Deliberate Practice in Emotionally Focused Couple Therapy

Deliberate practice exercises provide trainees and students an opportunity to build competence in essential emotionally focused couple therapy (EFCT) skills while developing their own personal therapeutic style.
 
These exercises present role-playing scenarios in which two trainees act as a client and a clinician, switching back and forth under the guidance of a supervisor. The clinician improvises appropriate and authentic responses to client statements organized into three difficulty levels—beginner, intermediate, and advanced—that reflect common client questions and concerns.
 
Each of the first 12 exercises focuses on a single skill, such as offering evocative inquiries and reflections, deepening the client’s emotional experience of self and other, and choreographing interactions that promote positive emotional engagement. Two comprehensive exercises follow in which trainees integrate these essential skills into a single session.
 
Step-by-step instructions guide participants through the exercises, identify criteria for mastering each skill, and explain how to monitor and adjust difficulty. Guidelines to help trainers and trainees get the most out of training are also provided.

Hanna Levenson, PhD, is professor emerita at the Wright Institute in Berkeley, California. She also maintains a private practice in Oakland where she sees individuals and couples for therapy and professionals for consultation/supervision. Dr. Levenson has specialized in brief dynamic therapy and supervision for over 40 years. She has authored over 85 professional papers and multiple books, including Deliberate Practice in Psychodynamic Psychotherapy and Deliberate Practice in Accelerated Experiential Dynamic Psychotherapy, and has released five professional videos with APA illustrating her approaches. Dr. Levenson received the Distinguished Contribution to Psychology as a Profession Award given by the California Psychological Association.
 
Sam Jinich, PhD, is a certified trainer in emotionally focused couples therapy (EFCT). He specializes in clinical practice with couples from diverse backgrounds. He is founder and director of the San Francisco Center for Emotionally Focused Therapy and cofounder of EFT Academia in Argentina. As a bilingual and bicultural trainer, Dr. Jinich has been responsible for establishing EFCT in Mexico, Argentina, Costa Rica, Guatemala, Panama, Brazil, Chile, and Spain through mentoring and supervising practitioners, supervisors, and trainers. He was involved in the first-ever multinational randomized clinical-trial research study in Spanish on the effectiveness of general couples therapy and EFCT.
 
Alexandre Vaz, PhD, is director of training at the Sentio Marriage and Family Therapy graduate program and Sentio Counseling Center. He has authored many books on deliberate practice and psychotherapy training and is coeditor of the book series The Essentials of Deliberate Practice (APA Books). Dr. Vaz has held multiple committee roles for the Society for the Exploration of Psychotherapy Integration (SEPI) and the Society for Psychotherapy Research (SPR). He is founder and host of “Psychotherapy Expert Talks,” an acclaimed interview series with distinguished psychotherapists and researchers.

Tony Rousmaniere, PsyD, is program director of the Sentio Marriage and Family Therapy graduate program, and executive director of the Sentio Counseling Center. He has authored many books on deliberate practice and psychotherapy training and is coeditor of the book series The Essentials of Deliberate Practice (APA Books). In 2017, Dr. Rousmaniere published the widely cited article in The Atlantic Monthly, “What Your Therapist Doesn’t Know.” Dr. Rousmaniere supports the open-data movement and publishes clinical outcome data at drtonyr.com. He is president of Division 29 of APA.