It was such a pleasure to be with you and share an introduction to Dynamic Emotion Focused Therapy (DEFT). I'm sending you the video we viewed together and an additional video and a list of the studies I referenced.

Please feel free to email me with any questions: admin@deftinstitute.com. You can also visit Susan's blog: www.warrenwarshowblog.com to search for her writings on the therapy process and therapist concerns. Feel free to comment or submit questions there or on our facebook page as well.

To access the video playlist, click on the image above.

You can access additional videos (lectures with Susan) here: https://deftinstitute.com/videos.html

We love having students and interns in our training program. For the first time we are offering a time limited 25% discount on Level 1 (register before August 1, 2018) Contact me (Bridget) for an application: admin@deftinstitute.com

You can learn more about training in DEFT and our monthly webinars here: https://deftinstitute.com/training.html

Join Susan in July for a video demonstration of the foundational elements we discussed to deepen your work and support client engagement and therapeutic movement moment to moment as well as a demonstration of deep affective processing. Register here: http://events.eventzilla.net/e/penetrating-shame--resistance-2138943724

Here are the studies and books I referenced on Monday night (and a few extra):

“Therapist affect facilitation is a powerful predictor of treatment success” (Marc Deiner,  Ph. D., Mark J. Hilsenroth, Ph. D., Joel Weinberger, Ph. D.)

“There is accumulating evidence that both the in session activation of specific, relevant emotions and the cognitive expiration and elaboration of the significance and meaning of these emotions are important for therapeutic change” (Whelton, 2004)

“After approximately half century of psychotherapy research, one of the most consistent findings that the quality of the therapeutic alliance is the most robust predictor of treatment success” (Safran J. D. , 2002)

“Conversely, weekend alliances are correlated with unilateral termination by the patient (e.g., Tryon & Kane, 1995; Samstag, Batchelder, Muran, Safran, & Winston, 1998; Martin, Garske, & Davis, 2000; Horvath & Bedi, 2002; Horvath, Del Re, Fluckiger, & Symonds, 2011).”

Some therapists or more effective than others (For related studies see: “How and Why Some Therapists are More Effective than Others”)

More effective therapist are better at establishing an alliance. 

This quote is from the book “How to Fail as a Therapist: “When a solid goal and treatment consensus is built early in therapy, treatment outcomes measured months later or more likely to be positive.“ (J. Dormaar, C. Dijkman, and M. de Vries, 1989)

And “ The first and second sessions should set the stage for the achievement of goal consensus. When this occurs client expectations for success are greatly increased.“

“Hope has been defined as the perceived possibility of achieving a goal.“ (Stotland, 1969)

Again from, “How to Fail as a Therapist“:

“Another ‘curative factor’ that has received a good deal of scientific research is the effect of positive patient expectations on outcome in therapy. When clients have hope instilled in them at the outset of therapy it is likely to increase their active engagement in the therapeutic process, which in turn leads to greater improvement” (Meyer er. Al., 2002).

From a study on Therapist perspectives of client drop out, unilateral termination: “In all of the cases, the therapist perceive that the clients disagreed with the therapist strategy suggesting that there was generally a lack of agreement between therapist and clients over the tasks and goals of treatment.“ 

This isn’t necessarily a common factor but I like this from Bordin: “Some basic level of trust surely marks all varieties of therapeutic relationships, but when attention is directed toward the more protected recesses of inner experience, deeper bond of trust an attachment are required and develop.” 

For therapy to be effective, clients must link hope for improvement to specific processes of therapy. (Wilkins, 1978)

“It is only when she reaches the light of day that the healing process can begin.” (Shapiro  & Powers)

“Shame operates everywhere in therapy because clients are constantly concerned about what part in their inner experience can be revealed safely and what part must be kept hidden client struggles with Jamie start even before Therapy begins… Seeking help from professionals about personal matters desk and evoke a sense of humiliation.“ (Greenberg & Iwakabe)

“Shame is frequently disguised by other emotions, most notably anger and rage, but also envy, contempt and expressions of grandiosity” (Herman)

“Whether it is sexual arousal, flatulence, are the loss of hearing, there is something deeply personal about bodily functions. A primitive vulnerability is a weakened by these situations, and a profound threat to one’s sense of bodily integrity and personal cohesion can be experienced.“ (Shapiro & Powers)

Four common classes of shame inducing clinical material: shame related to purpose, shame related to affect, shame related to sexual drives and hunger drives, and shame related to interpersonal needs. (Koerner et. al.)

Shame can “hinder accurate formulation because clients are inclined to narrate their stories to minimize shame.” (Gilbert)

“Identifying therapist Shane, and then working through the Therapist experience, can be critical given its potential influence on the Therapist ability to function effectively in clinical contexts.” (Ladany et. al.)

Compassion for self and for others is an especially potent antidote for shame. (Gilbert)

“More effective therapists are more self accepting.” (Safran)

“Our premise is that fundamental among the reasons for the low dropout rate of some therapist is that they are more accepting of their limitations and fallibility.” (B. Schwartz & J. Flowers, 2010)

Importance of early change…“Many studies revealed that the majority of clients experience change in the first six visits, clients reporting little or no change early on 10 to show no improvement over the entire course of therapy, or wind up dropping out.”

“Who provides the therapy is a much more important determinant of success than what treatment approach is provided.” (Miller) Some qualities of “Super Shrinks”:

—The best of the best simply work harder at improving their performance than others

—Attentiveness to feedback is crucial 

—Are exquisitely attuned to the vicissitudes of client engagement

— They know what they don’t know (humility)