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Post-traumatic stress disorder (PTSD) is a disabling, potentially chronic disorder that is characterized by re-experience and hyperarousal symptoms as well as the avoidance of trauma-related stimuli. The distress experienced by many veterans of the Vietnam War and their partners prompted a strong interest in developing conjoint interventions that could both alleviate the core symptoms of PTSD and strengthen family bonds. We review the evolution of and evidence base for conjoint PTSD treatments from the Vietnam era through the post-911 era. Our review is particularly focused on the use of treatment strategies that are designed to address the emotions that are generated by the core symptoms of the disorder to reduce their adverse impact on veterans, their partners and the relationship. We present a rationale and evidence to support the direct incorporation of emotion-regulation skills training into conjoint interventions for PTSD. We begin by reviewing emerging evidence suggesting that high levels of emotion dysregulation are characteristic of and predict the severity of both PTSD symptoms and the level of interpersonal/marital difficulties reported by veterans with PTSD and their family members. In doing so, we present a compelling rationale for the inclusion of formal skills training in emotional regulation in couple−/family-based PTSD treatments. We further argue that increased exposure to trauma-related memories and emotions in treatments based on learning theory requires veterans and their partners to learn to manage the uncomfortable emotions that they previously avoided. Conjoint treatments that were developed in the last 30 years all acknowledge the importance of emotions in PTSD but vary widely in their relative emphasis on helping participants to acquire strategies to modulate them compared to other therapeutic tasks such as learning about the disorder or disclosing the trauma to a loved one. We conclude our review by describing two recent innovative treatments for PTSD that incorporate a special emphasis on emotion-regulation skills training in the dyadic context: structured approach therapy (SAT) and multi-family group for military couples (MFG-MC). Although the incorporation of emotion-regulation skills into conjoint PTSD therapies appears promising, replication and comparison to cognitive-behavioral approaches is needed to refine our understanding of which symptoms and veterans might be more responsive to one approach versus others.

Background Premenstrual dysphoric disorder (PMDD) is a debilitating condition, affecting women of reproductive age. It is characterized by severe periodic physical and psychological symptoms, which end after the onset of menstruation. This study aimed to evaluate the effectiveness of emotion-focused therapy (EFT) for PMDD patients. Methods A total of 48 PMDD women, in the age range of 18–44 years, were randomly assigned to two intervention and control groups. The intervention group participated in 16 weeks of EFT treatment, while the control group was selected based on the waiting list (waitlist control group) and followed-up after three months. Forty-four patients finally completed this study. The participants completed the Premenstrual Syndrome Screening Tool (PSST), Difficulties in Emotion Regulation Scale (DERS), and Depression Anxiety Stress Scale-21 (DASS-21) in the first premenstrual period before treatment, the first premenstrual period after treatment, and the premenstrual period three months after treatment. Results Based on the repeated measure analysis of variances, the total score of DERS and the total score of PSST decreased significantly ( P  < 0.05). Also, in DASS-21, the scores of depression and stress subscales reduced significantly ( P  < 0.05), while there was no significant decrease in the score of anxiety subscale ( P  > 0.05). Conclusion Based on the present results, EFT can be an effective treatment for alleviating the symptoms of PMDD. This treatment can reduce the emotion regulation difficulties of women with PMDD and alleviate the symptoms of depression and stress. Trial registration Iranian Registry of Clinical Trials, IRCT ID: IRCT20220920055998N1, Registered on: 12/2/2023.

The LGBT+ community has experienced a stunning development in a short period of time: yesterday marginalized, stigmatized, and criminalized, now champions of creativity, diversity and innovation in a highly competitive world. In addition, corporate social responsibility and ethical demands for inclusivity have become economic directives that every organization would like to attain. The struggle of recognition is not over yet, but in workplaces and markets, gay, lesbian, transgender, bisexual and queer individuals have become symbols of diversity and economic power - true GaYme Changers developing the global economy faster and for the better. Illustrated by fascinating stories around individuals, companies, nonprofits and a fast-growing cohort of organizations, Jens Schadendorf has traced the LGBT+ community and an increasing number of their allies from across the globe to discover the start of a revolution. Supported by up-to-date research, he shows that investment in LGBT+ inclusion delivers a powerful return. Always - even in times of hostility, resistance and crisis - it is economically and ethically beneficial for companies and societies and every human being, to let LGBT+ members develop into dynamic forces, rooted in new forms of cooperation and learning for ga(y)me changing results.

Background Children with mental health difficulties are at increased risk of many adverse psychological, academic, and social outcomes. Emotion regulation is a key transdiagnostic factor in the development and maintenance of mental health challenges. Parents and the family system (e.g., parental functioning, parenting, parent-child relationship) play a central role in children’s development of emotion regulation and, in turn, their mental health. Therefore, continued efforts are needed to understand the effectiveness of emotion-focused treatments for child mental health difficulties, particularly those that include a family-based approach. Emotion Focused Family Therapy (EFFT) is an intervention for parents of children with mental health difficulties that teaches parents advanced skills to support their child’s emotional development, potentially leading to improvements in the psychological functioning of the affected child as well as the family. Despite this, EFFT’s efficacy has yet to be tested empirically via a randomized controlled trial. Methods A six-week group modality of EFFT was developed based on the standard manualized version of a two-day group modality of EFFT. Efficacy of the six-week group modality of EFFT will be tested in a randomized controlled trial among parents of children aged 7 to 15 with anxiety, depression, or behavioral challenges. Parents will be randomized to the intervention condition or waitlist control condition. Online questionnaires and in-lab assessments will be conducted at pre-treatment, post-treatment, 4-month follow-up and 1-year follow-up. Intervention effects on primary (parent psychological symptoms, child psychological symptoms, parent emotion regulation, child emotion regulation, parent-child co-regulation) and secondary (parental emotion socialization, parent emotion blocks, parental self-efficacy, perceived parental stress, treatment satisfaction, treatment fidelity) outcomes will be analyzed by linear mixed models. Discussion The study protocol describes the randomized controlled trial of EFFT, a parent group intervention for parents of children with anxiety, depression, and behavioral challenges. Findings contribute to the understanding of the efficacy of EFFT as a time-limited, transdiagnostic intervention for the treatment of child mental health challenges with potential positive impacts on parent and family functioning. Trial registration [2a] ClinicalTrials.gov: NCT05603000. Prospectively registered October 13, 2022. Protocol version [3] Version 1.1 November 2023.

There is currently no single resource that compiles the various applications to the many clinical populations being served by Emotionally Focused Therapy today. The Emotionally Focused Casebook fills that void as a substantive reference for clinicians, students, professors, and supervisors using and teaching EFT. Each chapter utilizes a hands-on case study approach with concrete guidelines and illustrations for the adaptation and application of EFT with specific treatment populations. This Casebook is the perfect practical resource for professionals and students looking for examples of specific theoretical, conceptual, and treatment applications of EFT. Furrow, Johnson, Bradley, Introduction. Part I: Foundations for Innovation. Furrow, Bradley, Emotionally Focused Couple Therapy: Making the Case for Effective Couple Therapy. Johnson, The Attachment Perspective on the Bonds of Love: A Prototype for Relationship Change. Bradley, New Insights into Change in Emotionally Focused Couple Therapy. Part II: Application of Emotionally Focused Couple Therapy. Denton, Coffee, Depression: Enemy of the Attachment Bond. Stiell, Gailey, Emotionally Focused Therapy for Couples Living with Aphasia. Naaman, Radwan, Johnson, Emotionally Focused Couple Therapy in Chronic Medical Illness: Working with the Aftermath of Breast Cancer. Johnson, Faller, Dancing with the Dragon of Trauma: Emotionally Focused Therapy for Couples Who Stand in Harm's Way. Landau-North, Johnson, Dagleish, Emotionally Focused Couple Therapy and Addiction. Zuccarini, Johnson, Treating Sexual Issues in Emotionally Focused Couple Therapy. Makinen, Ediger, Rebuilding Bonds After the Traumatic Impact of Infidelity. Part III: Specific Treatment Populations and Emotionally Focused Couple Therapy. Furrow, Palmer, Emotionally Focused Therapy for Remarried Couples: Making New Connections and Facing Competing Attachments. Liu, Wittenborn, Emotionally Focused Therapy with Culturally Diverse Couples. Zuccarini, Karos, Emotionally Focused Therapy with Gay and Lesbian Couples: Strong Identities, Strong Bonds. Furrow, Johnson, Bradley, Amodeo, Spiritually and Emotionally Focused Couple Therapy: Exploring Common Ground. Furrow, Bradley, Johnson, Conclusion: Lessons Learned: Expanding the Practice of Emotionally Focused Couple Therapy. \"Another masterpiece! Sue Johnson and her colleagues provide us a most-welcome and very compelling EFT casebook that convincingly demonstrates how widely relevant EFT is to working with distressed couples.\" - Alan S. Gurman, University of Wisconsin, USA \"This new, exciting volume extends Emotionally Focused Couple Therapy beyond the treatment of general relationship distress to a broad spectrum of emotional and physical health concerns. This is a \"must read\" for every couple and family therapist and a treasure of clinical wisdom and practical advice.\" - Douglas K. Snyder, Texas A&M University, USA, and coauthor of Getting Past the Affair and Treating Difficult Couples \"This brilliantly interweaves theory and clinical examples as well as research and practice. It is filled with fascinating clinical examples that can help the therapist or student get inside the head of expert EFT therapists to conduct treatment and intervene effectively.\" - Jay Lebow, Northwestern University, Illinois, USA \"A treasure trove of creative and practical information on treating couples with a wide range of problems. Each chapter is valuable on its own, and together they make a remarkable compendium of the best wisdom of EFT.\" - William J. Doherty, University of Minnesota, USA, and author of Take Back Your Marriage \"This casebook is not simply a complement to current EFT literature; it is a thorough and comprehensive guide to the inner workings of emotionally focues therapy and its practical benefits.\" - Jacqueline Carleton, Ph.D., Somatic Psychotherapy Today James L. Furrow, PhD, is Associate Professor and Program Director of the Department of Marriage and Family at the Fuller Graduate School of Psychology. He is a certified EFT therapist, supervisor, and trainer. He routinely conducts workshops and training events for therapists exploring use of the EFT model in their practice. Susan M. Johnson, EdD, is Professor of Clinical Psychology at The University of Ottawa, a Research Professor at Alliant University's Department of Marital and Family Therapy, and Director of the Ottawa Couple and Family Institute and the International Centre for Excellence in Emotionally Focused Therapy. She is one of the originators and the main proponent of Emotionally Focused Couple Therapy. Brent Bradley, PhD, is Associate Professor in the Family Therapy Program at the University of Houston–Clear Lake. Dr. Bradley is a certified EFT therapist, supervisor, and trainer, and is an active researcher, writer, and presenter. His ongoing trainings, presentations, and research activities can be found at www.theeftzone.com.