Untitled - Springer Publishing
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INTRODUCTION<br />
distressing emotional experiences, and coach them toward positive<br />
transformations of emotion.<br />
The case for EI might also refer to the role of emotionregulation<br />
in certain mental disorders. Some patients appear<br />
to regulate their feelings of anxiety or distress in ways that are<br />
counterproductive, such as fruitless, repetitive rumination<br />
(Wells, 2000). Another example is provided by a condition<br />
called “alexithymia.” This is not a mental disorder, but a trait<br />
that is quite common in range of disorders including autism,<br />
anorexia nervosa, and depression. Alexithymics have a range<br />
of emotional difficulties, including identifying and verbalizing<br />
their own feelings (Parker, 2000). Loosely, a common theme<br />
here seems to be difficulties in getting cognition and emotion<br />
“to talk to each other,” corresponding to assimilating emotions<br />
into thought in the Mayer et al. (2000) model. The cognitive<br />
restructuring of emotions appears to be therapeutically beneficial.<br />
Intriguing studies conducted by Pennebaker (1997) showed<br />
that simply writing about a stressful event improves well-being.<br />
Psychotherapy for PTSD may also involve integrating memories<br />
of the event with normal cognitive and emotional processes<br />
(Foa, Keane, Friedman, & Cohen, 2008).<br />
The first challenge here is to show that EI does offer something<br />
new. The ideas about emotion-regulation just discussed predate<br />
interest in EI, and so “emotion-focused” clinicians need to show<br />
that EI is more than just a relabeling of existing concepts. In addition,<br />
the various disorders we have described are highly diverse,<br />
and are typically seen as having different etiologies and outcomes.<br />
Attributing all of them to low EI may be too coarse-grained an<br />
approach. Again, the research needed to address such issues<br />
requires valid tests for EI, and demonstration that individuals with<br />
disrupted emotional functioning score lower on these tests than<br />
“normal” controls. There is a need also to document the underlying<br />
processes involved. At the same time, we should remain open<br />
to the possibility that work on EI may open up new therapeutic<br />
interventions, and we will return to these issues in Chapter 6.<br />
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