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Emotionally Focused Therapy: Introductory Webinar Rebecca Jorgensen, PhD Certified EFT Trainer
Important Points  The big news of the Science of Love    What we know about why it matters. What change looks like in distressed couples.
Big News – Love is Logical Science of Love  - tells us what’s important about love and emotion. We understand, from hundreds of studies on adult love/attachment in the past 15 years, people’s emotions and needs.
EFT – Couples Therapy For The First Time: (we have a theory of love) The couple therapist is in territory of the: ,[object Object]
Predictable
Explainable
ChangeableWe Know: The Territory – The Problem The Destination – Goal The Map – Key Moves/Moments New Science- based on observation of distress, satisfaction, bonding in action, change in therapy. 4
Emotionally Focused Therapy Dr. Sue Johnson
Additional Sources Relationship Education & Enrichment
Emotion Regulation:
CBT Story Telling Reframing Meditation: be present in the moment, focus on experience instead of evaluation Reviewing/remembering times in other states Time Out Physical Activity/Exercise What We Use That Works:Developing Emotion Regulation (Notice Emphasis is On) Regulation of Self
Co-regulation is good for our health    Without it, increase of B.P to the                   likelihood of stroke or heart attack doubles. (Louise Hawkley)
WARNING: ISOLATION KILLS “
It starts at birth
Jen Howard Photography
Communication Touch Proximity Establishment and Maintenance of Familiarity By Forming Social Groups Regulating Through Social Contact and Proximity – Co-Regulation By:
Having a loved one hold your hand really does take the hurt away.
As we are closer we are stronger ,[object Object]
Less conflict
Less depression / anxiety
Less mental illness of all kinds…
Less aggression
Less susceptibility to shock, stress, & pain
More flexibility and curiosity
Increased self-awareness
Increased other-awareness
Improved problem-solving
Increased physical health,[object Object]
Perhaps our brains assume proximity and responsiveness from close others in our social network and our partners. Social Baseline Model Coan 2008
When it goes wrong?  What happens? A Dance of Distress
Basic Overview of EFT ,[object Object]
 Absorbing negative affect both reflects and primes rigid, constricted patterns of interaction.
 These patterns make the safe emotional engagement necessary for secure bonding impossible. ,[object Object]
EFT – Stages and Steps   STAGE ONE:  DE-ESCALATION Assessment  Identify negative cycle / Attachment issues Access underlying attachment emotions  Frame problem – cycle, attachment needs/fears
26 Disconnection:  Only Two Strategies No sense of felt security Only 2 ways to deal with these feelings: 1. TURN UP  Moves us to demand. (Fight)      Get more anxious and hyper vigilant.  Flip between anger of despair and vulnerability.    2. TURN DOWN or SHUT OFFMoves us to stonewall, shut down and withdraw (Flight/Freeze) Avoid / Numb out / Focus on tasks / Try to care less.
EFT – Stages and Steps STAGE TWO – RESTRUCTURING THE BOND 5.  Access implicit needs, fears, models of self 6.  Promote acceptance by other – expand dance 	7.  Structure emotional engagement – express 	attachment needs. Antidote/Bonding Events

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Emotionally Focused Therapy in Italy

Editor's Notes

  1. We want more health and well being and we’re more and more interested in how to regulate feelings and self soothe.
  2. Emphasis is on self-soothing with ways of thinking or modes of behavior
  3. A good social network and a secure love relationship is better than vitamins or physical exercise. After the diagnosis of congestive heart failure – in both moderate and severe cases – it’s found that along with severity, the best predicator of how many months you have left to live is the quality of your primary relationship. People live three times as long in a happy relationship. Recover from heart surgery faster when they are allowed to have visitors.
  4. High levels of loneliness is a risk factor for morbidity and mortality. Less effective repair and maintenance of physiological functioning – slower wound healing and poorer sleep.“The magnitude ofrisk associated with social isolation is comparable with thatof cigarette smoking.” (James S. House) House JS, Landis KR, Umberson D. Social relationships and health. Science 1988;241:540-545.
  5. This is a picture of a little girl born in Ottawa last year, shared by Sue Johnson. This image of her was printed in the local paper. Like the last picture, this is her daddy’s hands holding her. This need to be held and have this kind of perfect peace and soothing while you can stay in the arms of another, this goes from the cradle to the grave. This is as accurate image, even of adult love, or the way we emotionally regulate throughout our lives. We are all born this vulnerable – and this vulnerability does not go away.
  6. Chris Fraley research: 18 months later, the people in the immediate vicinity – those who were doing well, even said had grown, were stronger, found new meaning were all people who could talk about their needs and reach for other people and pull them close. The people who said, they couldn’t talk about it, talk about their needs, it wouldn’t help, you couldn’t trust others, didn’t feel safe doing that…these are the people who had nightmares and problems with anxiety 18 months later.The one wired in way we have of dealing with life and stress is to reach for another and pull them close. We’re not good at dealing alone. We were never meant to do that. Our brain isn’t wired that way.
  7. fMRI Study – Jim Coan: Introducing threat and holding hands Why wives? “You hedge your bets” The studies are expensive.X = 20% threat of getting shock, O no shock – been done by cognitive neuroscientists over 2 decades. It’s a very reliable way to illicit negative affect. 1st replicated other studies with having the experiment done while the subject was alone.Bodily arousalunplesantness“How we deal with our relationships is closely tied to how long we live, how frequently we go to the doctor, how rapidly we recover from injury, how happy we tend to be in our lives. People have known for a long time that being in a relationship, particularly in a close, trusting relationship where there’s a lot of emotional connection and emotional intimacy, seems to facilitate how well your body takes care of itself.”“super couples,” those with exceptionally high-quality relationships. “Hand-holding had a particularly profound effect on soothing their brains,” Coan said, involving two structures that were not affected at all in other test subjects.People can be physically available but emotionally unavailable – which creates emotional isolation. We are social creatures. “The structures that govern our emotion and our ability to regulate our emotion all evolved in social contexts.” “Literatures on emotional in the brain and emerging literature on social processes in the brain are all talking about precisely the same structures.”http://images.google.com/imgres?imgurl=http://campaign.artsandsciences.virginia.edu/images/panelBaird.jpg&imgrefurl=http://campaign.artsandsciences.virginia.edu/profiles/coan.php&usg=__tfUaLTkkLhVTIeZ2LkEJgpDFrAU=&h=203&w=144&sz=5&hl=en&start=5&sig2=29i-PcIsQR92zl9EcAbq3Q&um=1&tbnid=1tPIkfuZV2ezvM:&tbnh=105&tbnw=74&prev=/images%3Fq%3Dfmri%2Bjim%2Bcoan%26hl%3Den%26rls%3Dcom.microsoft:*:IE-SearchBox%26rlz%3D1I7GGIH_en%26um%3D1&ei=0jHbSeC-IqOwMf7H2LII
  8. As we are closer we are stronger. There’s research behind these things.“Proximity to an attachment figure tranquilizes the nervous system” Alan SchoreLove really is the greatest source of strength we have.
  9. Bowlby’s attachment theory gives us a map for creating secure love. His theory is that really we need other people, like air, or water, or food. That isolation is traumatizing and we need close relationships from the cradel to the grave. There’s really not co-dependency or something wrong with needing other people. We’re also very informed by the work of John Bowlby’s colleague, Mary Ainsworth, who completed a seminal study called Strange Situation.
  10. Especially important when we’re going through stress or other strong emotions, we rely onother people to soothe us. We all know this – as Mental Health workers, and just as People.
  11. Associated with longer life, especially if faced with a major illness.Then relationships are critical for longevity.
  12. Primal Panic – if the answers to A.R.E. are no – comes from a researcher names Jaak Pankseep. A special pathway in the brain – wired in – we all have it. It’s all about attachment. It’s all about fear, puts the brain on special alert. The brain codes isolation as danger. You loose your emotional balance in those moments and it’s inherently disorganizing. Makes us understand how people get stuck in bad places in their relationships – the fear is disorganizing, because suddenly the person you go to as a solution to fear becomes a source of fear, and that’s a paradox, you get stuck in it – you don’t know what to do. Loose balance and can’t cope even if have insights and skills. The hidden script in the drama of distance is what John Bowlby called separation distress.
  13. Need to let others see our intentions – our hearts
  14. Do you open yourself to me – do you need me?
  15. I want to come first. I want to be important. I want to know that when I call, that you care about my feelings, my need and you will come to me, you will put me first.
  16. Emotional presence is the solution to the problems we face in intimate relationships.Engaged means being “absorbed, attracted, pulled, captivated, pledged, and involved”. Emotional engagement here means the very special kind of attention that we give only to a loved one. We gaze at them longer, touch them more. Partners often talk about this as being emotionally present.
  17. See the joy on these people’s faces? We’re starting to understand the chemistry of love. These partner’s brains are flooded with the cuddle hormone called Oxytocin. It fills them with joy and soothing. It is the same chemical that is released during orgasm (in both sexes, plus men have an additional cuddle hormone called vasopresin). But you don’t have to have sex to have it, is activated by psychological support and warmth and empathy. It suppresses and reduces amygdala activity – which processes fear and communicates it – essentially calming the whole being and promoting health and well-being. http://www.raysahelian.com/oxytocin.html
  18. Impacts our physiology – doing EFT study – when distressed and then a more secure attachment after 20 sessions.When love doesn’t work, it hurts.Emotional presence is the solution.
  19. http://tinyurl.com/eft-italy