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THE EFFECTS OF TRAINING IN EFT COUPLE THERAPY. Session 202--EFT Track The Process of Learning EFT Hanna Levenson, PhD Mira Svatovic, MA & Michelle Montagno, MA.

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THE EFFECTS OF TRAINING IN EFT COUPLE THERAPY

Session 202--EFT Track

The Process of Learning EFT

Hanna Levenson, PhD

Mira Svatovic, MA &

Michelle Montagno, MA


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There are no conclusive data on what makes psychotherapy training effective despite three decades of research on the topic.Even less is known about training in EFT.



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FOCUS FOR THE STUDIES EFT Externship

We looked at professional and personal correlates of EFT training.


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FOCUS (con’t) EFT Externship

Professional

EFT information learned

EFT skills learned


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FOCUS (con’t) EFT Externship

Personal--because EFT is an attachment-based, emotionally-focused, and nonjudgmental model, we looked at therapist’s:

Attachment style

Emotional processing

Self-compassion


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EFT EXTERNSHIP EFT Externship

Goals of training--learning to

Understand partner distress from an attachment perspective

Help partners reprocess emotional responses

Shape new interactions/bonding events

Overcome therapeutic impasses


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PROCEDURES FOR STUDY 1 EFT Externship

Externships in

Salt Lake City

San Francisco

Houston

Los Angeles

Ottawa


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PROCEDURES (con’t) EFT Externship

110 attendees took measures morning of Day 1 (Pre-training) & afternoon of Day 4 (Post-training)

76 attendees with complete data


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PROCEDURES (cont) EFT Externship

FOLLOW-UP -- STUDY 2

Participants mailed measures 8 months (on average) after Externship.

49% sent back measures

N = 29 attendees with complete data


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MEASURES EFT Externship

DEMOGRAPHIC QUESTIONNAIRE

Age

Gender

Relationship Status

Theoretical Orientation

How long practicing

Degree


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MEASURES (con’t) EFT Externship

EFT KNOWLEDGE AND COMPETENCY SCALE (EFT-KACS)

Rate yourself (1-7) on how knowledgeable and competent you are on 12 items describing EFT skills

“Creating safety in session and maintaining positive alliance.”

“Using enactments therapeutically.”


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MEASURES (con’t) EFT Externship

EXPERIENCES IN CLOSE RELATIONSHIPS (Fraley et al., 2000)

Measures romantic attachment anxiety and avoidance

“I am afraid I will lose my partner’s love.”

“I don’t feel comfortable opening up.”


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MEASURES (con’t) EFT Externship

SELF-COMPASSION SCALE

(Neff, 2003)

Measures self-kindness, common humanity, mindfulness

“I’m tolerant of my own flaws and inadequacies.”

“When times are tough, I tend to be tough on myself.”


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MEASURES (con’t) EFT Externship

EMOTIONAL PROCESSING INVENTORY (Reid & Harper, 2008)

Measures ability to identify, communicate, & regulate feelings.

“I choose to keep my feelings private.”

“I feel flooded and overwhelmed by my emotions.”


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MEASURES (con’t) EFT Externship

OPEN-ENDED QUESTIONS

Qualitative and quantitative data on personal relationships with self and others.

“EFT training has changed the way I approach romantic relationships.”


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AVERAGE PARTICIPANT EFT Externship

47 years old

Caucasian woman

Partnered

In practice almost 13 years

MFT

Integrative orientation


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AVERAGE PARTICIPANT EFT Externship

Over 90% had read at least 1 EFT book

Two-thirds had seen at least 1 EFT video

More securely attached than a national sample


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PRELIMINARY ANALYSES EFT Externship

Factor analysis of EFT-KACS--

Three factors:

Alliance (2 Items)

Knowledge (10 items)

Competency (10 items)


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PRELIMINARY ANALYSES EFT Externship

No effects for training:

  • training site

  • age

  • gender

  • education


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. EFT Externship

FINDINGS

Study 1

Mira Svatovic


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Changes with Training EFT Externship


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“This has certainly given me a map- when I work with couples I’ll have a sense of where we are going and how.” -EFT Externship Participant


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“Emotion is an area I naturally tune into but the training helped me to understand how to better heighten and use emotion as a process in therapy.” -EFT Externship Participant


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“I will work hard to slow things down, try even harder than I do now to stay out of the content and focus on process.”-EFT Externship Participant


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Self-Compassion than I do now to stay out of the content and focus on process.”

Participants entered the training with mid-range levels of self-compassion with participant’s average score being 3.4 on a 5 point scale.


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Knowledge/Competence and Self-Compassion than I do now to stay out of the content and focus on process.”

There were no direct changes in Self-Compassion scores related to training.


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Emotional Processing than I do now to stay out of the content and focus on process.”

Participants entered the training with moderately high levels on emotional processing with participant’s average score being 3.9 on a 5 point scale at pretest.


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Competence and Emotional Processing than I do now to stay out of the content and focus on process.”

As participants’ competence increased they became more open to processing their emotions.


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Emotional Processing and Self Compassion than I do now to stay out of the content and focus on process.”

  • And as their openness to feelings increased, they became more self compassionate.


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“I understand much better why I am so deeply affected by things that happen in my relationship. I feel less inclined to be harsh with myself.”-EFT Externship Participant


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Long-Term Effects of Training things that happen in my relationship. I feel less inclined to be harsh with myself.”Michelle Montagno


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THE FOLLOW-UP- STUDY 2 things that happen in my relationship. I feel less inclined to be harsh with myself.”

Average of 8 months post externship

N = 29


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FOLLOW-UP SAMPLE things that happen in my relationship. I feel less inclined to be harsh with myself.”


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FOLLOW-UP RESULTS things that happen in my relationship. I feel less inclined to be harsh with myself.”


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ATTACHMENT things that happen in my relationship. I feel less inclined to be harsh with myself.”


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ATTACHMENT FINDINGS things that happen in my relationship. I feel less inclined to be harsh with myself.”

  • The more avoidant someone was at the beginning of the externship, the less they were personally affected by the training at follow-up (r = -.43, p < .03).

  • No significant findings regarding anxious attachment.


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EFFECT ON CLINICIANS’ things that happen in my relationship. I feel less inclined to be harsh with myself.”PERSONAL LIVES

Participants rated the greatest impact of training was on:

  • their romantic relationships

  • understanding of their life experiences

  • relationships with others


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EFFECT ON ROMANTIC RELATIONSHIPS things that happen in my relationship. I feel less inclined to be harsh with myself.”

“I have a model now from which I not only see other romantic relationships, but also my own.”


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UNDERSTANDING things that happen in my relationship. I feel less inclined to be harsh with myself.” LIFE EXPERIENCES

“EFT has improved my understanding of my past relationships and relationship history.”


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RELATIONSHIPS WITH OTHERS things that happen in my relationship. I feel less inclined to be harsh with myself.”

“EFT has helped me link my own internal dynamics to an understanding of my early attachment experiences. These understandings have helped me in my marriage and other relationships.”


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CLINICIANS MOST PERSONALLY EFFECTED things that happen in my relationship. I feel less inclined to be harsh with myself.”

  • Older participants

  • Those who learned the most in the externship


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CONCLUSIONS things that happen in my relationship. I feel less inclined to be harsh with myself.”

Our study suggests that the EFT externship creates positive and enduring changes in therapists’ professional and personal lives.

Future work is needed to demonstrate the clinical relevancy of these findings.


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Thank You things that happen in my relationship. I feel less inclined to be harsh with myself.”!


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