the core primary adaptive emotion such as sadness of grief or empowering anger are accessed and validated. This involves a two-step sequence of moving from secondary to adaptive primary emotion.

A more complex three-step sequence is required to transform maladaptive core emotion. In this sequence, first the secondary emotion is evoked, then core maladaptive emotions, such as shame, fear or anger are arrived at. These are then transformed by accessing adaptive emotions such as anger, sadness and compassion and the maladaptive state is left behind. Finally once adaptive emotions have been accessed to guide action and transform maladaptive emotions, experience is reflected on and incorporated into new views of self that are used to transform personal narratives.

Prof. Lesli Greenberg, (one of the originators and primary developers of Emotion-Focused Therapy for individuals and couples, a professor emeritus of psychology at York University in Toronto, and director of the Emotion-Focused Therapy Clinic in Toronto) outlined three empirically supported emotion processing principles:

(a) increasing emotion awareness,

(b) enhancing emotion regulation, and

(c) emotion transforming


EMOTION AWARENESS


The general goal of EFT is to increase emotion awareness. Clients are encouraged to experience and accept feelings as opposed to avoiding or denying unpleasant affective states. Essentially, the objective is to get in touch with and articulate adaptive primary emotional responses in order to access adaptive action tendencies. Of equal importance is to identify maladaptive emotional states that paralyze the individual and prevent adaptive reasoning and behavior. For example, a primary emotional response of healthy, assertive anger may propel a person into setting appropriate boundaries, confronting others' behaviors, and getting needs met. A maladaptive emotional response of guilt or shame originating from past traumas may render the person helpless, confused, emotionally disregulated, and engaged in maladaptive behavior to avoid or compensate for the distressing affect. Clients are assisted in remaining focused on feelings and in overcoming avoidant tendencies.


EMOTION REGULATION


The second principle in EFT is emotion regulation. Primary emotions such as shame or secondary emotions such as hopelessness or despair are often powerful enough to overwhelm. As the person touches on these feelings, the supportive, validating, and empathic therapeutic relationship can help bring stability and comfort to assist in emotionally regulating. Clients are encouraged to regulate breathing, visualize distance from the emotion, and learn coping self-talk and other self-calming methods to allow and accept, rather than avoid, amygdala-based emotional arousal (Amygdala is the integrative center for emotions, emotional behavior and motivation in our brain).



EMOTION TRANSFORMATION


The third principle of EFT is emotion transformation. Maladaptive emotional responses are replaced by more adaptive responses. Rather than attempting to reason one's way around or to completely avoid a distressing affect, the client is encouraged to experience the affect and then shift focus to more pleasant calming emotions. Catharsis alone is seen as insufficient in transforming the painful affect. Rather, the presentation of an opposing emotional scheme synthesizes with the maladaptive affect, producing a more adaptive, higher order level of functioning.


The effectiveness of short-term EFT for individuals has been demonstrated in several research projects. EFT is an effective treatment for both depression and emotional trauma. EFT activates emotion during treatment to make deep change in automatically functioning emotion schemes that are frequently the sources of problems.


EMOTION COACHING


Emotion coaching in therapy is based on two phases: Arriving and Leaving. A major premise is that one cannot leave a place until one has arrived at it.
The first phase of arriving at one’s emotions, involves the following four steps. These are focused on awareness and acceptance of emotion.
• First, it is important to help people become aware of their emotions.
• Second, people need to be coached to welcome their emotional experience and allow it (this does not necessarily mean they must express everything they feel to other people but rather acknowledge it themselves). People also need to be coached in skills of regulation if needed to help them tolerate their emotions.
• Third, people need to be helped to describe their feelings in words in order to aid them in solving problems.
• Fourth, they need to be helped to become aware of whether their emotional reactions are their primary feelings in this situation. If not, they need help in discovering what their primary feelings are.
The second phase focuses on emotion utilization or transformation to promote leaving the place arrived at. This stage involves moving on or transforming core feelings. It is here that the coaching aspect is more central.
• Fifth, once the person has been helped to experience a primary emotion, the coach and person together need to evaluate if the emotion is a healthy or unhealthy response to the current situation. If it is healthy it should be used as a guide to action. If it is unhealthy it needs to be changed.
• Sixth, when the person’s accessed primary emotions are unhealthy, the person has to be helped to identify the negative voice associated with these emotions.
• Seventh, the person is helped to find and rely on alternate healthy emotional responses and needs.
• Eighth, people need to be coached to challenge the destructive thoughts, in their unhealthy emotions, from a new inner voice based on their healthy primary emotions and needs, and to learn to regulate when necessary.
Coaching in the emotional domain involves helping verbally label emotions being felt, helping people accept the emotion, talking with the client about what it is like to experience the emotion, facilitating new ways of processing the emotion, and teaching ways of soothing or regulating the emotion. 

DISCLAIMER: The content of the website is not intended nor recommended as a substitute for medical advice, and it is not used for diagnosis or treatment. Always seek the advice of your own physician or medical specialist regarding any medical questions or conditions.

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