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Bringing insecure attachment dialogues to life is the most useful aspect of this book. The step by step approach to couples therapy is helplful especially for those therapists unfamiliar with how attachment issues play out in the therapeutic context.
More information on screeening out couples who may not benefit from this approach would have been invaluable - rather than just referring to couples who are breaking up. Many couples have not learned the language of emotion. Some express it somatically or by numbing it with substances or food. These couples would need far more than 12 sessions and a great deal of training and practice to be able to learn about their attachment dances and break the cycles that lead to distancing.
Insight is not the primary aim of EFCT, yet couples are encouraged to notice and become increasingly aware of their automatic processes that lead to misattuned connections. I think that is precisely what gaining insight is about,which in turn... read more
Good overview of the relationship between attachment and emotional functioning in marriage. The manualized treatment approach has been empirically supported so deserves more than just a glance. An excellent addition to the libraries of anyone interested in and encountering the challenges of couples counseling.
Susan Johnson's work through Emotionally Focused Therapy (EFT) is a great asset to the world of relationship therapies. Her work is in the new direction in therapy - calculated integration versus muddle-headed eclecticism.
Johnson's work carefully integrate structural family therapy (Minuchin) with attachment theory (Bowlby) and the experiential therapies. While mainly citing Rogers, this a misnomer. EFT is more Satir and Whitaker than Rogers as the therapist is active and directive as well as short-term to brief in her or his interventions. Rogers is a long-term personality-altering insight therapy, which offers little for today's reality of shorter time constraints whether through managed-care or government stipulations.
Better yet, EFT is an EBT (evidence-based treatment)! I believe it has a 70-73% efficacy rate for couple improvement and therefore is more ameniable to third-party reimbursement. EFT is also a great approach for PTSD (see Johnson, 2002) as in... read more
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