PSYU2222 Week 8 Notes, Evidence Based Interventions- Psychotherapy

Emotions

What are emotions?
  • Instinctive & intuitive reactions arising in response to stimuli
  • Both physiological & psychological
  • Experienced subjectively
Characteristics of emotions:

Instinctive vs learned

  • Emotions are instinctive, not learned

Physiological vs psychological

  • Emotions impact the body and also mental experiences

Subjective experience

  • Each person experiences emotions uniquely, even if the stimulus is the same

Response to various stimuli

  • Emotions can be triggered by social interactions, events, thoughts and imagined situations

Ekman’s 7 basic emotions
  1. Happiness
  2. Sadness
  3. Anger
  4. Fear
  5. Suprise
  6. Disgust
  7. Contempt

Functions of Emotions

Survival

  • Signals us to threats or opportunities in our envrionment
  • Facial expressions & non verbal communication coordinate group response/ safety

Motivation & Action

  • Emotions influence our behaviours
    • Disgust helps us not eat off food
  • Emotional responses are automatic and help us respond quickly

Social Cohesion

  • Helps build social connections
  • Creates empathy, compassion, shared experiences
  • Can help or harm relationships

Integration of thinking & feeling

  • Emotions & rational thought work together to guide decision making
  • Creates adaptive problem solving

When emotions become problematic
  • Interfering with daily functioning
  • Lack of emotional regulation skills
  • Maladaptive avoidance
  • Extreme emotions
  • Innapropriate responses
  • Hindering personal growth

Emotion-Focused Individual Therapy (EFiT)

Foundations of EFit
  • Modern emotion theory + affective neuroscience + neo-humanistic values
  • Draws on scientific research while emphasising worth, growth and subjective experience of peope
  • Sees emotions as essential to understanding ourselves

What is Neo-humanism in EFiT?

  • Emphasises personal growth, inherent worth and subjective experiences

What does affective neuroscience study in EFiT?

  • Emotions as primary motivational systems in the brain & body

What is emotional change in EFiT?

  • The process of shifting emotional responses for lasting personal transformation

Principles of EFiT

Emotional Awareness

  • Clients guided to notice, identify & understand their emotions

Emotional Expression

  • Safe environment to fully express emotions

Acceptance & Validation

  • Clients encouraged to accept all emotions as valid & meaningful

Transformation

  • Clients learn to regulate emotions & change maladaptive patterns

Integration

  • Clients use new emotional insights to improve their daily life

Stages of EFiT

  1. Engagement & Assessment
  2. Consolidation & integration
  3. Emotional awareness & expression
  4. Regulation & transformation
  1. Establishing Safety and Trust: The therapist builds a secure, attuned relationship and begins mapping the client’s emotional and attachment patterns.
  2. Emotional Exploration and Expression: The client accesses, deepens, and expresses core (often vulnerable) emotions in a supported, experiential way.
  3. Emotional Regulation and Transformation: Core emotions are reshaped through new emotional experiences (e.g., self-compassion softening shame, grief emerging beneath anger).
  4. Integration and Consolidation: These new emotional experiences are integrated into the client’s sense of self and guide more secure, adaptive ways of relating.

Strengths & Limitations of EfiT
StrengthsLimitations
– deep emotional transformation
– adaptable, client based approach
– addresses thoughts, emotions, behaviours & physiological responses
– can be tailored to client’s specific goals
– Requires a lot of training
– Time consuming
– Treatment might be longer than other approaches
– Clients may resist focusing on emotions
– More research needed

Solution-Focused Brief Therapy (SFBT)

Foundations of SFBT
  • Core belief that client can change
  • Emphasis on autonomy, collaboration and solution
  • Focus on positive solutions and strengths of client
  • Assumes client already has resources for change
  • Therapist os a facilitator, not authority figure
Core Assumptions of SFBT
  • Autonomy & client empowerment
  • Building rapport & empathy
  • Supporting self-efficacy
  • Solutions focused
  • Clients are resourceful & capable
  • Client is the expert
  • Focus on the future
  • Exceptions are important
  • Change is constant & inevitable

Techniques used in SFBT

Scaling

  • Clients rate their experiences from 0-10
  • Quantifies and tracks progress

Miracle Question

  • Asking clients to imagine future where problem is solved to help clarify goals & encourage creative thinking

Exception-Finding Questions

  • Focus on times when the problem has been less severe or absent to identify already working coping mechanisms

Coping Questions

  • Explore resilience strategies

Strengths & Limitations of SFBT
StrengthsLimitations
– Efficient
– Strengths approach creates hope
– Boosts self efficacy
– Adaptable
– Good for immediate, practical change
– Might not be good for severe mental health conditions
– Doesn’t take into account external barriers to resources
– Hard for therapists to let go of control and fully embrace client’s perspective

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