Learning Emotion-Focused Therapy - Supplemental Materials

Chapter 4: Client Micro-Processes:  What Process-Experiential Therapists Listen For

4.2. Example of Micro-Marker Analysis: Segment from Session 10 with Mike

 


 

Client-Therapist Sequence

(micro-marker text in bold)

Nature of Client Micro-marker

Therapist Intention

C17.1: Well, let’s talk about Valentine’s Day.

T17.1: OK!

Presents apparent empathic exploration task

Agrees to work on task with Mike (M)

C17.2: I was out of the country, 600 miles away.  I haven’t been to a flower shop or seen a bill or seen how successful they were, but I had flowers delivered to R. (woman M is interested in), and ran an ad in the paper, and I think I talked to her tonight on the phone, for work-related things.

T17.2: You think you talked to her.

Offers unexpected but unclear element in narrative

Request for clarification

 

C18: She’s got a really cute, sexy voice, and I think that was it on the phone, but not a word said by either of us.  The other girl from my church, I haven’t seen her so it’s hard to say what's happening with her.

T18: You sent her flowers too

Missing information in narrative

Clarify by offering possible missing information

C19: And I ran an ad in the paper, and I didn’t sign it.  And it was just “Happy Valentine’s Day.”  And I had flowers delivered to this R at work, and I had flowers delivered to D (the woman from church).  Then in the local newspaper, I ran an ad, and used my name, because I’m sure my Ex-wife would see it.

T19:  What, sort of as a dig or something?

Possible implicit anger

Select emotionally-load information from narrative; clarify anger at Ex-wife

C20: Oh, yes!  But I haven’t heard anything back from any of them.  There was lots of messages on the machine. And I was a little bit paranoid, because I think this R is maybe getting back with her husband, and I don’t want to be mixed up in that.

T20: In that sort of messy situation. But this is with some anxiety, right.  So..

Possible emotion cues; confusing narrative;

Emphasize emotion (anxiety); fill missing pieces in narrative; offer C opportunity to elaborate

C21: And this R, I stopped in there and gave her some business cards, and gave her a magazine, and showed her how to advertise.  There was a whole group of people in her store,  I mean it was crowded at the time, she said should look at the book and consider advertising.  That was before Valentine’s Day.

T22.1:  I see.  So, where are you with that,  I mean, you put a lot of time, energy, money.

Possible closure point in purely external narrative

Close off narrative with conclusion/ point

C22.2: and I’ll also get a bill. 

T22.2:  I mean, what, how do you feel about it?

Ignores attempt to help him arrive at point of narrative

Redirect M to the exploration of personal reaction to events

C23: I even said to the flower shop, "This could be a waste of all our time and my money."

T23: You don’t feel hopeful, you feel...?

Ignores feeling question in order to continues action narrative

Tries to extract emotion from M's action narrative; probes for feeling with fill-in question

C24: No, um, at the AA retreat, I should have gone further and given my name to that girl, phone number, address, just the idea that she had my name and phone number on a little ticket stub and put it her coat pocket.

T24: So you’re kind of critical of yourself for not having done more.

Narrates ruminative internal coach/critic talk; possible task marker

Empathy with client process;  highlight possible task marker

C25: Not doing things maybe a little bit better.  (T: OK)  When I had the flowers delivered to R, I know I didn’t give my name, just wrote "From an admirer.”

T25: You’re kind of going over what was in your mind.

Ruminative, self-critical quality

Process empathy

C26: And I was really tired when I was doing all this shit.

T26: I see, “I know I was so tired, Did I mess up here?, Did I mess up there?, Could I have done it better.  If I’d done it better, maybe it would have turned out better.”  All that kind of stuff.

Exhaustion at ruminative self-questioning signals central client process

Empathy with  of ruminative self-questionning

 

 


 

Materials designed to accompany the book Learning Emotion-Focused Therapy: The Process-Experiential Approach to Change from APA Books.

©2003 Robert Elliott, Jeanne Watson, Rhonda Goldman, and Leslie Greenberg

http://www.process-experiential.org/learning