Emotion-Focused Therapy for Trauma

Format: DVD [Closed Captioned]
Running Time: more than 100 minutes
Item #: 4310912
ISBN: 978-1-4338-1560-7
List Price: $99.95
Member/Affiliate Price: $69.95
Copyright: 2014
Availability: In Stock
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For individuals in the U.S. & U.S. territories

APA Psychotherapy Training Videos are intended solely for educational purposes for mental health professionals. Viewers are expected to treat confidential material found herein according to strict professional guidelines. Unauthorized viewing is prohibited.
Description

Emotion-focused therapy for trauma (EFTT) is an evidence-based, short-term, individual therapy for adult clients dealing with issues stemming from child abuse trauma.

In this program, Dr. Sandra C. Paivio is featured in a clinical demonstration of EFTT, and further outlines its strategies for reprocessing trauma feelings and memories and working directly with emotional processes to bring about client change.

EFTT posits that the therapeutic relationship and emotional processing of trauma memories are mechanisms of change. By emphasizing access to previously inhibited adaptive feelings and meanings, the clinician and client can use the adaptive information associated with these emotions to modify maladaptive meanings associated with fear, avoidance, and shame.

In Emotion-Focused Therapy for Trauma, Dr. Paivio works with a young woman who has a history of trauma and current symptoms of posttraumatic stress disorder. Dr. Paivio first works to establish an alliance with the client to build safety and collaborate on the tasks and goals for therapy, then helps the client to allow the painful feelings and memories associated with traumatic events. Dr. Paivio helps her to express her anger at violation and sadness at loss, accessing self-soothing resources and compassion for self in the process.

Approach

Emotion-focused therapy for trauma (EFTT) is grounded in current experiential therapy theory and research and integrates recent developments in the areas of emotion, affective neuroscience, attachment, and trauma.

Child abuse trauma is associated with a constellation of long-term effects and disrupted emotional processes are at the core of this constellation. These include symptom distress (e.g., depression, social anxiety, PTSD), emotion regulation difficulties (dysregulation, avoidance/over-control), and self and relational problems.

EFTT includes strategies for reprocessing trauma feelings and memories and working directly with emotional processes to bring about client change. Therapy focuses in particular on unresolved feelings (anger, sadness, fear, guilt, shame) and unmet needs in relation to abusive/neglectful others (usually attachment figures).

EFTT posits the therapeutic relationship and emotional processing of trauma memories as mechanisms of change. The emphasis is on accessing previously inhibited adaptive feelings and meanings (e.g., anger at violation, sadness at loss) so that the adaptive information associated with these emotions can be used to modify maladaptive meanings associated with fear, avoidance, and shame.

The primary intervention used to resolve attachment injuries is imaginal confrontation in which clients imagine perpetrators of abuse/neglect in an empty-chair and express their thoughts and feelings about the abuse directly to the imagined others. This procedure quickly accesses core processes (including fear, avoidance, and shame) that become the focus of subsequent therapeutic exploration and change.

About the Therapist

Sandra C. Paivio, PhD, CPsych, is professor in the Psychology Department and director of the Psychotherapy Research Centre at the University of Windsor, Ontario, Canada, and has 20+ years of clinical experience. She is one of the developers of emotion-focused therapy, particularly applied to complex trauma (EFTT), and has conducted clinical trials evaluating the efficacy of EFTT.

Dr. Paivio is the author of numerous publications on trauma and psychotherapy, including Working With Emotions in Psychotherapy (coauthored with Les Greenberg) and of Emotion-Focused Therapy for Complex Trauma (coauthored with Antonio Pascual-Leone).

Dr. Paivio has presented numerous international workshops and provided intensive training in EFTT for graduate students and professionals. She also is chair-elect of the Traumatic Stress Section of the Canadian Psychological Association and invited member of the APA Division 56 (Trauma Psychology) working group for developing best practice guidelines for complex trauma.

Suggested Readings
  • Courtois, C. A., & Ford, J. D. (in press). The treatment of complex trauma: A sequenced, relationship-based approach. New York, NY: Guilford Press.
  • Greenberg, L. S. & Paivio, S. C. (1997). Working with emotions in psychotherapy. New York, NY: Guilford Press.
  • Holowaty, K. A. M. & Paivio, S. C. (2012). Characteristics of client-identified helpful events in emotion-focused therapy for child abuse trauma. Psychotherapy Research, 22, 56–66.
  • Mundorf, E. & Paivio, S. C. (2011). Narrative quality and disturbance pre- and post- emotion-focused therapy for child abuse trauma. Journal of Traumatic Stress, 24, 643–665.
  • Paivio, S. C., & Laurent, C. (2001). Empathy and emotion regulation: Reprocessing memories of child abuse. Journal of Clinical Psychology, 57, 213–226.
  • Paivio, S. C., & McCulloch, C. R. (2004).  Alexithymia as a mediator between childhood trauma and self-injurious behaviours.  Child Abuse & Neglect, 28, 339–354.
  • Paivio, S. C., & Nieuwenhuis, J. A. (2001). Efficacy of emotion focused therapy for adult survivors of childhood abuse: A preliminary study. Journal of Traumatic Stress, 14, 115–134.
  • Paivio, S. C., & Pascual-Leone, A. J. (2010). Emotion focused therapy for complex trauma: An integrative approach. Washington, DC: American Psychological Association.
  • Paivio, S. C., Hall, I. E., Holowaty, K. A. M., Jellis, J. B., & Tran, N. (2001). Imaginal confrontation for resolving child abuse issues. Psychotherapy Research, 11, 433–453.
  • Paivio, S. C., Jarry, J., Chagigiorgis, H., Hall, I., & Ralston, M. (2010). Efficacy of two versions of emotion-focused therapy for resolving child abuse trauma. Psychotherapy Research, 20, 353–366.
  • Solomon, M., & Siegel, D. (Eds.). (2002). Healing trauma: Attachment, mind, body, and brain. New York, NY: Norton

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