Transdiagnostic Emotion-Focused Therapy for Couples with Co-Morbid Relational and Mood, Anxiety and Related Difficulties

IF 1.5 Q3 PSYCHOLOGY, CLINICAL JOURNAL OF CONTEMPORARY PSYCHOTHERAPY Pub Date : 2024-09-02 DOI:10.1007/s10879-024-09645-7
Ladislav Timulak, Jessica Dailey, Jessica Lunn, Jessica McKnight
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Abstract

There is a clear association between relational dissatisfaction in romantic relationships and elevated mental health issues such as depression and anxiety. The association can run in both directions and adds complexity to both relationship and individual difficulties. One of the most studied relationship therapy approaches, emotion-focused therapy (EFT) for couples, focuses on the interactional cycle between partners and also stresses the importance of soothing individual vulnerabilities in order to transform troublesome relational interactions. Thus far, there has not been an attempt to describe a systematic framework for using EFT to work with couples with co-morbid mental health issues. This paper aims to address this gap. It builds upon both recent work in transdiagnostic EFT for individuals, and the EFT for couples framework as optimal scaffolding for a transdiagnostic EFT approach that targets relational issues as well as depression- and anxiety-related presentations in couples. The paper outlines several ways how individual’s chronic emotional vulnerability has the potential to rise to clinical levels of distress and complicate a romantic relationship. The paper then outlines specific therapeutic strategies how to work with individual’s emotional vulnerability and symptom distress it may bring, in the context of the couple relationship. The individual’s emotional vulnerability work is tracked along with relational interactions, in an effort to provide healing and transformational interactions and emotional experiences. A case example from a current research project is outlined to illustrate the use of specific therapeutic strategies and the clinical application of the transdiagnostic EFT approach to couple therapy.

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针对同时存在关系、情绪、焦虑和相关困难的夫妇的跨诊断情感焦点疗法
恋爱关系中的不满意与抑郁和焦虑等心理健康问题的增加之间存在着明显的联系。这种关联可能是双向的,并增加了关系和个人困难的复杂性。研究最多的关系治疗方法之一是针对夫妻的情绪焦点疗法(EFT),它关注伴侣之间的互动循环,同时强调舒缓个人弱点的重要性,以改变麻烦的关系互动。迄今为止,还没有人试图描述一个系统性的框架,将 EFT 应用于有共病心理健康问题的夫妻。本文旨在填补这一空白。本文以近期针对个人的跨诊断 EFT 工作和针对夫妻的 EFT 框架为基础,将其作为针对夫妻关系问题以及抑郁和焦虑相关表现的跨诊断 EFT 方法的最佳支架。本文从几个方面概述了个人长期的情绪脆弱性如何有可能上升到临床困扰水平,并使恋爱关系复杂化。然后,本文概述了在夫妻关系中如何处理个人情绪脆弱性及其可能带来的症状困扰的具体治疗策略。在进行关系互动的同时,对个人的情感脆弱性工作进行跟踪,以努力提供愈合和转化的互动和情感体验。本文概述了当前研究项目中的一个案例,以说明特定治疗策略的使用以及跨诊断 EFT 方法在夫妻治疗中的临床应用。
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来源期刊
CiteScore
4.40
自引率
5.00%
发文量
44
期刊介绍: Journal of Contemporary Psychotherapy provides an international forum to critique the complexities and controversies facing psychotherapists. The journal publishes original peer-reviewed articles that critically analyze theory, research, or clinical practice. Empirical studies, panel discussions, essays, case studies, brief reports, and theoretical articles are published. Psychotherapists and clinical researchers will find this journal an important vehicle to review the problems of treating a variety of patients.
期刊最新文献
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