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cific on what they did that worked. Contraindications of EFT ? Different Agendas ? Separating Couples ? Abusive Relationships ? Substance Abuse ? Depression and Other Psychiatric Illness Impasses and other clinical issues: Attachment Injuries ? A betrayal of trust or abandonment at crucial moment in need. ? A form of relationship trauma – defines relationship as insecure. ? An impasse in repair process ? Attachment significance is key – not content. ? Indelible imprint – only way out is through. Resolution of Attachment Injuries ? Articulate injury and impact. ? The other acknowledges hurt partner’s pain and elaborates on the evolution of the event. ? The hurt partner integrates narrative and emotion. ? He/She accesses attachment fears and longings. ? The other owns responsibility, expresses regret, while staying attuned and engaged. ? Relationship is redefined as a safe haven. ? New narrative is constructed. Therapist Checklist: Beginning an EFT Session 1. What is the cycle that characterizes this relationship? 2. What are the hypothesized or acknowledged primary emotions embedded in this cycle? 3. What are the attachment issues/fears/needs? 4 Where are they in the process of change in the 9 steps? The next step/task is? 5. Are there pivotal incidents that crystallize issues, in relationship history, in session? 6. Are there key images, definitions of self that partners use? 7. What are the current blocks to engagement with emotions, engagement with other? 8. Is the alliance with the therapist in tact? 9. What happened in the last session (process)? 10. What are this couple’s strengths? Beginning an EFT Session ? Check the alliance, Is it intact with both partners? How do you know? ? What is the main negative cycle? Who does what? ? What are the primary emotions underlying the cycle? ? What are the linked attachment fears and issues related to the cycle? Beginning an EFT Session ? Where is the couple in the EFT steps? ? What are the pivotal incidents in the relationship which have defined the relationship as safe or unsafe? ? What are the key images/definitions of self and each partner? ? How is the cycle playing a role in blocking emotional engagement within relationship? Beginning an EFT Session ? Review the highlights and processes of the last session. ? What are the strengths in this relationship? What are the strengths of each partner? ? Review the focus and direction of the session. ?Review steps and make a tangible therapeutic goal for the session.