“It’s About Us, You Know?” Relapse in Emotionally Focused Couples Therapy for Addictions

“It’s About Us, You Know?” Relapse in Emotionally Focused Couples Therapy for Addictions

“It’s About Us, You Know?” Relapse in Emotionally Focused Couples Therapy for Addictions

“It’s About Us, You Know?” Relapse in Emotionally Focused Couples Therapy for Addictionss

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Référence bibliographique [20360]

Fletcher, Kara et Macintosh, Heather. 2018. «“It’s About Us, You Know?” Relapse in Emotionally Focused Couples Therapy for Addictions ». Journal of Social Work Practice in the Addictions, vol. 18, no 4, p. 364-388.

Fiche synthèse

1. Objectifs


Intentions :
«This article explores slips and relapse as they occurred in the context of couple therapy using a theoretical extension of emotionally focused therapy (EFT) for couples dealing with substance addictions.» (p. 364)

2. Méthode


Échantillon/Matériau :
«For this study, four couples were recruited from an addiction treatment clinic in Québec.» (p. 372) Authors used «the transcripts of sessions where relapse and slips were discussed, in particular the therapeutic approach to these occurrences and client responses.» (p. 372)

Type de traitement des données :
Analyse de contenu

3. Résumé


«Guilt, shame, and depression after a relapse emerged as the most prevalent theme in this analysis. All of the couples discussed this theme with addicted partners describing feelings of shame and guilt on relapse as well as feelings of depression. For our couples, these feelings became deeply embedded within their relationship. Addicted partners described feeling guilty and ashamed about the impact of relapse on their relationships, on the resiliency of their own resolve toward sobriety, and even on their feelings about themselves as okay people, as they experienced disappointing themselves and their partners yet again.» (p. 374) «Experiencing relapses as an attachment injury was another dominant theme that appeared in the data. An attachment injury in the couple therapy field is an experience where one or both members of the couple identify a key event where hurt and betrayal were experienced and where the relationship came to be experienced as insecure. Distance grows between the partners due to creeping mistrust […]. For our couples, these injuries directly related to the experience of relapse and slips, led partners to feeling fearful of being hurt again by the next relapse, betrayed by the secret of relapse, and even injured in their own capacity for empathy as they experienced yet another blow to the fabric of their relationship.» (p.375)