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The Power Of Emotion In Therapy - Page 4

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New Emotions, New Signals, New Steps

Emotionally focused therapists have to help clients create positive patterns of effective emotional regulation and response. These patterns build a sense of efficacy and foster positive cycles of emotional responsiveness, which shape secure bonds with others. These, in turn, reinforce the effective regulation of emotion. Moving into deeply felt vulnerabilities and congruently sharing them with a trusted therapist or loved one leads naturally to a new awareness of heartfelt emotional needs. This is the first crucial step to meeting these needs in a positive manner.

In couples therapy, the open, congruent expression of such needs tends to touch and move the other partner, evoking empathy and increased responsiveness. To deepen emotion, therapists can reflect back on and repeat the emotional images and phrases a client has used all through therapy, carefully eliciting the deeply felt elements of an emotion to create a cognitively coherent yet bodily experienced reality. When this core emotion is owned and integrated, it changes a client’s sense of self and engagement with others. After about a dozen sessions of couples therapy, Mike is able to reach for his wife with a new openness and clarity.

He begins, “I know I’ve shut you out. But it’s all I knew how to do. When we get into our fights, I feel so lost [initial perception]. I get all spacey and confused [body response]. I’d tell myself that you’d never loved me—me with my grade-12 education. I just wasn’t good enough for you [catastrophic meaning]. So I’d run [action tendency]. Now, I don’t want to hold on for dear life every time you’re angry, but I want you to stop pushing so hard. Give me a break. I don’t want you to feel alone. I want to learn to be with you. I need you close to me.”

Mike’s longings and needs are now clear, and he reaches for Emma in a way that triggers a reciprocal openness. These fully felt emotional moments and interactions release a torrent of positive feelings and new ways of seeing. A new music of positive emotions—surprise and joy—begins to play. New vistas of safe connection to one’s own experience and to others open up. More coherent emotions lead to more coherent messages to others and more organized, effective action. As the proponents of Positive Psychology suggest, positive emotion has a broadening and building effect on the human psyche.

A Corrective Emotional Experience

Just as we can now unpack the elements of emotional experience, maybe we can unpack this age-old phrase and try to capture the essence of change. “Corrective,” emotion researchers remind us, doesn’t mean that older experience is erased or suppressed. The emotional system doesn’t allow data to be removed or placed to one side easily because nature favors false positives over false negatives where matters of survival are at stake. But old neural networks can be added to or even overwritten. So there’s no need to “get rid of” negative emotions; rather, we should try to expand them. When reactive anger is validated and placed in context, the threat that’s a vital part of that anger comes to the forefront, and this awareness changes how the anger is experienced and expressed. This sense of threat, or any primary emotion, is most easily discovered, distilled, and made into an integrated whole within an emotionally congruent, accepting therapeutic relationship. This sense of safety is necessary for a corrective experience, but it’s not enough.

For a corrective experience to occur, we must engage with and attend to our emotions in new ways and on deeper levels. I remember telling my therapist that, in spite of flying constantly, I was still somewhat afraid. We explored this, going moment by moment through my experience of flying and ordering the elements so that the structure of this experience became clear. Suddenly, we both realized that I was using so many techniques to “deal with” being on the plane that I was never actually present enough to experience anything new! My extensive coping mechanisms had become the problem. Imagine my surprise when I actually sat on a plane, heard my therapist’s voice in my head telling me to just be present, and found that I liked roaring into the air and floating off to new places! Part of correction is also the creation of new meanings. Flying became a way to explore my universe, rather than a near-death experience to be survived.

Corrective experience redefines the experiencer. I became someone who could get used to flying and felt able to fly. With a new sense of mastery comes new emotions; in this case, exhilaration. New action tendencies follow. I joyfully signed up for a trip that included many flights on small planes through foreign lands!

Corrective also implies that the emotional messages I send to others, as well as their impact, will evolve and change as they’re received and reciprocated. As Emma becomes more empathic, her acceptance acts as an antidote to Mike’s acknowledged sense of failure, especially when he directly shares these feelings and takes in her tender acceptance. As Mike feels less lost and overwhelmed in his interactions with his wife, he can tolerate her expressions of disappointment and tune in to her hurt. She accesses her longing and asks for comfort. As he responds, they create powerful bonding interactions. Their new safe-haven connection will continue to reshape not only their old habits of defensive withdrawal and reactive criticism, but also their vigilance for potential threat.

An emotionally corrective experience changes more than how emotions are dealt with (for example, whether they’re suppressed or reframed): it changes how emotional stimuli are perceived. More-secure lovers not only cope more effectively with hurt and anxiety, but perceive cues as less hurtful, in their relationship and in the world. Jim Coan, who uses fMRI scans to study the impact of attachment in the brain, has shown that holding the hand of a loved and dependable partner is a safety cue that changes how the brain perceives and encodes threats, like the threat of electric shock, even lessening the amount of pain such a shock induces.

A corrective emotional experience has been formulated as resulting from new insights, but cognitive insight is only one part of change. Novelist Arnold Bennett’s comment is pertinent here: “There can be no knowledge without emotion. We may be aware of a truth, yet until we have felt its force, it is not ours.” Pivotal, small changes in a living system, such as a person or a relationship, can engender radical qualitative shifts, as when ice suddenly hits 32 degrees Fahrenheit and becomes water. A significant shift in a leading or organizing element in a system—and primary emotion is such an element—can reorganize the whole system relatively abruptly.

We’re in the midst of a revolution in our relationship to emotion. The idea that emotion isn’t the poor cousin to reason but a “higher order of intelligence” has been around for decades, but now the evidence for this assertion is clear. As a result of this change of perspective and the new understanding of the nature of emotion, therapists can more deliberately use these powerful, bone-deep responses to transform their clients’ lives and relationships. It’s time to see emotion for what it is: not a nebulous force to be minimized and mistrusted, but the therapist’s greatest ally in the creation of lasting change.

Susan Johnson, Ed.D., professor of clinical psychology, is one of the developers of Emotionally Focused Therapy, one of the most empirically validated approaches to couples work. She’s the director of the Ottawa Couple and Family Institute and the International Center for Excellence in EFT. Her latest book is Hold Me Tight: Seven Conversations for a Lifetime of Love. Contact: soo@magma.ca.

Tell us what you think about this article by e-mail at letters@psychnetworker.org, or at www.psychotherapynetworker.org. Log in and you’ll find the comment section on every page of the online Magazine.

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8 comments

  • Comment Link Friday, 29 June 2012 14:03 posted by cecilia berberich

    Excellent article using the Attachment theory to a sense of emotional awareness, connection and security ; "...slow, soft, simple..." equals emotional "safety"....

  • Comment Link Friday, 15 June 2012 19:25 posted by Tim

    Excellent article that will inspire further reading.

  • Comment Link Friday, 08 June 2012 13:51 posted by Dash4you

    Excellent material that helps me reflect on recent therapy where we entered to work on our relationship. My partner would not let go of her anger at me for taking care of my exhusband during a life threatening cardiac crisis. Long story, yet I choose to be there for our only child a successful adult daughter with two little girls who relied on her dad in many ways. I was able to be there for all of them for two months. Yet my partner saw this as an abandonment. I could never help her see my truth and the relationship ended. I continued to work in therapy
    finding my own dependent attachment. Releasing myself has brought an opportunity to have a healthier relationship in my future. Accepting the end of my relationship has been painfully freeing.

  • Comment Link Monday, 28 May 2012 22:10 posted by Kimi

    "Even with this more emotion-friendly attitude, it seems to me that, as a field, we still tend to err on the side of bypassing or containing emotion, rather than actively using it for change."

    Arts therapists, particularly music therapists, have been doing a great job with this for decades. Unfortunately, turf issues have kept effective arts therapy treatments from rising to the prominence their effectiveness warrants.

  • Comment Link Tuesday, 15 May 2012 10:55 posted by Noreen

    Excellent article!