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Original Research ARTICLE Provisionally accepted The full-text will be published soon. Notify me

Front. Psychol. | doi: 10.3389/fpsyg.2019.01996

“You Feel They Have a Heart and are Not Afraid to Show It”: Exploring How Clients Experience the Therapeutic Relationship in Emotion-Focused Therapy

  • 1Department of Clinical Psychology, Faculty of Psychology, University of Bergen, Norway
  • 2Norwegian Institute of Emotion-focused Therapy, Norway

Background: The therapeutic relationship is regarded as an important source of change in Emotion-Focused Therapy (EFT) (Greenberg, 2014; Watson, 2018), but few qualitative studies have specifically investigated how clients experience the role of the relationship in EFT. Aim: The purpose of the present study was to explore what clients experienced as helpful or hindering aspects of the therapeutic relationship when undergoing EFT for depression, anxiety and severe self-criticism. Method: We interviewed 18 clients after a clinical trial of time-limited EFT, to explore their experiences of the relationship with their therapist during treatment. The interviews were analyzed using hermeneutic-phenomenological thematic analysis (Braun & Clarke, 2006; Binder, Moltu & Holgersen, 2012). Results: We identified four main themes: (1) Forming a trusting relationship or finding it hard to connect, (2) Collaborating and struggling to find new ways to relate to painful feelings, (3) Alliance ruptures and needs for repair when working with distressing emotions, and (4) The significance of new relational experiences. Conclusion: Clients described therapists’ genuineness and the establishment of trust in the relationship as important preconditions to open up to vulnerability and painful feelings, and engaging fully in specific EFT interventions. The findings also indicate that the therapists need to be mindful of different client preferences and monitor potential alliance ruptures when working to change distressing emotions in therapy.

Keywords: Emotion-focused therapy, Therapy relationship, Thematic analysis, Phenomenological - interpretative approach, Depression

Received: 06 May 2019; Accepted: 14 Aug 2019.

Edited by:

Nuno Conceicao, University of Lisbon, Portugal

Reviewed by:

Ueli Kramer, Lausanne University Hospital (CHUV), Switzerland
Ladislav Timulak, Trinity College Dublin, Ireland  

Copyright: © 2019 Nødtvedt, Binder, Stige, Schanche, Stiegler and Hjeltnes. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Mx. Aslak Hjeltnes, Department of Clinical Psychology, Faculty of Psychology, University of Bergen, Bergen, 5015, Hordaland, Norway,