Complex Post Traumatic Stress Disorder (CPTSD) is a leading mental health concern, which is known to be the most prevalent and functionally impairing form of traumatic stress diagnosis. CPTSD results from prolonged and repeated forms of interpersonal trauma, such as physical, sexual, mental, or emotional abuse. CPTSD includes PTSD symptoms in addition to a cluster of symptoms indicating a Disorganized Sense of Self (DSO), which includes pervasive disturbances in relationships. CPTSD symptomology is known to have a degenerating impact on intimate relationships; however, the mechanisms are yet to be explored within the population itself. Further, prior research exploring how couples experience and manage CPTSD symptoms is limited. Empirical research on systemic family therapy and traumatology identify the potential fit of expanding attachment-based relational interventions for CPTSD populations—most notably, Emotionally Focused Therapy (EFT) with couples. For this study, couples active in EFT treatment, and where at least one partner met the criteria for CPTSD, were recruited to participate in a joint semi-structured qualitative interview. Framework analysis was used to analyze the data for two separate studies. Study one explored couples’ joint experience of CPTSD symptomology present within the relationship. Participants’ experiences of symptoms and their perceptions of how CPTSD impacted their relationship along with their methods of coping were described. Study two examined couples’ experiences of EFT in the context of CPTSD symptoms, and it analyzed participants’ perspectives regarding the fit and acceptability of EFT for treating interpersonal trauma-related distress within their relationships. Implications for future research and clinical recommendations are discussed.
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