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Theory-Specific Assessment & Treatment Plan
Introduction
Based on the vignette, it seems that Myron and Judith are facing a significant crisis in their relationship. Myron's illness has brought to light the fact that he had a long-term affair and has a son with his mistress. Judith feels betrayed and shocked by this revelation, and Myron is considering leaving his business to his son Sam instead of their three adopted daughters. This situation has caused significant distress for both Myron and Judith and is impacting their communication and emotional connection.
Emotionally-Focused Therapy
Emotionally-Focused Therapy (EFT) is an evidence-based approach to couples therapy that focuses on the emotional bond between partners (Johnson et al., 1999). The goal of EFT is to help couples understand and express their underlying emotions, which can help them to reconnect and improve their relationship. EFT is based on the belief that the emotional bond between partners is essential to a healthy and fulfilling relationship. At the heart of EFT are four interventions: reflection, validation, re-enactment, and reframing (Johnson, 2008).
Step 1 in EFT involves creating a safe and supportive therapeutic environment, in which the therapist seeks to build rapport and trust with the couple. The therapist helps the couple to feel heard and understood, and validates their experiences and emotions. In this step, the therapist also assesses the couple's emotional states, attachment styles, and relationship patterns.
Step 2 in EFT involves identifying and exploring the negative cycle that is causing distress in the relationship. The therapist helps the couple to identify the patterns of interaction that trigger negative emotions and behaviors. This step involves exploring the underlying emotions and attachment needs that drive the negative cycle, as well as the ways in which the negative cycle has been maintained over time. The therapist helps the couple to gain insight into their patterns of interaction and to see how their negative cycle is not a reflection of personal defects, but rather a normal response to unmet attachment needs.
Step 3 focuses on accessing unacknowledged emotions. In this step, the therapist helps the couple identify unacknowledged emotions that underlie the negative cycle of interaction and reinforce it. In the case of Myron and Judith, Myron may be feeling guilty about his affair and not disclosing the existence of his son to Judith. Judith may be feeling hurt, betrayed, and angry about Myron's betrayal and keeping secrets from her. It's essential to identify and validate these emotions to help the couple move towards repairing their relationship.
Step 4 focuses on restructuring negative interactions. In this step, the therapist helps the couple to restructure their negative interactions into more positive and healthier...…they have made in their relationship. This may involve helping Myron and Judith to develop coping strategies for dealing with difficult emotions or situations in the future, or encouraging them to continue therapy as needed.
Interventions should focus on the following: The therapist will encourage the couple to celebrate their successes by applying new solutions to old problem. The therapist should also help them to integrate what they have learned in the sessions into their sense or concept of self (Karkurt & Keiley, 2009).
In conclusion, EFT can be an effective approach to helping Myron and Judith to navigate their current crisis and improve their relationship. Myron and Judith's case highlights the importance of addressing negative cycles of interaction, accessing and validating emotions, restructuring negative interactions, and consolidating and integrating new patterns of interaction. Through EFT, Myron and Judith can learn to communicate more effectively and address their unmet attachment needs in a way that strengthens their bond and enhances their emotional connection. By exploring the underlying emotions and attachment needs that drive their negative cycle and working to restructure these patterns of interaction, the couple can achieve a more secure and fulfilling relationship. Ultimately, EFT can help Myron and Judith move beyond the betrayal and conflict caused by Myron's affair and illness, and find a path forward that supports…
References
Johnson, S. M. (2008). Emotionally focused couple therapy. Clinical handbook of coupletherapy, 4, 107-137.
Johnson, S. M., Hunsley, J., Greenberg, L., & Schindler, D. (1999). Emotionally focused couplestherapy: Status and challenges. Clinical psychology: Science and practice, 6(1), 67.
Karakurt, G., & Keiley, M. (2009). Integration of a cultural lens with emotionally focusedtherapy. Journal of couple & relationship therapy, 8(1), 4-14.
Zuccarini, D., Johnson, S. M., Dalgleish, T. L., & Makinen, J. A. (2013). Forgiveness andreconciliation in emotionally focused therapy for couples: The client change process and therapist interventions. Journal of Marital and Family Therapy, 39(2), 148-162.
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