標題一： 探究眼淚背後的含義

​

問題 1 :

我好想知道眼淚背後的含意，當個案眼淚盈眶時，好多時候很難知道流淚背後的意恩。是觸及到憤怒?是感激而流淚?是哀傷而流淚?諸如此類。我們如何幫助個案理解眼淚背後的意義？感謝您對此的任何幫助。

 

蘇珊的回答：

哭泣是身體對悲傷、失落或不知所措的反應——所以我們可以調整併詢問我們的個案在他們哭泣時發生了什麼。或者，正如我對一位年長保守的男士說，在你面上有些水… (他不喜歡接受自己是在流淚或哭泣。或者，我們可以用反映內容描述給個案知道，並詢問個案這內容是否付符合的你所懋的。

所以我的個案說她好多時孤單一個人 時- 會哭泣 - 我就說 - 實在太困難了 - 出現悲傷 - 是的 - 在那時候，沒有人陪伴你，實在是太困難。

​

 

​

Topic: When female partner doesn’t feel her partner cares for her

 

Question 2 :

I have a question for Sue also. I know she has said in her research that if in the individual assessment session the female partner said that at a very basic level she did NOT feel her partner cares for her, the EFCT process didn’t work. So my question is this: what do we do if that is the answer we get? Do we try to do the journey with couples or talk with them and refer to other options (individual therapy, etc.)? I ask because for the past decade of doing EFT, I have faithfully asked that question of each partner and I have always gotten a “yes”… until now. This case has a lot of fear present and I don’t see caring between them. And given that answer, I wonder how hard to try. Does the research say that if that is the answer, the cycle has gone on too long and there is no going back and no percent of cases that are able to move forward to grow a positive bond? Or could a spark still light so that it’s worth trying. I’d love to hear what Sue and the research say about this. Thanks so much!

 

Sue’s response :

I would stop and explore. Say to them, help me understand – you are so unhappy and feel so separate that the only thing that makes sense to you is that he “just doesn’t care about me – about us”. Is that it? … And explore what happens to her when you say that. What leads her into that conclusion? See how he feels when he hears it.

 

​

Topic: Highly escalated couple with trauma

 

Question 3 :

Working with a couple for several months now who are highly escalated. It’s a heterosexual, mixed race couple (wife - first generation Middle Eastern woman, husband — grew up in the Caucasus region in Russia). Both have trauma histories. Wife, the pursuer, has GREAT difficulties with affect regulation (pretty much meets diagnosis for BPD) and becomes severely dysregulated when triggered. It’s been hard to create safety even in the session because of the frequent escalation. I have to interrupt and slow them down almost every sentence. She often states: “I long for the connection!… I hate him, I will never forgive him and will not give him a chance!” She really struggles to see her role in the cycle (she gets angry, verbally abusive, and aggressive). This pendulum is quite severe. I am at my wits ends with them. I’ve tried referring her for individua treatment many times but it has not been sticking. When do I pull the plug and stop trying? 

 

Sue’s response :

Difficult one. You can reflect process. “We keep getting derailed by…” (find a non judgmental word – your UPSET? – reflect her feelings and how they get in the way of new things happening ) “So when I see this upset coming, I am just going to reach out and put my hand on your arm – okay? – and you will slow down and stop – yes?” Then you have to Do it about 6 times before it takes - tell her “Stop’ if she ignores – I would move my chair in too – between them if necessary.

 

​

Topic: Difference between Emotionally Focused Family Therapy and Emotion Focus Family Therapy

 

Question 4 :

I know that EFT per Sue and EFT per Les and EFT (tapping) can be very confusing. I find that mastering EFT (ICEEFT) is a lifetime journey, so rich and nuanced. I do a lot of work with mothers and adult daughters. I’ve been asked by a mother/therapist about the other EFT lens - Les adding onto Sue’s work re: anger? Can anyone comment on the essential difference in EFFT between the two models?

 

Sue’s response :

Seems to me that Les does not get or use attachment and I don’t ask folks to change chairs or focus so much on the “Critic”. Les is essentially an individual therapist whereas our EFT developed in a relational – dyadic context. You can see the models compared in the appendix in Attachment Theory in Practice 2019.