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Wednesday, September 5, 2018

How EFT Couple Therapy Helps "Distancers" to Become Aware of Primary Emotions to Improve Their Relationship

I discussed "pursuers" in my last article and how Emotionally Focused Therapy for couples (EFT) helps them to go beyond their secondary emotions (anger, frustration, blaming,  criticizing) so they can communicate from their innermost, primary emotions to improve their relationship.  In this article I'm focusing on the other side of the relationship, "distancers" (see my article: EFT Couple Therapy: Becoming Aware of Your Primary Emotions to Communicate Your Emotional Needs to Your Spouse or Partner).

How EFT Couple Therapy Helps Distancers to Become Aware of Primary Emotions to Improve Their Relationship

The Difference Between Pursuers and Distancers
Pursuers usually want very much to connect with their spouses or partners.  As mentioned in my last article, the problem is that pursuers often achieve the opposite of what they desire because of their emotional reactivity stemming, which often makes distancers uncomfortable enough to withdraw emotionally, cognitively and sometimes physically.

Like pursuers, distancers also tend to come from a place of good intentions in their relationship.  They often distance themselves as a way preserve the relationship by withdrawing in an effort to reduce emotional reactivity. However, like pursuers, this strategy also often achieves the opposite of what they desire because the pursuer will become even more emotionally reactive when sensing withdrawal from the partner/distancer.

The problem is that when distancers withdraw, pursuers become even increasingly fearful of losing their emotional connection to their partner, so they pursue more intensely--sometimes desperately--in order reduce feelings of abandonment.  This, in turn, usually leads distancers to take even more distance until they are both in a negative cycle of pursuing and distancing that usually goes unresolved unless they get help in couple therapy.

Just to reiterate:  It's important to understand that, for the most part, both pursuers and distancers, in their own way, are trying to preserve their relationship.  They're not trying to create problems.  But, unfortunately, they're using longstanding maladaptive coping strategies, which might be the only strategies they know.

Signs of a Distancers' Withdrawal
People who tend to be distancers often display the following emotional and cognitive withdrawal tendencies:
  • A reliance on mostly logic.  As a result, they often miss emotional cues from their partner
  • A reliance on strict objectivity rather than emotion
  • A focus on "the facts"
  • A distrust or discomfort with emotions
Not all distancers display all of the tendencies above, but these tend to be the main signs.

The point is that distancers tend to move away from emotional reactivity, and emotional reactivity is usually the hallmark of pursuers.

There are often negative consequences for emotional distancing.  Not only does it exacerbate the problem in the relationship, but it also can have personal adverse consequences for the distancer both physically and psychologically (see my article: How Suppressing Emotions Can Lead to Medical and Psychological Problems).

Looks are deceiving:  From an outside perspective, it can appear that there's not a lot going on for distancers, which can infuriate pursuers who want to elicit a reaction.  From the outside, it might look like they're relatively calm and quiet or that they're disinterested. But inside there are all kinds of physical and emotional reactions roiling, especially as it takes more and more energy to suppress emotions and remain withdrawn.

Behind what appears to be a calm or disinterested exterior, distancers often fear they are a failure in their relationship.  If they could somehow remain present enough to communicate what's going on for them on a primary emotional level, they might tell their spouse or partner that they want to get closer to them, but they fear the pursuer's emotional reactivity as well as the possible loss of the relationship.

Some distancers go as far as denying to themselves and others that they have negative emotional reactions (e.g., "I never get angry").

Just like pursuers, distancers' coping strategies often begin early in life.   Many of them were raised in a home environment where their primary emotions might have been dismissed or disregarded ("Don't be so sensitive" or "You're making too big a deal out this" or "You better toughen up" or "Be a man").

This disregard for their emotional experience early in life leads them to suppress their innermost experience (primary emotions) and focus on more superficial emotions (secondary emotions) which don't leave them feeling so vulnerable.

As a brief reminder from prior articles:  Primary emotions are the immediate, visceral, innermost emotions, that are experienced first before people.  They're experienced before secondary emotions, which are used unconsciously to mask the primary emotions.  Primary emotions come at least two and a half times faster than thoughts so they happen very fast.

Secondary emotions, which are defensive strategies, don't come as fast as primary emotions, but they come fast enough that people who use them are unaware they're using them defensively.  They're just trying to protect themselves from being emotionally vulnerable.  It's important for each partner to remember this so s/he can understand and feel compassion (see the following article for a more detailed discussion of the difference between primary and secondary emotions: EFT For Couples: The Importance of Primary Emotions to Improve Your Relationship).

When two people in a relationship have had this kind of negative dynamic going on for a while, they each come to anticipate the other's reaction before it even occurs.  As a result, each of them can become entrenched in his or her own maladaptive coping strategy before an argument even begins (similar to the couple in the fictional vignette from my prior article).

Let's continue with the same fictional clinical vignette from my last article to see things from the distancer's perspective:

Fictional Clinical Vignette: How EFT Couple Therapy Helps a Distancer to Become Aware of Primary Emotions to Improve the Relationship:

Ann and Ed
After their EFT couple therapist helped Ann and Ed to reduce the emotional reactivity in their interactions as part of Stage One of Emotionally Focused Therapy for couples, especially with regard to Ann's anger, frustration, blaming and criticism, Ann and Ed felt safer to open up a little more with each other.

Ann was able to convey to Ed that, even though she came across as angry and critical, all she really wanted was to get closer to Ed.  She explained how desperate she felt when she saw Ed withdrawing from her emotionally and physically.  She felt abandoned by him.

With the help of the EFT couple therapist, Ann was also able to make a connection between how she felt in her relationship with Ed and how she felt as a child when she was emotionally abandoned by her parents.

This helped both Ann and Ed to understand why Ann became so frantic when she felt Ed moving away from her.  Not only was she dealing with the current situation between them--she was also getting emotionally triggered by her childhood history.  As a result, when Ed heard this, he felt more compassionate for Ann, and Ann felt more self compassion.

As Ed began to grapple with his tendency to be a distancer, he also remembered his childhood history.  He said that his parents were, generally, loving and caring parents.  But both parents, who were well meaning, had a discomfort with strong negative emotions so that whenever Ed, as a young child, cried or expressed sadness or other strong negative emotions, they would either dismiss his emotions, try to talk him out of these emotions or cheer him up rather than remaining emotionally attuned to him.

He had many childhood memories where one or both parents were dismissive of his emotions.  On one occasion, when his pet hamster died when Ed was five, his mother tried to cheer him up rather than soothe him over the loss, "Looking back on it now, I know my mother loved me, but she was so uncomfortable with negative emotions that she just couldn't tolerate seeing me sad, so she tried to cheer me up rather than just be with me in my sadness.  The message I got was that it wasn't okay to be sad."  He also remembered his father, who was a kind man in other respects, telling him to "Be a man and stop crying" even though Ed was a young child.

The EFT couple therapist told Ed that this was a common experience that many men (and women too) experienced in their families with parents who would, otherwise, be considered "good parents."  She explained that his parents probably had similar experiences in their families when they were children, so they never learned how to tolerate negative emotions--their own or other people's.

Ed began to understand the origin of his distancing strategies.  He realized that, by the time he became an adult, these strategies were already entrenched because the message he got as a young child was that his negative emotions were "bad."  As a result, he learned to stuff his emotions to protect himself and his loved ones.

As Ann listened to Ed talk about his childhood experiences, she felt a surge of empathy for Ed, "I had no idea that this went back to childhood.  Now I understand what happens to you, Ed, when we argue."  Then, Ann reached out and took Ed's hand.

"When we argue," Ed told Ann, "especially when I feel like I've screwed up, like when I forgot to make the appointment with the pediatrician for our son, I worry that I'm a poor husband and father and you might be getting so fed up with me that you're going to leave me."

Ann reassured Ed that, even though she got very angry with him at times, she never considered ending their marriage.  She was surprised that Ed felt so badly and that he thought she was contemplating ending their marriage.  She also assured him that she felt he was a great husband and father.

Over time, as Ed and Ann continued to attend EFT couple therapy, they worked on becoming aware of their primary emotions and communicating to each other from their more vulnerable emotions.  Their progress was often two steps forward and one step back, but they knew they were making progress (see my article: Progress in Therapy Isn't Linear).

Instead of coming at Ed in an angry, critical manner, which were her secondary emotions, Alice learned to communicate from her primary emotions, like sadness.  And as difficult as it was for him, Ed tried to remain emotionally and cognitive present with Ann rather than withdrawing from her.

They still had arguments, just like any other couple, but they weren't as volatile as their prior arguments.  They also recovered much more quickly because they were able to recover by accessing and communicating from their primary emotions rather than their reactive secondary emotions, and they reached towards each other during difficult times rather than remaining entrenched in their former negative dynamic.

Conclusion
Emotionally Focused Therapy (EFT) for couples was developed by Dr. Sue Johnson.  EFT is one of the most well researched and most effective forms of couple therapy.

A major component of EFT is helping couples to overcome their negative dynamics by assisting them to interact from primary emotions rather than their defensive secondary emotions.

Another important component is assisting couples to understand their attachment styles (see my article: How Understanding Your Primary Emotions and Attachment Style Could Save Your Relationship).

There is also an emphasis in EFT that there are "no bad guys" in the relationship--there is only a negative dynamic that needs to change to improve the relationship.

Getting Help in EFT Couple Therapy
Couples, who really love each other, often get stuck in a negative dynamic and don't know how to get out of it.

Taking that first step of asking for help in couple therapy can be the most important step you take to salvage your relationship.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR, AEDP, Somatic Experiencing and EFT couple therapist (see my article: The Therapeutic Benefits of Integrative Psychotherapy).

I work with individual adults and couples.

To find out more about, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.














Saturday, September 1, 2018

How EFT Couple Therapy Helps "Pursuers" to Become Aware of Primary Emotions to Improve Their Relationship

In my recent articles, I've been focusing on why Emotionally Focused Therapy (EFT) for couples places so much importance on primary emotions and how communicating based on primary emotions can improve a relationship.

EFT Couple Therapy 

I'm focusing on pursuers in this article.  In my next article, I'll focus on "distancers."

What Are the Typical Dynamics For People Who Are Pursuers in Relationships?
With the understanding that each individual is unique, there are some typical dynamics that many people, who are pursuers, exhibit.

Just like individuals who are "distancers"in relationships, pursuers tend to communicate based on their secondary emotions rather than communicating from primary emotions (for more details on the difference between primary and secondary emotions, click on the following link for a prior article).

If they were to communicate from their primary emotions, they might tell their romantic partners things like, for example, they fear abandonment and emotional distance in the relationship.  For many people who are pursuers, emotional distance makes them feel very insecure and desperate to reconnect.

Unfortunately, when pursuers go through conflict with their romantic partners, they often come across as angry and frustrated, which are secondary emotions.

Their emotional reactivity often gets the best of them so that, rather than being able to access their primary emotions, they come across as argumentative, critical and overly demanding of their partner--all of which are secondary emotions.

If a pursuer is in a relationship with a distancer and s/he becomes angry and critical during a conflict, the distancer usually withdraws.  From there, the cycle goes round and round with misunderstandings on both sides.  Each person's reactivity/secondary emotions exacerbate the other's, and it can become an endless cycle that ruins a relationship.

In Emotionally Focused Therapy (EFT) for couples, the EFT therapist helps the pursuer to de-escalate emotional reactivity so that the distancer will feel safe enough to re-engage emotionally.

Once the couple is sufficiently de-escalated, the EFT couple therapist can help each person to access their primary emotions.

She will also help each person to understand how his or her family history or prior relationships might be triggering the current dynamic in their relationship.  Then, she helps each person to separate out their prior experiences from their current relationship (see my article: Reacting to the Present Based on Your Traumatic Experiences of the Past and Working Through Psychological Trauma: Learning to Separate the Past From the Present).

This might start out with a basic understanding that everyone is affected by their history of family relationships and prior relationships--whether these relationships were primarily positive, negative or mixed.

Usually, couples unknowingly bring these former experiences into their current relationship. So, just knowing this information can help each person to understand what happens when they get into a conflict with their partner.  Gradually, with help from the couple therapist, each person can learn to deal with emotional triggers as they occur.

Over time, with help, a couple can develop an awareness of primary emotions and communicate to their partner from these more vulnerable emotions. This usually goes a long way to improve the dynamic in a relationship.

Fictional Clinical Vignette: How EFT Couple Therapy Helps a Pursuer to Become Aware of Primary Emotions to Improve the Relationship
The following fictional clinical vignette illustrates how EFT couple therapy can help someone who tends to be a pursuer to be aware of primary emotions and communicate based on primary emotions to make changes in the relationship:

Ann and Ed
After five years of marriage, Ann and Ed were deeply unhappy in their relationship.  Although they were happy and in love when they were dating and in the early years of their marriage, they both felt that their happiness had been eroded by unresolved conflict and accumulated resentment.

By the time they had their second child, they were under tremendous emotional and financial stress, especially after Ann lost her job and they were trying to manage on Ed's salary.  That's when their arguments became the most contentious and damaging to their relationship.

At the recommendation of Ann's individual therapist, Ann spoke to Ed about attending couple therapy and, when he agreed, she set up an appointment with the EFT couple therapist that her therapist recommended to her.

Over the course of their early EFT therapy sessions, both Ann and Ed described their contentious relationship.  Although they had different perspectives about their problems, they both agreed that they were committed to salvaging their relationship.

From Ann's perspective, Ed tended to shutdown emotionally (also known as stonewalling) when they had a conflict.  She told the EFT therapist that she felt herself become very angry and frustrated that she couldn't get through to him, and this made her even more persistent about getting him to talk, which only made Ed withdraw more.

Ann described how Ed would ignore her whenever she tried to talk to him about what was bothering her, "I feel so alone in this relationship.  When I try to talk to Ed, it's like I'm talking to a wall!"

The EFT couple therapist noticed that Ed was looking away and shifting around in his seat as Ann spoke.  It was clear that he was so uncomfortable that, for all intents and purposes, he was emotionally disengaged and probably wanting to leave.

The therapist knew that if she was going to get Ed to re-engage emotionally, she would have to help Ann to de-escalate and move from her secondary emotions of anger and frustration to her primary emotions of hurt and fear of being abandoned.

As a start, the couple therapist provided psychoeducation to Ann and Ed about the difference between primary and secondary emotions and why EFT emphasizes primary emotions.

Then, she asked Ed to describe a typical argument that he and Ann had in the last several months.  Although he still appeared emotionally disengaged, Ed spoke about a recent argument they had about a big outstanding credit card bill.

According to Ed, he recently took over paying the bills because when Ann was in charge of paying the bills, she tended to procrastinate and they would incur finance charges, "When I saw that Ann hadn't paid the credit card bill and that there were overdue charges, I told her that we couldn't go on incurring these charges, especially because we're trying to live on one salary since Ann lost her job.  It seemed logical to me, since I'm better at paying the bills, that I take over this responsibility.  But when I told Ann that I should pay the bills from now on, she hit the roof and started yelling at me.  She thought I was being critical of her and accusing her of being irresponsible.  But I never said that.  I just don't want to pay finance charges.  Whenever she gets this angry and begins yelling at me, I just shutdown because I don't want to get into a big argument with her.  That's not going to fix anything."

The EFT therapist noticed that as Ann listened to Ed, she seemed to be fuming.  When it was her turn to talk, Ann responded, "It sure felt like he was criticizing me!  It was like he was saying that not only am I not contributing to the household since I lost my job, but I'm a miserable failure when it comes to paying our bills.  It made me angry and I wanted to talk to him about it, but he did what he always does--he walked away, which makes me even more angry.  Then, no matter how much I try to get through to him, he won't answer me.  He won't even look at me.  That only makes me even more angry and I try harder and harder to get him to talk, but he just withdraws from me even more.  I feel like I have no choice but to keep trying to get him to talk, but nothing I do works."

As they continued to attend EFT couple therapy, Ann and Ed developed an understanding that Ann was a pursuer and Ed was distancer in their relationship.

As Ann talked in couple therapy about her family history.  Over time, she became aware of how her arguments with Ed triggered her traumatic experiences in her family of origin.

She explained to the EFT couple therapist that she was an only child and she was primarily raised by her mother.  Her father was in and out (mostly out) of the household.  Ann said that when her father disappeared for months at a time, she would miss him so much that she would cry herself to sleep at night thinking about him.  Her mother tended to enter into emotionally abusive relationships with men during the long periods when Ann's father was away.  Her mother would provide for Ann's basic needs, but she was emotionally distant with Ann.  This resulted in Ann feeling lonely, insecure, and emotionally abandoned most of the time.

In terms of attachment styles, Ann developed an anxious/insecure attachment style that carried over into all her marriage to Ed (see my article: How Your Attachment Style Affects Your Relationship).

More than anything, when she and Ed got into an argument, Ann wanted reassurance that Ed still loved her and he wasn't going to leave her.  These were her primary emotions.

But instead of communicating her need for connection, Ann communicated based on her secondary emotions of anger and frustration, and Ed responded by withdrawing from her emotionally.  This, in turn, made Ann even more anxious and she tried even harder to get Ed to talk to her, which never worked.  This was their negative cycle.

As mentioned in my prior article, de-escalation is one of the primary goals during Stage One of EFT, so the EFT therapist worked with Ann to help her to de-escalate so she could be less reactive.

Ann began to sense her primary emotions of fear and sadness, which were underneath her emotional reactivity/secondary emotions, and she realized that they were connected to her family history.

Although it was difficult for her to be so emotionally vulnerable, Ann learned to communicate her innermost fear and sadness to Ed in their couple therapy. When this occurred for the first time, it was a major breakthrough for Ann and Ed.

After Ann allowed herself to be more vulnerable with Ed, he opened up and held her hand, "I didn't know that this is what goes on for you when we argue.  I just saw you getting angry, frustrated and critical.  Now I understand that deep down you're really scared and sad--just like you were when you were a child.  I'm sorry that I withdraw from you.  I'll try to remember that the younger part of you that is frightened and sad."

This was the first time that Ed moved closer to Ann emotionally and physically since they started couple therapy, and Ann said she felt loved and comforted by Ed's compassionate gesture.

Although they still had arguments, they were arguing less and their arguments were shorter. At that point in couple therapy, Ann continued to get triggered by her early childhood experiences, but they both had a better understanding of what was going on between them.

How EFT Couple Therapy Helps Pursuers to Become Aware of Primary Emotions to Improve Their Relationship

As time went on, Ann recognized her emotional triggers and recovered quicker without criticizing and blaming Ed, and Ed was better at staying emotionally present when they had arguments.  They each knew that they still had work to do in couple therapy, but now that they were more aware of their innermost/primary emotions, their relationship had begun to improve.

More about Ed's progress in couple therapy in the next article when I discuss people in relationships who tend to be distancers.

Conclusion
In most cases, when pursuers reveal their family history, it makes sense why they react the way they do when there is conflict in their relationship.  Old feelings of sadness, fear and, possibly abandonment, get triggered in the current relationship, and they have no way of knowing that their history is getting triggered. They assume that what they're feeling is only related to their current relationship.

People who are distancers are also affected by their early relationships (more about this in my next article).

In some cases, it might not be the family of origin history that gets triggered.  Experiences from prior relationships, especially relationships where there was abusive, might also get triggered in current relationships--even current relationships where there is no abuse.  Any feelings of insecurity can trigger the old negative feelings.

Just being able to make sense of their emotional reactivity is often reassuring to people because they realize that there are coherent reasons for their reactivity and that their reactions aren't coming from "nowhere."

Being able to separate the past from the present is often a significant part of EFT couple therapy so that each person begins to understand and, eventually overcome, the emotional triggers that complicate their current relationship.

As I have mentioned in prior articles, being able to communicate from the experience of primary emotions, which are visceral, vulnerable emotions, is a challenge for most people.  This is a skill that an EFT couple therapist can help each individual to develop.

If, eventually, there is a sense of emotional safety between the individuals in the relationship and in the therapy sessions, people are more likely to take the emotional risk of accessing their primary emotions and communicating these emotions to their partner.  This is an important part of making positive changes in a relationship and a core part of EFT couple therapy.

In the fictional vignette above, the woman is the pursuer and the man is the distancer.  But this is just one example of this dynamic--men can be pursuers and women can be distancers.  

And, of course, in same sex relationships either person can be a pursuer or distancer.

Getting Help in EFT Couple Therapy
Emotionally Focused Therapy (EFT) for couples was developed by Dr. Sue Johnson.

With regard to participating in therapy, fear and misconceptions often keep people out of therapy, especially couple therapy.

Couples are often afraid of what will be revealed about them in couple therapy and that couple therapy might make their situation worse.  However, as illustrated in the vignette above, which is representative of what often happens in EFT couple therapy, there is much to be gained from EFT therapy.

Heterosexual men are often reluctant to come to couple therapy, especially if the therapist is a woman, because they fear that they will be blamed and "ganged up on" by their partner and by the woman therapist.  But a couple therapist trained in EFT focuses on the dynamic between both people in the relationship.

Rather than blaming an individual in the relationship, an EFT therapist emphasizes to the couple that "there are no bad guys" in the relationship.  Rather, it's the negative dynamic between them that needs to change.  She helps the couple to focus on changing the dynamic rather than criticizing or blaming each other.

If you and your partner are stuck in a negative dynamic that's ruining your relationship, you owe it to yourselves to get help in EFT couple therapy, one of the most well-researched and successful forms of couple therapy.

By changing the negative dynamic in your relationship, you can have a happier and healthier relationship.

About Me
I am a licensed psychotherapist in NYC who has been practicing psychotherapy with individuals and couples for over 20 years.  

I am also a hypnotherapist, EMDR, AEDP, Somatic Experiencing and EFT couple therapist (see my article: The Therapeutic Benefits of Integrative Psychotherapy).

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Wednesday, August 29, 2018

Understanding Your Primary Emotions Can Help You to Improve Your Relationship

In my prior article, Why Does Emotionally Focused Therapy (EFT) Focus on Emotions? I began discussing why EFT places so much emphasis on emotions to help couples to make changes and improve their relationship.  

In this article, I'm focusing more in depth on primary emotions.

See my articles: 


What Happens During Stage Two of EFT Couple Therapy?

Primary Emotions and Your Relationship

What Are Primary Emotions?
As I discussed in my prior article, primary emotions are your first emotional reaction to an experience, and these emotions happen very quickly--so quickly, at times, that you might not notice them, especially if they are emotions that you're not comfortable with, like sadness or fear.

Primary emotions include:
  • joy/happiness
  • sadness
  • hurt
  • surprise
  • excitement
  • disgust
  • shame
  • anger (although not always)
  • fear
Primary emotions are biologically based and instinctual so they are hard wired into human beings.

From an evolutionary standpoint this makes sense.  

For instance, centuries ago when people lived in caves, they needed an emotional response to danger that was quick and efficient.  

If a caveman or cavewoman walked into the wrong cave--the cave where the lion lived--instead of the family cave, having an emotional response, in this case fear, that propels you to run before you even have time to think about it, is immediate and could make the difference between life and death.

Although we no longer live in caves and we don't need to run from bears or tigers, primary emotions still contain important information for you as an individual and for your partner (more about this below).

Anger, as noted above in the list of primary emotions, isn't always a primary emotion. 

Sometimes, anger is a secondary emotion.  

For instance, when someone experiences anger because she is being abused or manipulated, this is usually a primary emotion.  

However, if someone uses anger to mask deeper feelings (primary emotions) of hurt or sadness, then anger is a secondary emotion (more about what secondary emotions are below).

Primary emotions involve you at your most emotionally vulnerable, especially when you attempt to share your deepest emotions with your partner.

Being able to say, "I'm afraid you might leave me because I keep disappointing you" is a lot different than saying in anger (as a secondary emotion), "You make me so angry when you complain about how I disappoint you, and I know you're probably going to bail on our relationship!"

In the first example, the person is showing an emotional vulnerability, which is more likely to elicit a compassionate response than in the second example where the statement is said in an angry tone and which is blaming and critical.  The partner is more likely to become defensive after hearing the second statement.

As you can see from the list of primary emotions above, these emotions include both positive emotions (like joy) and so-called "negative emotions" (like disgust).  The "negative emotions" are not called "negative" because they're "bad."  They're called "negative" in contrast to the positive emotions.

All emotions, whether they are labeled as "positive" or "negative," are normal and they provide you with important information about what you're feeling, how you might be impacting your spouse or partner, and what might be going on in your relationship (more about this below).

Secondary emotions, which I will discuss in a future article, are emotions that are a reaction to primary emotions, so they come later.  These emotions often mask the primary emotions that you feel uncomfortable with.

What Role Do Primary Emotions Play in Emotionally Focused Therapy (EFT) For Couples?
An EFT couples therapist understands the importance of primary emotions and helps each individual in the relationship to become aware of these emotions to help the couple overcome a negative dynamic in their relationship and to make positive changes.

Becoming aware of primary emotions is important because they:
  • Let you know how you are feeling in the moment
  • Provide you with information about what you need to do to take care of yourself, your partner and your relationship
  • Motivate you to seek help from those who can help you
  • Encourage your loved ones to be compassionate to comfort and reassure you (when you share your primary emotions in a vulnerable way without criticism or blame)
As I mentioned in an earlier article, EFT Couple Therapy: Overcoming the Negative Dynamic in Your Relationship That Keeps You Stuck, the EFT couple therapist will assess the couple's pattern of relating during Stage One of EFT  and reflect this back to each individual.

She will also help each individual to become aware of the primary emotions that are being masked by and communicated with secondary emotions.

In addition, she will help each person to get comfortable with communicating primary emotions once the dynamic in the relationship has been de-escalated so that each person can feel safe enough emotionally to risk being vulnerable.

In my next article, I'll give some examples of couples who use secondary emotions, instead of primary emotions, to communicate with each other, show the detrimental effects of this dynamic, and why it's so difficult to change these patterns on your own.

Getting Help in EFT Couple Therapy
So many people, who love their spouses or partners, get stuck in destructive relationship dynamics that destroy an otherwise good relationship.

If you and your partner haven't been successful with improving your relationship on your own, you could benefit from attending couple therapy with an EFT couple therapist.  

Instead of remaining stuck in a negative cycle that's ruining your relationship, you could get help in EFT couples therapy and save your relationship.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR, AEDP, Somatic Experiencing and EFT couple therapist (see my article: The Therapeutic Benefits of Integrative Psychotherapy).

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.















Tuesday, August 28, 2018

Why Does Emotionally Focused Therapy (EFT) For Couples Focus on Emotions ?

I have been discussing Emotionally Focused Therapy (EFT) for couples in the last several articles (see my articles: What is Emotionally Focused Therapy For Couples (EFT)?What Happens During Stage One of Emotionally Focused Therapy For Couples? and What Happens During Stage Two of EFT Couple Counseling?).  In this article, I'm addressing a common question that couples often have when they are considering EFT couple therapy: Why does EFT focus on emotions?

Why Does Emotionally Focused Therapy (EFT) For Couples Focus on Emotions?

Focusing on Emotions in EFT Couple Therapy
Based on recent neuroaffective research, we now know that emotions occur at least two and a half times faster than thoughts.  Since emotions occur so quickly, it's possible to be unaware of what you're feeling emotionally before you have a thought about whatever you're experiencing.

Emotions also motivate your behavior, whether you realize it or not, both as an individual and as an individual in a relationship.  Emotions also motivate you to change much more than your thoughts.  So, it's important to be aware of what's going on emotionally, especially if you want to make changes.

Understanding Why Emotions Are Important
An important role for the EFT couple therapist is helping each member in the relationship to be able to:
  • Identify emotions as they occur in the present and in the past 
  • Learn to distinguish between primary, secondary and instrumental emotions (more about this below)
  • Understand the positive and negative roles emotions play on a personal level as well as in the relationship
  • Create an emotionally safe environment in couple therapy for each individual to identify and reveal more vulnerable (primary) emotions to his or her spouse or partner
  • Understand whether a secondary emotion is masking a primary emotion (more about this below)
  • Learn to feel and expression self compassion as well as compassion for your partner
Primary, Secondary and Instrumental Emotions:
  • Primary emotions are the emotions that you feel first with a sense of immediacy.  These emotions, which include: fear, anger, sadness, joy/happiness, disgust, contempt and surprise.  They occur in the body, including on a gut level.  These emotions are biologically hardwired into humans.  These emotions are also the most vulnerable emotions that you have, and since you can feel so emotionally vulnerable with a primary emotion, you might shy away or distract yourself from your primary emotions and have difficulty expressing these emotions to your partner.
  • Secondary emotions are reactions to your primary emotions.  They often serve the purpose of masking the more vulnerable primary emotions.  For instance, a wife, who is sad when she feels her husband is ignoring her, might feel anger as a secondary emotion to mask the hurt and sadness (primary emotions) she feels.  Although she feels more comfortable expressing her anger to her husband, her angry communication won't be as effective as compared to her revealing her hurt and sadness.  Chances are that her husband, who might feel an inward sense of remorse for ignoring his wife, will become outwardly defensive rather than addressing the problem between them.  In response to her anger, he might defensively deny that he is ignoring her, dismiss or belittle her concerns, criticize her for some shortcoming that he sees in her or withdraw/stonewall in silence.  No matter which defensive response he gives, the problem isn't solved and it might even become worse.
  • Instrumental emotions are emotions that are often used in relationships, consciously or unconsciously, to manipulate.  For instance, a husband who, on a primary emotional level, is hurt and sad that his wife tends to be late whenever they're meeting for dinner or to go to a show, might try to make his wife feel guilty by exaggerating a headache that developed while he was waiting for her.  Rather than being direct with his wife and expressing his hurt, he tells her that waiting for her caused him to develop the headache.  If he really wants to rub it in, he might portray himself as the victim in the relationship who is "always waiting" for her.  Although the husband might accomplish his short-term goal (assuming he is aware of it) of manipulating his wife into feeling guilty, in the long run, this strategy does more harm than good.  
Changing Negative Dynamics in Your Relationship
Changing negative dynamics in a relationship is challenging, especially if both people have been engaging in these dynamics for a long time.

Becoming aware of the dynamics and the role that each person plays is the first step.  It's normal for both people to feel uncomfortable at first when they're exploring their negative dynamics with their EFT couple therapist.  

But if both people really want to improve their relationship, this is an important step.  And rather than blaming yourself or your spouse for the dynamics, it's important to focus on the dynamic as happening between you and realize that there are no "bad guys."  It's the dynamic that needs to change (see my article: EFT Couple Counseling Helps Couples to Move Beyond Reactive Emotions and Destructive Arguing Cycles).

Rather than blaming yourself or your partner, it's much more effective to become curious about the dynamic and to be willing to take a risk to change (see my article: EFT Couple Therapy: New Bonds of Love Can Replace a Negative Dynamic in a Relationship).

More about this in my next article.

Getting Help in EFT Couple Therapy
Emotionally Focused Therapy for couples is internationally recognized as a well-researched and effective form of couple therapy developed by Dr. Sue Johnson.

Rather than continuing to struggle in a negative dynamic with your partner or spouse, you could get help to improve your relationship in EFT couple therapy.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR, Somatic Experiencing, AEDP and EFT couple therapist (see my article: The Therapeutic Benefits of Integrative Psychotherapy).

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.














Saturday, August 25, 2018

EFT Couple Counseling Helps Couples to Move Beyond Reactive Emotions and Destructive Arguing Cycles

In prior articles about EFT (Emotionally Focused Couple Therapy), which was developed by Dr. Sue Johnson, I discussed how this well-researched form of couple counseling can help couples to improve their relationship.

See my prior articles:
In this article, I'm focusing specifically on how EFT can help couples to move beyond reactive emotions, like anger and frustration, to the more vulnerable underlying emotions, like hurt and fear, to help change destructive patterns of relating.

EFT Couple Counseling Helps Couples to Move Beyond Reactive Emotions and Destructive Cycles  
Reactive emotions tend to drive arguments.  Rather than communicating the hurt, sadness or fear that are underneath these reactive emotions, couples often tend to lead with emotional reactivity.

Not only does this often lead to defensiveness, but it all tends to fuel escalating, destructive arguments.  After a while, this can become a pattern of relating that couples often find difficult to change on their own.

Fictional Clinical Vignette:  EFT Couple Counseling Helps Couples to Move Beyond Reactive Emotions and Destructive Arguing Cycles
The following fictional clinical vignette illustrates how an EFT couple therapist can help a couple to move beyond their reactive emotions to end destructive arguing cycles:

Mark and Tara
After more than a year of couple therapy where they were focusing on developing "better communication skills," Mark and Tara decided to see an EFT couple therapist recommended by Tara's individual therapist because their regular couple therapy wasn't helping them.

Tara's individual psychotherapist, who was training in EFT couple therapy, told Tara that EFT went far beyond looking at communication skills and focused on the dynamic between the couple, including their individual ways of relating.  She also told her that the latest research indicated that getting to the underlying emotions was key to improving relationship dynamics.

During their first EFT couple therapy session, Tara told the couple therapist that, in their five years of marriage, she and Mark usually had arguments that escalated to the point where she was yelling and Mark "stonewalled" her by not speaking or leaving the apartment during heated arguments.

She said that the worst part was that nothing ever got resolved between them and, even though they still loved each other, they were growing farther and farther apart with time.  She feared that they weren't going to make it if they continued arguing this way.  Focusing on communication skills in their prior couple therapy did nothing to change their dynamic, Tara said.

While Tara spoke, Mark looked away and remained quiet.  When it was his turn to speak, he admitted that he never wanted to start couple therapy, but he did it at Tara's insistence.  Initially, before they started their prior couple therapy, he feared that he would be blamed by both his wife and their female couple therapist.  He thought they would "gang up" on him.  So, he said, he was pleasantly surprised that their prior couple therapist was evenhanded and didn't automatically blame him for the problems in the relationship.  However, he agreed with Tara that, even though they were in couple therapy, they continued to have destructive arguments that went nowhere.

With some prompting from the EFT couple therapist, Mark gave an example of a recent argument that was typical of the type of arguments that he and Tara would have.  He said he came home from work last week and Tara seemed annoyed and as if she was waiting for him to say or do something.

At a loss as to what was going on, he asked Tara why she looked so annoyed, and she began yelling at him that, once again, he forgot their wedding anniversary.  She told him that she had hoped that when he came home, he would tell her that he remembered this year and he made a reservation at their favorite restaurant for that evening.  But when he said nothing about it, she told him, she realized that this was all a repeat performance of the last few years where he completely forgot.

At that point, Mark told the EFT couple therapist, he felt guilty, he was genuinely sorry and he wanted to apologize to Tara, but he knew that he had done this each year and she wasn't ready to accept his apology.  He also knew that his apology wouldn't make up for Tara's disappointment.

In thinking about what to do, Mark knew from their prior arguments that Tara would be piling on a litany of complaints and disappointments.  Even though he knew he was at fault, he also felt too tired to deal with Tara's anger.  So, instead of listening to her, he went upstairs to take a shower, and he thought he would come back down to talk to Tara when both of them had cooled off.

Rather than giving him his "space," he said, Tara followed him upstairs and pushed the door open to their bathroom.  She was even more angry that he left her standing downstairs by herself than she had been originally when he got home, and she yelled at him for all the things he did to disappoint her over the last few months.

Mark said that he felt at the "breaking point" when Tara "cornered" him in their bathroom.  At first, he said, he wasn't sure what to do.  From his perspective, Tara saw him as "a loser" who couldn't even remember their wedding anniversary, and he felt like "a loser" too.  He dreaded the thought that Tara might get fed up one day and leave him.  But not knowing what else to do, he remained silent, hoping that Tara would eventually stop yelling at him and he could calm himself.  But rather than stopping, Tara was escalating and getting louder.

When he felt he couldn't take it anymore, Mark said, he reminded Tara about things that were important to him that she had forgotten.  He told her that she acted like she was "Miss Perfect," but she was far from perfect, so she should get off his back.

After he said this, he told the EFT counselor, he was immediately sorry, especially when he saw the hurt and guilty look on Tara's face.  His first impulse was to take Tara in his arms and kiss her, but she walked out of the room and he decided not to pursue her.

Later on, Mark said, when they were having dinner, they were both quiet and barely made eye contact.  The argument had stopped, but now they remained in stony silence for the rest of the evening.  He told the EFT counselor that, when they first got married, they had agreed that they would never go to bed angry, but there were so many arguments like this that they often went to bed angry and woke up barely speaking to one another.

That particular night when they each remained on their side of the bed, Mark said, he thought about reaching out to Tara, but he thought it would be pointless.  He stayed up most of the night thinking about how Tara would probably leave him and feeling scared and lonely.  The next morning, he said, was the same as many other mornings after they argued--they barely spoke before each of them went off to work.

When the EFT couple therapist asked Tara for her reaction to Mark's recounting their last argument, Tara said that she was surprised.  From her perspective at the time of the argument, she thought that Mark's initial lack of response meant that he didn't care, and this infuriated her.  Then, when he walked away from her, she said, she became even more angry.  When he reminded her of the things that she had done wrong, she didn't know what to say.  She felt so guilty that she needed to withdraw from him.  She said she also spent a sleepless night after their last argument, and she wanted to reach out to Mark too, but she didn't know how anymore.  She agreed that this was the usual pattern to their arguments and these arguments were eroding their relationship.  She was beginning to feel hopeless about their marriage, but she didn't want to give up.

Their EFT couple therapist helped them to see that there were "no bad guys" in their relationship--instead, there was a destructive pattern of interacting that wasn't working.  Then, over the next several sessions, she helped each of them to focus on their pattern--rather than blaming each other--and express the more vulnerable feelings that were underneath their anger.

Mark had an easier time expressing his sadness, loneliness and fear.  In response, Tara seemed genuinely moved by his expression of vulnerability, but she said she also felt too afraid to allow herself to be emotionally vulnerable with Mark.  She said there had been too many times in the past when she opened up to Mark to express her sadness and he responded, from her point of view, by being "cold and rational," telling her that she had "no reason" to be sad.  Now, she felt she had to protect herself from being emotionally vulnerable with him.

During the next several sessions, the EFT counselor helped Mark to tell Tara that he now realized that his attempts at being "rational" were hurtful to her, and he wanted to be open to whatever she had to tell him about her more vulnerable feelings.  At various times, Tara seemed on the verge of opening up emotionally to Mark, but then she would shut down again.

Based on what she learned in EFT couple therapy, Tara said she understood that, in order for their negative dynamic to change, she and Mark needed to get beyond their reactivity to express their emotional needs and she asked Mark to be patient with her, which he agreed to do.

During that time, the EFT counselor reflected back to each of them what she saw in terms of the love that each of them felt for the other.  She also modeled the type of open dialogue that they were striving to have with one another.

Then, in their next EFT couple session, Tara made a tentative effort to begin telling Mark how sad and fearful she felt whenever they had destructive arguments.  At first, her words were halting and she looked at the couple therapist, who encouraged her to continue.

When Tara was midway through expressing her feelings, Mark reached out and held her hand to reassure her that he was there, he was listening and he wasn't going anywhere.  At that point, feeling assured by him, Tara responded by squeezing his hand and smiling at him.

They both acknowledged that this was the first time in a long time that they held hands and felt so close to one another.  Mark said that he realized that Tara didn't think of him as "a loser" and that she was committed to their relationship, which was a big relief to him.  Tara said that this was the first time in a long time that she felt "heard" by Mark and really cared about.

During subsequent EFT couple therapy sessions, Mark and Tara continued to open up to each other.  They told their couple therapist that they still had arguments, but they were able to stop them more easily to say what they were really feeling underneath their anger.  Rather than remaining reactive to each other, they were able to respond with love and compassion to one another.  This tended to end the argument so that they could talk about what they each needed.

Mark and Tara remained in EFT couple therapy to consolidate what they had learned and to develop other healthy ways of relating.

Getting Help in EFT Couple Therapy
Many forms of couple therapy focus on how to communicate and listening skills.  There's nothing wrong with this, but the problem is that couples often don't get to look at their destructive dynamic.  Just as important, they don't get to the underlying emotions beyond their reactivity so that little or nothing changes.

An EFT trained couple therapist has the skills to help couples to get to their more vulnerable emotions underneath the reactivity.  She knows that, ultimately, getting to these more vulnerable emotions is what enables the dynamic to change.

Rather than continuing to engage in destructive patterns that are ruining your relationship, you can get help in EFT couple therapy to salvage your relationship.

For more information about EFT Couple Therapy, read the following books:

Hold Me Tight - by Dr. Sue Johnson
Emotionally Focused Couple Therapy For Dummies - by Brent Bradley and James Furrow

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR, AEDP, Somatic Experiencing and EFT couple therapist.

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.























Thursday, August 23, 2018

Stage Two of EFT Couple Counseling: A Clinical Example

In a prior article about Stage One of EFT couple therapy, I provided a fictional clinical vignette to illustrate what happens during Stage One.  Also, see my articles:
Stage Two of EFT Couple Counseling: A Clinical Example
In this article, I'm providing a fictional clinical vignette of Stage Two using the same fictional couple to show the next step in the process of EFT couple therapy.

Fictional Clinical Vignette: Stage Two of EFT Couple Therapy:
The following vignette illustrates how an EFT couple therapist works with a couple during Stage Two of EFT couple therapy:

Ted and Rita
In a prior article, Ted and Rita, who were married for five years, began EFT couple therapy after Rita found out that Ted had been cheating with his ex-girlfriend.  Ted ended his affair with his ex and expressed genuine remorse for the pain that it caused Rita and the damage it did to their relationship.

Initially, Rita, who was historically the pursuer in the relationship, wasn't sure if she wanted to remain in the relationship.  As the pursuer, Rita had been the one who tried to get Ted to talk about their relationship and would feel insecure and emotionally abandoned when Ted, as a withdrawer/distancer, tended to avoid these discussions.  This pattern changed after Rita found out about the affair.

After she found out about the affair, Rita withdrew emotionally from the relationship and asked Ted to move out temporarily to give her time to think things over.  As a way to try to salvage the marriage, Ted asked Rita to participate with him in couple therapy, which she agreed to somewhat reluctantly.

During Stage One of EFT couple therapy, the EFT couple therapist helped both Rita and Ted to feel safe in therapy.  After a while, Rita was able to stop criticizing Ted so he could re-engage emotionally in the relationship.  At that point, they both realized that their problem was rooted in a negative dynamic in their relationship.

Rather than blame and criticize each other for their problems, they realized that they each had their own emotional needs that weren't being met or communicated in the relationship.  At that point, they both made a greater commitment to couple therapy to work out their problems.

After Ted and Rita were able to de-escalate their emotions during Stage One with the help of their EFT couple therapist, they were ready to move onto Stage Two, which entails restructuring their bond.

Even though it was hard for each of them at first, their EFT couple therapist helped each of them to express what they each needed from the other.  Their EFT couple therapist also helped them to accept each other and show compassion for one another.

During this stage of therapy, both Ted and Rita expressed how emotionally vulnerable they felt when they expressed their emotional needs.  Rita said she feared that Ted would think of her as being "needy," and Ted still feared that Rita saw him as "a loser," especially after she found out about his sexual affair with his ex.

Their couple therapist was able to help them to trace back these fears to their childhood history so that they could understand the power these fears had over them, and they could begin to work through these issues.

As would be expected, they each took one step forward before backsliding again due to their fears around emotional vulnerability, and their EFT counselor helped them to get back on track whenever they took steps backward.

When they became sexual again, Rita said there were times when she remembered that Ted had an affair and she felt repulsed by him.

During those times, she said she said she had to stop their sexual activity and withdraw from Ted.  She said she feared that, instead of feeling close to her, Ted might be thinking of his ex.  She told him that she needed to know that he felt emotionally connected to her so that she wouldn't think he was thinking of his ex.

Ted expressed how hurtful it was for him whenever Rita stopped their lovemaking because of her thoughts of his infidelity.  Yet, he understood that Rita was having a normal reaction, and he tried to be patient and understanding.  He said he tried to reassure Rita that he was only thinking of her, but he couldn't convince her at certain times.

Their EFT couple therapist helped Rita to express what she needed from Ted when she began having doubts when they were sexual together.  Rita was able to tell Ted that she needed him to look directly at her, talk to her and hold her so she would know that when they made love, he was fully engaged with her and not thinking about his ex.

After a few aborted attempts, Rita and Ted came back to their next session and told their therapist that they were able to be emotionally and sexually engaged with each other so that they could enjoy being sexual together.  Rita said she still thought about Ted's affair occasionally, but she also knew that he loved her and he was committed to their marriage.

After several more sessions, Rita and Ted were able to express their emotional needs more easily to one another.

Once Rita was able to stop criticizing Ted, Ted was able to remain emotionally present rather than engaging in avoidance tactics where he distanced himself emotionally.

They also felt more deeply bonded to one another.  It was the first time that, even though they had a long way to go, they both felt that they were really on the road to mending their relationship.

Getting Help in EFT Couple Therapy
As I mentioned in prior articles, EFT couple therapy is one of most researched models of couple therapy with a high success rate.

Rather than engaging in the same negative patterns that are ruining your relationship, you owe it to yourself and your partner to get help in EFT couple therapy.

Coming to couple therapy sooner rather than later is an important aspect of salvaging a relationship.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR, Somatic Experiencing, AEDP and EFT couple therapist.

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.












Monday, August 20, 2018

What Happens During Stage Two of Emotionally Focused Couple Therapy (EFT)?

I have been discussing Emotionally Focused couple therapy (EFT) in prior articles (see my articles: What is Emotionally Focused Couple Therapy (EFT)?What Happens During Stage One of Emotionally Focused Couple Therapy (EFT)? and Stage One of EFT Couple Therapy: A Clinical Example).  In this article, I'm focusing on what happens during Stage Two of EFT couple therapy.

What Happens During Stage Two of Emotionally Focused Couple Therapy (EFT)?

As I mentioned in my earlier articles, EFT is a research-based couple therapy developed by Dr. Sue Johnson that helps couples to connect with each other in healthy ways and improves their emotional attachment.

I described what happens during Stage One of EFT in an earlier article.

After a couple completes the necessary steps of Stage One, their EFT couple therapist will guide them through Stage  Two, which is about changing the patterns of their interaction that cause problems in their relationship (see my article: Overcoming the Negative Dynamic in Your Relationship That Keeps You Stuck).

During Stage Two, the EFT couple therapist helps each person in the relationship to feel safe enough to express his or her attachment needs and deep emotions (see my article: EFT Couple Counseling: New Bonding Can Replace a Negative Cycle in a Relationship).

Since this can be difficult, especially for a couple who have longstanding problems and who might not feel comfortable allowing themselves to be so emotionally vulnerable, the EFT couple therapist acts as a coach to help each person to express their emotional needs to each other and to also express acceptance and compassion for the partner's needs.

During Stage Two of EFT, the couple also learn to discuss issues that have created conflict in their relationship in a new and healthy way.

This stage often involves one step forward and one step back as each individual in the couple learns to express his or her emotional vulnerability, compassion, and learns to adjust to new ways to approach issues that caused conflict in the past.

In my next article, I'll provide a clinical example of Stage Two using the same fictional couple that I discussed in my earlier article about Stage One of EFT couple therapy.

See my article: Stage Two of EFT Couple Therapy: A Clinical Example

Getting Help in Couple Therapy
Many couples remain stuck in old, dysfunctional ways of relating and, eventually, these patterns erode their relationship until the relationship is beyond salvaging.

By seeking help in couple therapy, the couple have an opportunity to stop enacting destructive patterns in their relationship, learn to express their emotional needs and express compassion for their partner's needs.  They also learn new ways of dealing with conflict.

Rather than continuing to engage in old patterns that are ruining your relationship, you can get help from an experienced couple therapist and salvage your relationship.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR, AEDP, Somatic Experiencing, and EFT couple therapist.

I work with individuals and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.