The EFT Process in First Sessions

Commonly EFT couples therapy begins with a question such as “what is hard between the two of you?” or “how are you both hurting?” or “what is happening between you?” The point is to begin to bring forth how the relationship dance goes… and the process of the “negative cycles” in the marriage.

Next, I ask the couple to give me an instance or two where this negative cycle has happened. With each specific instance, I go into granular detail… “you said this, the other said that, and you responded how, and how did the other respond to that, etc.” I want to get down the dance steps of exactly how the negative cycle unfolds. Even these beginning questions tend to be organizing of a couples’ marital experience, and this commonly provide some relief… and hope! This sorting out the negative cycle is a process that will be repeated many times over the course of the therapy. Laying out the negative cycle in all of the numerous hard moments in the marriage, becomes a skeleton upon which to hang/guide the therapy. Commonly in EFT, it is customary to video or audio record the session so as to be able to study exactly how the back and forth interaction goes. 

As I mirror back to the couple the dance steps of their cycle I begin to include and inquire about the feelings inside for each partner. “They said this, you responded with this, but what were you feeling inside that drove your response?” I begin to supplement the back and forth responding from each partner by inviting a sharing of what the feelings are inside, and how the reactive responding is driven by the feelings inside.

Commonly, the feeling inside is driven by some sense of threat, and I point out how the negative behaviors are attempted self-protection of the threatened feeling inside. In doing so, I highlight the understandability of how the threatened feeling inside gives rise to the particular defensive behaviors in each partner.

Commonly, in these early meetings, whenever possible, I highlight the positive intentions present in each partner… the positive intentions that gets lost, misunderstood, and not recognized in the negative cycle.

As the sessions progress, I begin to spend more time with each partner probing into and organizing the emotional feelings inside. In this process, following the seminal works of John Bowlby and Sue Johnson, the emotional triggers within each partner are traceable to “attachment injuries and insecurity” both earlier in life and in the marriage. Sue Johnson, in particular, has highlighted how, at the core of things, both partners are filled with attachment seeking and longing. That attachment is the motor that drives couples to be together… but also that attachment is inherently vulnerable, thereby leaving couples’ easily triggered, ready to go into defense… and that defense begets defense, resulting in the negative cycle. 

In these early sessions we begin to discern the difference between the defensive behaviors of the cycle, and the emotional trigger that happens underneathe. Unpacking for each partner what is threatened and triggered inside begins to activate empathy within each partner for the other, empathy in place of the negative cycle. Images of the other as rejecting or attacking begin to be counterbalanced begin to be replaced by well-meaning images of the other as vulnerable, fearful and defended.

Note, I have increasing found it valuable to have a one-on-one session with each partner in the first weeks of the couples therapy. This provides me a special opportunity to better understand the triggering process within each partner in the marriage, and how the respective life histories contribute to triggering vulnerability. These individual meetings, which will happen periodically throughout the therapy, allow me to support each partner in understanding and grappling with their own triggering process. In this vein, I ask each partner to begin to formulate an individual project, which is theirs to work on… that will ultimately feed back into the marriage in a positive way. This lends itself to two vectors of healing in the marriage: one, the healing of the negative cycle between the partners, and two, the healing within each partner in relationship to their own emotional injuries inside. The tying together of these two vectors of healing deepens the EFT work, and better guarantees that the benefits of the therapy will last a lifetime. More about this later!

Targeted Followups

There are moments in eft therapy with couples that valuable new understandings start to emerge in the couples sessions, but still provide only a delicate glimmer of new ways of being or thinking about the marriage. Targeted followup conversations with each partner can provide an essential bit of additional support to consolidate these new behaviors and new narratives. These targeted conversations can provide a more granular understanding that can be powerfully tailored to each partner in the marriage. They enable a deeper integration between healing couples growth with the individual psychodynamics/historical injuries and immaturities within each partner. 

The purpose of the next series of posts is to share a number of add-ons to eft couples therapy that I have found helpful in treating an expanded range of couples with eft treatment. What I have in mind here are couples who present larger than usual challenges to eft therapy. Trauma situations, personality immaturities, alignments with narcissistic false self organization, rigid resistances to opening vulnerability, intransigent high conflict situations, and addictions are all situations that can deeply interfere with successful eft treatment. One caveat to begin with… though the roots of eft treatment are in short term therapy, all that follows presumes a long-term adaptation of eft treatment. 

First a caveat… all of these additions to eft are directed towards the effective furtherance of the “eft tango,” which I and others view as the heart of eft couple’s treatment. (lay out the eft tango)

Text Communication To Couple A Few Days Following The Eft Session

Many couples in eft therapy struggle with holding onto the core message of eft sessions in the days following the session.Texting or phoning-in a “summarizing thought” in the days following the session, both helps lay in more deeply the underlying message of the session, and helps the couple more fully generalize the healing benefits of the session into their lives outside in the world. In addition, this brief communication following the sessions enables the therapist to more effectively tailor the therapeutic message to the particular resistances within the couple that were evident in the session. It provides a second opportunity for the therapist to refine their interventions address any piece of the therapeutic picture that they missed in the session. 

The Individual Project

An essential aspect of eft work is to drill down within the couple to the core individual vulnerable feelings that underlay and drive the negative cycles in the marriage. To this process I add a clarifying conversation for both in the marriage; that it is important for each in the marriage to slowly formulate an individual psychological project that is their individual work to do… that will then feedback in a positive way to reducing negative cycles and enhance the marital attachment. It is my experience that this adds a dimension of individual responsibility to the therapy… that compliments the couples interactional healing forged in the eft tango process. The creation of the individual project sets up a powerful interactive process between couples attachment on the one hand and individual individuation on the other. This, in turn, deepens both… individuation deepening attachment, and attachment deepening individuation!  

Review Of Session Tapes

Individual meetings with each partner have long been an aspect of emotion focused couples work. These episodic individual meetings, among other things, support a deepened conversation with each partner about the individual dynamics  in the marriage… and enable guidance with respect to the individual projects. In addition, these meetings allow a listening review of recordings of the prior eft couples session. This review enables a highly granular look at exactly how the negative cycles unfold in the marriage (blow by blow) including a probing inquiry into what is happening individually while these cycles unfold. This is a vivid powerful process.

One of the great contributions that Emotion Focused Therapy (EFT) has brought to marital treatment is an understanding/method to take down the negative cycles in struggling marriages. In addition, with the inclusion of what is called “stage two work” we have an understanding/method to convert the marital negative cycles into empathic healing and attachment intimacy in marriage. To this is added “stage three work” where both in the marriage are supported in bringing forth their underlying needs/desires/hopes into a safe sharing/reception within the marriage. My concern for the long term health of marriages is that the encountering conversations continue to happen both between sessions but also long after the therapy has come to an end. For this reason, it is important to continue a deepening of the couples therapy past the resolution of areas of conflict; because the more long-lasting changes in the marriage depend upon changing the “interactional process” in the marriage, not the resolution of content differences. That is, that the couples therapy is only enduring if it alters the actual dance that the couple does. To last, the therapy must impact the actual process of the couple. Otherwise, the improvements within the marriage inevitably recede over time.