Evidence based couples therapy is a science-based approach to helping couples.
Evidence-based or science-based practices are treatments that are based directly on scientific evidence. This evidence links particular sets of behaviors and symptoms, with treatment designed to intervene, lessen, or alleviate this distress. Most evidence-based practices were studied in several large-scale clinical trials, involving thousands of patients.
Diagram of EBP
Then, evidence-based couples therapy makes a careful comparison is made between the effectiveness of one “treatment” vs. the efficacy of another (or no treatment at all, like a wait-list group). When one treatment is consistently proven to be superior to another, it is labeled “Evidence-based Practice” (EBP). Emotionally-focused couples therapy has been tested against other modalities in this way.
Other researchers have studied a variety of couples themselves, in a laboratory setting, and followed them over decades. These studies, like the ones Dr. Gottman has conducted, are science-based, linking actual interactional patterns firmly to marital happiness or divorce outcomes.
Most also have additional models they use. We all have a basis in science, to keep the guesswork out of it. Our goal?
To apply the right help to the right couple you need to choose the most effective couples therapy. That's what strengthens the bond.
At Couples Therapy Inc, we take a strong stand requiring all our Couples Therapists to demonstrate training and skill in at least one of these evidence-based couples therapy approaches and work toward advanced training in that model. Many have advanced training in one or both, and others have expertise in 2, 3, or 4 methods of helping couples.
Gottman Method Couples Therapy is a structured, goal-oriented, scientifically-based therapy. Intervention strategies are based upon empirical data from Dr. Gottman’s four decades of research with more than 3,000 couples.
What is Gottman Method Couples Therapy?
Science + Common Sense
Gottman Method Couples Therapy combines the knowledge and wisdom of four decades of Gottman research and clinical practice. Through research-based interventions and exercises, couples learn to break through barriers and achieve greater understanding, connection, and intimacy in their relationships.
Gottman Method Couples Therapy is a structured, goal-oriented, science-based therapy. Interventions are based on empirical data from Dr. Gottman's four decades of research with more than 3,000 couples. This research shows us what works to help couples achieve a healthy, long-term relationship. The Gottman Method was developed out of this research to help couples:
The Gottman Theory for Making Relationships Work
What does it sound like?
If your couples therapist asks you to re-phrase your criticism another way, into a “complaint,” or asks you to start your sentence off a bit more gently, you know this is a Gottman Method intervention. Criticism is one of the Four Horsemen Gottman describes as bearers of bad marriages. Read more about The Four Horsemen.
About Dr. John Gottman
Dr. John Gottman's forty years of breakthrough research on marriage and parenting have earned him numerous awards including:
Learn more about the Gottman Method of Couples Therapy.
Learning to love someone means knowing what’s realistic to accept and what’s not.
Emotionally Focused Couples Therapy
"…When we live with a person who is sensitive and responsive to our needs, we feel safe and cared for. When that doesn’t happen, however, there are predictable ways we respond, based upon our earliest history. These Johnson calls “Dances.” When they work, they are like a Tango. When they don’t, they are demonic: "Demon Dances.”
Sue Johnson, Ph.D. is the co-founder of the “Emotionally Focused” model of therapy. Emotionally Focused Couples Therapy is an evidence-based couples therapy with demonstrated effectiveness helping couples in over 25 years of clinical research. Dr. Johnson describes patterns that couples engage in, in to attempt to meet their intimacy needs. Her model helps couples learn what these steps are in their dance, and how to change them. What we “think,” we now know most often follows what we feel. Feelings engage us, engross us, capture our attention immediately.
When we live with a person who is sensitive and responsive to our needs, we feel safe and cared for. When that doesn’t happen, however, there are predictable ways we respond, based upon our earliest history. These Johnson calls “Dances.” When they work, they are like a Tango. When they don’t, they are demonic dances: Demon Dances.
These predictable “dances” are based upon “attachment style.” Attachment styles are the way we connect and rely on important others. Attachment styles are a significant predictor of relationship satisfaction. Distressed relationships are often insecure bonds. This means that an individual can’t get basic healthy attachment needs met because of rigid interaction patterns (“demon dances”) that block emotional connections. I provide my couples with a popular attachment instrument and begin treatment with a fundamental understanding of each of your attachment styles. It guides our work.
Watch as series of short movies about this under the title: "Couples Therapy Videos Explaining Attachment"
Elements of Emotionally Focused Couples Therapy
Every element of Emotionally Focused Couples Therapy all has research support:
Attachment Injuries
It is important in this work to help couples to recognize deep attachment injuries and have the tools to heal them.
These are times when one or both really needed the other and felt that you were let down. A guided conversation with clinically proven skills can heal these broken bonds.
These have happened at some point in your relationship, years ago, but it never got resolved. The goal is to help you to work through these attachment injuries.
About Dr. Sue Johnson
Sue Johnson is founding Director of the International Centre for Excellence in Emotionally Focused Therapy and Distinguished Research Professor at Alliant University in San Diego, California, as well as Professor Emeritus, Clinical Psychology, at the University of Ottawa, Canada.
Like Dr. Gottman, Dr. Johnson has received a multitude of awards acknowledging her development of EFT and her significant contribution to the field of couple and family therapy and adult attachment.
Sue has been appointed as a Member of the Order of Canada, the country’s highest civilian honor recognizing outstanding achievement, dedication to the community and service to Canada. In 2016, she was named Psychologist of the Year by APA, and has been honored by AAMFT for her Outstanding Contribution to the Field of Couple and Family Therapy. For those who want to learn more, here is a link to the scores of clinical papers attesting to the 75-90% effectiveness of Emotionally-focused Couples Therapy:
Learn More about Emotionally Focused Couples Therapy
In 2013, the now famous "Summit" was held featuring Drs. John & Julie Gottman and Dr. Sue Johnson.
This two-day conference was packed with couples therapists as these three giants discussed interventions, theory, and practical application. Many of our team members eagerly attended.
These thought-leaders sat on two couches around a coffee table and had a conversation as if we were all in one huge living room. They explored the differences and similarities in their theories. Most of the time they highly complementary, and even reverent. But sometimes they were respectfully passionate about the nuances and differences in their approaches.
Clinically based Models
It makes sense.
If you can exclude those couples that have low motivation for treatment, or who have consulted an attorney, or filed for divorce, you are likely to get better research “results.”
In this video, Drs. Ellyn Bader & Pete Pearson - Founders of the Developmental Model talking about their own marriage
For this reason, many of our clinicians have chosen to train with The Bader/Pearson Model of Couples Therapy, called The Developmental Model. This approach works with the absolute toughest of cases. It is a clinically effective (vs. research based) model of couples therapy and provides excellent and useful strategies.
Happiness doesn’t just happen. It takes knowledge to do things differently.
You and your partner deserve to be happy with one another.
WE WANT TO HELP.
COUPLES THERAPY INC.
Healing Relationships Worldwide