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General recommendations for sequencing interventions
Use acceptance more than change
Start with empathic joining and unified detachment
Tolerance interventions are used when partners are stuck in resistant patterns
No need for change techniques if partner’s desired change occurs
Acceptance is not…
Surrender to misery
Giving resignation about relationship
Acceptance is…
Maintaining a positive connection despite differences
Viewing differences a means to achieve greater intimacy and understanding
Shift focus to acceptance because…
efforts to change each other leads to stuck patterns and hopelessness
Differences are just differences, not…
deficiencies
Empathy is important because…
Empathy predicts closeness
Empathy predicts relationship health
Process Model of Intimacy states 3 things must happen for closeness
Partner discloses factual sand personal info
Received by responsive partner
Discloses mutual perceived partner as responsive
Empathic Joining
Talking together about core differences with the intent to understand and accept rather than change partner
4 things therapist do before empathic discussion
Shift clients from partner blame to self focus
What it is like for you
Identify and link issue to deep analysis
Decide which partner begins
Typically the one with stronger emotions
Direct interactions to each other
Better to turn to partner and allows for a better connection
During the In-Session Couple Discussion, what is point #3 for Partner A, and points #1 and #2 for Partner B?
Partner A
Share vulnerabilities and needs without blame
Partner b
Be supportive of expressions
Listen to, understand, and accept so it leads to intimacy and connection
What is gold for the therapist, might be _____ for the partner
tin
How do IBCT therapists work with emotions?
They validate surface emotions and explore hidden emotions.
Some examples of hidden emotions
Guilt they are contributing to problem
I know i make this worse
Shame their shortcomings create pain
Fear of standing up for themselves
Common
“What if they leave?”
Worthlessness that their needs aren’t important
Anxiety discussing the problem wll end the relationship
Movie Screen Intervention
If the couple is stuck with empathic joining
Put your perspective aside and only see your partner’s experience as a story on the movie screen
Challenge is defensiveness
Try to provide the same understanding you would for a character after seeing their lifestory
Then describe the story back to your partner without including your perspective
Ask “am I understanding that right?”
Validate their experience through understanding, even if you don’t agree or experience it differently
Unified Detachment
Gaining emotional distance from a couple’s negative interactions by logically analyzing patterns without blame
Unified Detachment Steps
Shift perspective from blame to team focus
Identify core patterns of interaction
Overcome pattern together
A and B; A and B vs C
Take person out of the problem by viewing the pattern as the problem
Externalize cycle without getting caught up in it
Humor can be helpful
Need to name the cycle