{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T15:33:08Z","timestamp":1790609588412,"version":"4.1.0"},"reference-count":88,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T00:00:00Z","timestamp":1775520000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:p>Clinical Emotional Freedom Techniques (EFT) is an integrative mind\u2013body therapy increasingly utilized for trauma and stress-related conditions. This article is a theoretical proposal rather than a systematic review; its purpose is to synthesize existing evidence and clinical insights to outline a conceptual framework of active ingredients and mechanisms underlying EFT\u2019s therapeutic efficacy. Active ingredients include acupoint stimulation, exposure within the window of tolerance, integration of self-compassion and acceptance, leveraging demand characteristics and positive expectancy, shifting and titrating the focus of awareness, and the strategic use of the in-session processing. These elements facilitate four key mechanisms: (1) reduction of physiological and emotional dysregulation, (2) reduction of emotional avoidance, (3) cognitive restructuring, and (4) memory reconsolidation. Clinical EFT\u2019s emphasis on in-session processing and body engagement, particularly meridian point tapping, addresses autonomic nervous system dysregulation and promotes a positive relationship with one\u2019s physical self. By integrating these active ingredients and mechanisms, Clinical EFT offers a comprehensive approach to trauma treatment that addresses both psychological and physiological dimensions of distress, potentially improving treatment adherence and promoting lasting emotional and cognitive change.<\/jats:p>","DOI":"10.3389\/fpsyg.2026.1672132","type":"journal-article","created":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T14:51:18Z","timestamp":1775573478000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Theoretical and clinical insights into the psychological mechanisms and active ingredients of emotional freedom techniques"],"prefix":"10.3389","volume":"17","author":[{"given":"R.","family":"Schwarz","sequence":"first","affiliation":[{"name":"Private Practitioner","place":["Philadelphia, PA, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Stapleton","sequence":"additional","affiliation":[{"name":"Faculty of Society and Design, Bond University","place":["Gold Coast, QLD, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,4,7]]},"reference":[{"key":"ref2","doi-asserted-by":"publisher","first-page":"190","DOI":"10.1037\/int0000315","article-title":"Acupressure in psychotherapy as an unsinkable rubber duck: a reply to Feinstein (2023)","volume":"34","author":"Boness","year":"2024","journal-title":"J. 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