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This chapter examines Emotionally Focused Therapy (EFT) with Black couples. Important clinical considerations (e.g., racial realities of anti-Blackness) are provided that must be integrated within the EFT therapy model to provide an appropriate adaptation that is culturally responsive couples therapy. EFT and attachment theory will need to be significantly modified to be a culturally responsive therapy to meet the needs of Black couples. Adult attachment needs to be conceptualized from a network approach (e.g., multiple relationships/collectivism) instead of only a dyadic perspective. In addition, acculturation (i.e., racial identity), race/ethnicity, institutional decimation and Black sex ratios, marriage, anti-Black racism, internalized stereotypes (anti-Blackness), Strong Black Woman/Superwoman Schema, John Henryism, and religion and spirituality are all important factors to consider in providing culturally responsive care and clinical interventions that strengthen treatment approaches with Black couples.
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