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Generalized Anxiety Disorder (GAD)
Published in Judy Z. Koenigsberg, Anxiety Disorders, 2020
Comprehensive integrated treatments need to target the emotional difficulties of individuals with generalized anxiety disorder (GAD). What does an emotion-focused therapy (EFT) orientation mean for a therapist? Emotion-focused therapy is an exploration into the world of another while holding that person’s experience and world, and it is a quest to understand what it takes to be human (Johnson, 2019). What does EFT mean for a client? It is to live in a safe and benign place where growth can take place on an internal and interpersonal level (Johnson, 2019).
Consider Fear When the Patient Is Angry
Published in Scott A. Simpson, Anna K. McDowell, The Clinical Interview, 2019
Scott A. Simpson, Anna K. McDowell
This technique reflects an approach derived from emotion-focused therapy. Emotion-focused therapy recognizes the importance of being aware of, accepting, and making sense of one’s emotional experience.2 Emotions are a vital and productive part of relationships and the human experience. However, emotional states can also be unpleasant and maladaptive. It is important to note that anger is not always maladaptive and is appropriate in certain situations. The use of this technique is recommended when the patient’s anger appears to be misplaced and is interfering with the clinical relationship, the treatment, or both.
Emotion focused therapy with injured athletes: Conceptualizing injury challenges and working with emotions
Published in Journal of Applied Sport Psychology, 2022
Katherine A. Tamminen, Jeanne C. Watson
Emotion Focused Therapy is part of a family of person-centered experiential therapies which also includes person-centered therapy (Rogers, 1961), Gestalt (Perls et al., 1951), existential (Yalom, 1980), focusing-oriented (Gendlin, 1969), expressive (Daldrup et al., 1988), and body-oriented therapies (Kepner, 1993). These approaches to therapy share a focus on promoting client experiencing and being nondirective; that is, they emphasize facilitating clients’ self-disclosure and openness to their own experience, rather than the therapist’s agenda or techniques ( Bohart & Watson, 2011). Person-centered experiential approaches are often contrasted with cognitive-behavioural therapeutic approaches that focus on cognitions and cognitive change as central to achieving positive therapeutic outcomes (Clark & Steer, 1996; McArdle & Moore, 2012) and that may emphasize the development of strategies to “control injury-related stress and anxiety” (Wiese Bjornstal et al., 2020, p. 729). Some contemporary ‘third wave’ CBT approaches (e.g., acceptance and commitment therapy, dialectical behavior therapy, mindfulness-based cognitive therapy; Hayes et al., 2006) share similarities with EFT in that they may integrate experiential change strategies along with direct and didactic strategies in therapy, although person-centered experiential therapies hold different theoretical and philosophical foundations from these approaches, as well as differences in proposed processes for change and differences in ways of working with clients.
Posttraumatic Stress Among Syrian Refugees: Trauma Exposure Characteristics, Trauma Centrality, and Emotional Suppression
Published in Psychiatry, 2018
Man Cheung Chung, Mudar Shakra, Nowf AlQarni, Mariam AlMazrouei, Sara Al Mazrouei, Shurooq Al Hashimi
These findings have important implications for psychotherapeutic treatments. It is insufficient to merely address the intensity of intrusive and avoidance symptoms resulting from horrifying events to which refugees were exposed. The impact of trauma centrality—the change in perception of the future, of personal identity, and meaning attribution to other events—needs to be addressed. We suggest a psychoeducational approach where maladaptive coping strategies are replaced with adaptive or emotional regulatory strategies. This embraces the underlying philosophy of emotion-focused therapy (Greenberg, 2004) suggesting that emotion is foundational in constructing and organizing the self. Thus, emotional coaching, regulation, and transformation are preferred to avoidance defenses (e.g., denial, repression). Such techniques should be endorsed by the United Kingdom’s National Institute for Health and Care Excellence (NICE), where recommended trauma-focused psychological therapy mainly comprises cognitive-behavioral therapy and eye movement desensitization and reprocessing. We offer a word of caution: Because trauma centrality is so intimately interwoven with memories of the war, PTSD symptoms, outlook and direction in life, and personal identity, exploring it as part of therapeutic intervention could possibly cause retraumatization.
Challenging the status quo of sport injury psychology to advance theory, research, and applied practice: An epilogue to a special issue
Published in Journal of Applied Sport Psychology, 2022
The study by Katherine Tamminen and Jeanne Watson (2022) also goes into the unknown by providing a position paper that considered a new way applied sport practitioners can work with injured athletes. Although the dominant approach to-date in the literature has been on cognitive-behavioral approaches that focus on cognitions and seek to “control injury-related stress and anxiety” (Wiese-Bjornstal et al., 2020, p. 729), the authors in this article proposed the use of emotion-focused therapy (EFT), where the aim is to work with “with” emotion instead on working “on” emotions. Indeed, this approach involves working with athletes in a therapeutic setting to evoke and experience emotions, attend to, and label emotions, and help athletes to process their experience by exploring, reflecting on, and making sense of their emotions. For example, while some athletes might tend to “stay in their heads” by engaging in rationalization and cognitive re-appraisals in their efforts to process injury-related emotions, in doing so they ignore the information from their bodies. These efforts might represent a “search for solutions” rather than acknowledging and expressing emotions that arise within the injury experience. Given how emotions are central in athletes’ sport injury experiences (see Tamminen et al., 2020) and how EFT is a robust, empirically-supported therapeutic approach grounded in experiential therapy and emotion theory, EFT holds much promise in our field. The authors also bring EFT to life in their rich examples of some of the challenges and conflicts that arise within athletes’ injury experiences as well as “in vivo” examples of doing EFT in practice. We hope in the future, researchers build upon this study to examine the efficacy and effectiveness of EFT and consider new ways of working with injured athletes directly and beyond (e.g., dyads, multidisciplinary teams, organizations, cultures; Wadey et al., 2018).