Additional Review Flashcards

(56 cards)

1
Q

What is RISSC and why is it used in EFT?

A

RISSC = Repeat, Images, Simple, Slow, Soft, Client’s word.

Used to slow down emotion, deepen experience, create safety, and help clients stay with the emotional moment instead or escaping it.

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2
Q

Give an Example of RISSIC in Session

A

“You say you feel ‘small’… small… small… like you shrink inside. Small and scared. Can you stay with that feeling for a moment?”

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3
Q

What is “Staying With Emotion” in EFT?

A

Therapist stays with the emotional moment instead of moving to content/problem-solving. Helps client feel, name, and own their primary experience.

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4
Q

What is Evocative Responding?

A

Therapist reflects emotional cues to help clients explore and deepen their experience. Example: “As you say ‘I’m fine,’ your voice shakes… something hurts here.”

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5
Q

What is Heightening and when is it used?

A

Amplifying key emotional moments through repetition, slowing, and imagery.

Used to crystallize new emotional experiences.

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6
Q

What is a Pursuer? What drives their moves?

A

They protest disconnection. Driven by fear of abandonment, longing, and unmet needs for closeness. Their escalations try to reach the partner.

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7
Q

What is a Withdrawer? What drives their moves?

A

They shut down to avoid failure, rejection, or overwhelming conflict. Motivated by fear of being inadequate or making things worse.

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8
Q

What does the therapist do first with a Withdrawer?

A

Build safety, validate overwhelm, slow things down, help them access emotion gently, track avoidance moves without shaming.

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9
Q

What does the therapist do first with a Pursuer?

A

Validate longing and hurt beneath criticism, slow escalation, help them access softer needs (fear of disconnection).

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10
Q

What is an EFT Enactment?

A

Therapist guides one partner to share a vulnerable emotion/need directly with the other. Creates bonding and changes the cycle.

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11
Q

Enactment Example

A

“Can you tell her, ‘When you walk away, I feel like I don’t matter, and that scares me’?”

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12
Q

What is an Attachment Injury?

A

A betrayal or abandonment moment that becomes a core wound in the relationship. Requires repair through structured emotional processing.

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13
Q

How do Attachment Injuries show up in Cycles?

A

They become triggers for fear/anger. Small moments feel big because they activate old wounds.

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14
Q

What does Minuchin mean by “symptoms come from faulty boundaries and structure”?

A

Symptoms happen when the family system is too enmeshed or too disengaged, creating stress that shows up as behaviour problems or conflict.

Example: A couple with weak boundaries gets stuck in chaos and over-involvement → fights escalate easily.

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15
Q

Why is the statement “Rogers believed change happens through interpretation and challenge” false?

A

Rogers believed change happens through empathy, presence, genuineness, and unconditional positive regard, not confrontational techniques.

Example: The therapist sits with the client’s fear instead of challenging it.

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16
Q

What is Minuchin’s purpose behind joining?

A

Joining strengthens the therapeutic alliance with the system so the therapist can later reshape the structure.

Example: Matching the family’s tone and rhythm so they accept the therapist before restructuring boundaries.

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17
Q

What is enmeshment (Minuchin)?

A

Boundaries are too diffuse; people are overly involved with little autonomy.

Example: One partner can’t make a decision without intense emotional reactions from the other.

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18
Q

Why is the statement “Empathy = matching tone and energy exactly” false?

A

Because empathy is understanding the client’s internal world, not imitating their mood or affect.

Example: You don’t yell just because a client yells; you reflect their fear underneath.

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19
Q

Why is “A reflection of soft emotion = validation” incorrect?

A

Reflecting tender emotion is Unconditional Positive Regard (UPR) — accepting the client’s deeper self, not simply validating facts or feelings.

Example: “A part of you gets really small here” = honoring the client’s vulnerable side.

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20
Q

Minuchin – Mapping

A

Understanding the organization of the family system: subsystems, boundaries, alliances, and coalitions.

Example: Therapist draws out how Partner A aligns with a parent against Partner B.

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21
Q

Minuchin – Reframing

A

Changing the meaning of a behaviour to reduce blame and create openness for change.

Example: “Your withdrawal isn’t you giving up — it’s you trying to prevent another explosion.”

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22
Q

Minuchin – Tracking

A

Moment-to-moment observation of interaction patterns as they happen in session.

Example: “Right now, as he raises his voice, you look down and freeze.”

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23
Q

Minuchin – Boundary Making

A

Structuring interactions to strengthen or soften boundaries between people.

Example: Asking partners to speak one at a time while physically spacing them apart.

24
Q

EFT – Choreographing Interaction

A

Guiding partners through a new emotional sequence, shaping how they respond to each other.

Example: Therapist prompts Partner A to express fear → invites Partner B to respond with comfort.

25
Individual Pathology
Explaining problems as coming from the individual’s traits, disorders, or history, not the relationship. Example: “He withdraws because he has avoidant personality traits.”
26
Interactional Patterns
Problems come from the cycle between partners, not one person. Example: A’s criticism → B’s shutdown → A escalates → B withdraws.
27
Internal Working Models (IWMs)
Attachment-based beliefs about self and others formed in childhood and carried into relationships. Example: “People leave when I need them” → triggers clinginess or shutdown.
28
Cognitive Distortions
Biased, inaccurate thought patterns that shape emotion/behaviour. Example: “If they don’t text back right away, it means they don’t care.”
29
Paradoxical Intervention
A therapeutic strategy where the therapist prescribes the symptom or encourages the client to continue the problematic behaviour, which paradoxically reduces resistance and opens space for change.
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Paradoxical Intervention Example
A couple keeps fighting every night. The therapist says: “Tonight, schedule your argument for 7 pm and make sure it’s as intense as usual.” → The couple becomes more aware, the pattern feels unnatural, and it loses power. - Used in Strategic Therapy
31
3 Basic Tasks of EFT
1. Create and maintain a strong therapeutic alliance with both partners. 2. Access and reprocess emotional experience (especially attachment-related emotions). 3. Restructure interactions so partners reach, respond, and create a new cycle of secure bonding.
32
How is Emotion “Target and Agent of Change”?
Emotion is: Target – we focus on, access, and deepen emotion in session. Agent of change – new emotional experiences reorganize interactions and working models. Emotion: - Tells us what is needed. - Organizes attachment behaviour and cycles. - Primes/orients responses to the partner.
33
Humanistic Tenet #1: Focus on Process, Not Content
Therapist focuses on how the client is experiencing things right now – body, emotion, meaning – rather than debating facts or problem-solving content. Goal: expand awareness, integrate disowned parts, and create new meanings in the present moment.
34
Humanistic Tenet #2: Focus on Safety (Why is safety so central?)
Safety = therapist’s Unconditional Positive Regard + empathy + tracking. - Creates a “safe base” so clients can explore vulnerability - Felt acceptance fosters self-acceptance and deeper emotional processing. - Without safety, clients stay constricted, defended, and stuck in secondary emotions.
35
Humanistic Tenet #3: Focus on Health (Non-pathologizing stance)
Humans have fundamentally healthy needs and desires. Problems come from constriction, disowning, or denying needs – not from being “sick.” Health = flexibility, openness, differentiation, and capacity to express needs directly.
36
Humanistic Tenet #4: Focus on Emotion (Why emotion, not cognition?)
Emotion is adaptive and organizing: - Focuses attention (e.g., on danger or safety). - Organizes attachment behaviours. - Activates core beliefs about self (“I’m enough / I’m a failure”). - Communicates inner states and triggers complementary reactions in the partner.
37
Corrective Emotional Experience in EFT
Change happens when clients fully experience and process new emotional responses in the moment (e.g., sharing fear instead of anger, and getting comfort instead of withdrawal). Not about insight or skills only – it’s about new felt experiences with self and partner that disconfirm old expectations.
38
Secure, Constructive Dependency (Attachment Tenet)
Healthy attachment is effective dependency, not “total independence.” Partners can lean on each other emotionally, ask for help, and soothe each other – this increases their ability to function in the world.
39
Emotional Accessibility and Responsiveness (Attachment Tenet)
A partner is secure when they are: Emotionally available (present, tuned in) Responsive (they notice and respond to bids for comfort) Attachment behaviours are organized around: “Are you there for me when I’m distressed?”
40
Attachment as the “Natural Anti-Anxiety” System
When there is a threat: External threat → Emotion → Attachment needs activate → Proximity-seeking behaviours. Reaching for a safe other reduces anxiety and helps regulate emotion. If the other is unavailable → separation distress escalates.
41
Separation Distress Sequence (Attachment Tenet)
Typical pattern when an attachment figure feels unavailable: Anger → Clinging/Protest → Depression → Despair → Detachment Anger of hope = “I still believe you might respond if I protest.” Anger of despair = “You will never respond; I’m done trying.”
42
Three Unhealthy Attachment Strategies in Distressed Couples
1. Anxious – demands, criticism, attacks, blaming (hyperactivated protest). 2. Avoidant – task focus, detachment, shutting down needs (deactivation). 3. Mixed/Disorganized – “I want you… go away” (push–pull, chaotic). All become self-reinforcing “positive feedback loops” in the cycle.
43
Why Does Attachment Theory Help in Marital Therapy?
- Gives clear goals (create a secure bond). - De-shames intense reactions (“You’re protesting disconnection, not just being difficult”). - Provides language for distress (needs, fears, longings). - Focuses therapy on connection vs disconnection, safe haven & secure base.
44
Reflection vs Validation in EFT (What’s the difference?)
Reflection = mirrors what the client is saying/feeling to give structure and help them hear themselves. Validation = communicates that the emotion makes sense and is understandable in context; separates “message sent” from “message received” and reduces blame.
45
Seeding Attachment
Therapist names the blocked attachment moves underneath fear or defence. Example: “A part of you might want to reach for him here, but it feels too risky.” - This helps clients imagine what they would do if fear wasn’t in the way, linking current behaviour to attachment longings.
46
Disquisition (in EFT)
When the couple is very resistant, the therapist tells a general, third-person story about couples like them: "You remind me of other couples I’ve worked with who get stuck in a pattern where…” It normalizes, lowers defensiveness, and gently invites them to see themselves in the story.
47
Process Goals of EFT Assessment
Therapist aims to: - Enter the inner experience of each partner (attachment vulnerabilities) - Track and describe the recurring negative sequences (pursue/withdraw, blame/defend) - Identify blocks to secure attachment - Notice resistances AND strengths/resources in the couple
48
Personal vs Interactional Landmarks
Personal landmarks = significant personal wounds (attachment injuries, narcissistic injuries) that are repeatedly referenced and carry emotional charge. Interactional landmarks = the recognizable negative cycle (who attacks, who withdraws, how the spin goes). Both guide where to work emotionally and systemically.
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Interpersonal Markers vs Intrapsychic Markers
Interpersonal markers: patterns between partners (who interrupts, who shuts down, positions of power/control, closeness–distance moves). Intrapsychic markers: inner signs (tears, clenched fists, numbness when emotion “should” be there, mismatches between words and affect). Both signal where to pause and deepen affect.
50
Negative Cycle Markers (What should the therapist watch for?)
Look for: - Pursue–criticize vs withdraw–defend patterns - Fast, rigid, automatic interactions - Blame–defend spirals - Situations where both become “unwitting creators and victims” of the cycle
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The EFT “Tango”: 5 Basic Moves
1. Mirroring / Present Process – reflect what is happening right now. 2. Affect Assembly – help client make sense of and organize emotion. 3. Choreographing Engaged Encounters – guide one partner to share with the other. 4. Processing the Encounter – explore what it was like for each partner. 5. Integrating & Validating – link new experience to the cycle and reinforce it.
52
“Catching the Bullet” in EFT
Therapist steps in to block shaming, attacking, or dismissing when one partner risks vulnerability. Example: If the listener mocks or criticizes, therapist intercepts: “Hold on – something tender just happened. Can we slow down and stay with that instead of attacking?”
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“Amygdala Whispering”
Therapist calmly repeats and supports the vulnerable message when the partner gets reactive or scared, helping regulate their emotional brain. Goal: keep the new softer message alive long enough that it can land safely with the partner.
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Markers That the Couple is Ready for Stage 2 Work
You see: - Less global blame; more curiosity. - Awareness that “the cycle” is the enemy. - Some safety and alliance with both partners. - Partners can tolerate pausing and going inside briefly. Then therapist begins deeper work on disowned attachment needs and enactments.
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Dysfunction can be thought as..
Constriction. Using the same, predictable, easy and safe default responses.
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Health can be thought as…
Expansion. Increases new levels of interactions that can secure bonding.