Emotionally Focused Couple Therapy for Trauma Survivors

by Susan M. Johnson

How is relationship repair different with traumatized couples? What impact does the trauma have?

1. More distress. Absorbing negative affect states. Intense cycles of distance, defense an distrust
2. Psycho-educational component regarding trauma and how it impacts victim’s responses in relationship is necessary.
3. Violence and substance abuse are more endemic.
4. Alliance is always fragile, monitor it. Collaboration and transparency.
5. Emotional storms and crises must be expected.
6. Emotion must be contained as well as heightened. Defenses are validated.
7. Shame overrides even positive cues. Addressing model of self is crucial.
8. Destination is different, eg. Limits on sexuality.
9. Need to co-ordinate with other therapies.
10. Safety is everything, risks must be sl iced thin and supported at each step.