

Counseling is like untangling the threads of a tapestry that have become knotted, allowing the pattern to emerge clearly again


What is Thought Field Therapy® (TFT)?
TFT is a system that facilitates healing as it accesses and resolves, through a combination of our thoughts and the meridian system, the essence and root cause of a problem, whether emotional or physical. As a clinical psychologist, Dr. Callahan began
working with negative emotions, phobias, anger, guilt, grief, trauma, addictions, depression, etc. These negative emotions and many physical problems are condensed information in energy form, bound in what he calls a Thought Field. The active information in this Thought Field creates the distress by controlling the negative emotions, and subsequently our behavior.
Because most people are understandably skeptical that tapping on acupuncture spots
or energy spots on their own body will be of any help, neither the placebo effect (the
belief by the client and /or therapist that a treatment will work) nor positive thinking
seem to play a part in the results achieved in Thought Field Therapy. The fact that it
works on infants and animals would negate it being placebo. In this regard, Dr.
Callahan has commented that Thought Field Therapy "probably doesn't get its fair
share of placebo effects" because people ordinarily don't have faith that the procedure
will help. In spite of this lack of placebo effect, the most common questions asked by
clients after successful Thought Field Therapy treatments are "How long will it last?"
and "How does it work?"
The answer to the first question is that the results appear to be permanent in most
cases. Dr. Callahan's first patient treated with Callahan Techniques, what he later
termed Thought Field Therapy or TFT, was a patient he refers to as "Mary." "Mary"
was treated with Thought Field Therapy over forty years ago for a water phobia and
remains, by her own self-report, "cured." Most TFT therapists have witnessed the
long standing results of TFT in their practice, the trauma relief studies conducted in
Rwanda with victims of the 1994 genocide suggested that the positive effects of one
TFT treatment administered by newly trained Rwandan Community leaders lasted
and improved over the course of two years.
Although Thought Field Therapy utilizes the same system as acupuncture, they are
different in that TFT operates directly on the thought field or informational field (the
negative or positive emotions and the accompanying sensations of a specific thought),
while acupuncture is more often used for physical problems.
It is known from the work of various researchers (Becker & Seldon,1985) that specific
energy points located on the surface of the human body, do in fact exist and that they
are virtually the same spots identified by the ancient Chinese thousands of years ago.
The Chinese identified twelve pathways along with various connecting channels, and
a myriad of energy points located within this system.
Life is like a tree
and its root is consciousness.
Therefore, once we tend the root,
the tree as a whole will be healthy.
~Deepak Chopra
There is growing evidence to support the effectiveness of Thought Field Therapy (TFT)
as a psychological intervention:
An article entitled: Mental health interventions by lay counsellors: a systematic review
and meta-analysis (Connolly et al., 2021) was published in the August 2021 issue of
The Bulletin of the World Health Organization. Of the 19 randomized controlled trials
that met the inclusion criteria three studies explored the use of TFT (Connolly & Sakai,
2011, Connolly et al., 2013, & Robson et al., 2016). Of the three included TFT studies,
two were conducted in Rwanda and one in Uganda. Two of the included TFT studies
demonstrated high effect sizes and one included TFT study demonstrated a medium
effect size. The three TFT studies were found to have the fewest days of training and
the least amount of treatment time. In a qualitative follow up, Edwards (2016) reported
the lay counselor’s satisfaction with their continued use of the TFT intervention.
©2023 Callahan Techniques, Ltd. 7In an outcome study conducted in Rwanda with street children, (Sakai et al., 2010) TFT
was found to show promise in the treatment of children recovering from the 1994
Genocide, and, in another 2019 outcome study by Dheepa, V., Prabavathy, S., &
Renuka, K., the authors reported that in their experience TFT mediated stress in
schoolchildren. And in a third TFT study with children, (Barraza-Alvarez, 2021), a quasi-
experimental study conducted in the nursing unit of the “Del Bosque” Childhood
Integration and Connivance Center, S.C., Community Neighborhood Nursery No. U-
1327 of the Mexican Social Security Institute, located in Texcoco, Mexico. Barraza-
Alverez found that TFT significantly reduced reported levels of anxiety and fear in the
fourteen females participating in the study.
Two European RCT studies were conducted in a hospital setting in Norway, (Irgens et
al., 2012, & Irgens et al., 2017). In the first study, TFT delivered superior results when
compared to CBT for the treatment of anxiety. In the second Norwegian study, TFT was
found to be a promising treatment for agoraphobia when compared to a waitlist group.
A recent study conducted in the war-torn Kurdistan Region of Iraq (Seidi et al., 2020),
found TFT treatments to be preferred by the local population and more effective when
compared to CBT. In another middle eastern study, a study of dental anxiety (AlAwdah,
et al., 2021), conducted in the Kingdom of Saudi Arabia at the King Saud University
College of Dentistry Primary Clinics, the authors found that TFT significantly reduced
dental pain when compared to other anxiety reduction techniques.
And in Japan, a recent study by Morikawa, et al., in 2021 found that TFT sessions
averaging 36 minutes significantly reduced stress and improved heart rate variability in
university students.
In addition to the Connolly, et al. study published by the Bulletin of the World Health
Organization mentioned at the beginning, TFT studies have been included in several
globally important literature reviews meta-analyses.
Brown et al., 2017 included the Sakai et al., 2010 study with street children in their
review, Psychosocial interventions for children and adolescents after man-made and
natural disasters: a meta-analysis and systematic review. These authors found that the
TFT intervention had the highest effect size when compared to other interventions such
as EMDR and CBT. In Effects of current treatments for trauma survivors with
posttraumatic stress disorder on reducing a negative self-concept: A systematic review
and meta-analysis, Banz, et al., found 25 studies that met their inclusion criteria. The
meta-analysis included the Connolly & Sakai, 2011 TFT study, which demonstrated a
strong effect size in reducing negative self-concept.
Morina et al., 2017, included Connolly & Sakai, 2011 in their Meta-analysis of
interventions for posttraumatic stress disorder and depression in adult survivors of mass
violence in low- and middle-income countries, as did Bangpan et al., 2019. Bangpan
included Connolly & Sakai, 2011, in Mental, health and psychosocial support
programmes for adults in humanitarian emergencies: a systematic review and meta-
analysis in low and middle-income countries and also in Bangpan, et al., 2017, in The
©2023 Callahan Techniques, Ltd. 8impact of mental health and psychosocial support interventions on people affected by
humanitarian emergencies: A systematic review.
In 2014, Dunnewold reviewed four studies of TFT in Africa (Connolly & Sakai, 2011,
Connolly et al., 2013, Robson et al., 2016 and Sakai, et al., 2010) in Thought Field
Therapy efficacy following large scale traumatic events. and concluded that together
they demonstrated the efficacy of this technique and recommended further research.
And, in 2022, Ntlantsana V, Molebatsi K, Mashaphu S, et al., included Connolly and
Sakai, 2011 in Post-traumatic stress disorder psychological interventions in sub-
Saharan Africa: protocol for a systematic review of the literature, and noted its
effectiveness.
Two Cochrane Reviews included TFT studies in their extensive meta-analyses. Purgato
et al, 2018, included Connolly and Sakai, 2011, & Connolly et al., 2013, in Psychological
therapies for the treatment of mental disorders in low- and middle-income countries
affected by humanitarian crises. And Van Ginneken et al., 2021 included Connolly &
Sakai, 2011 in Primary‐ level worker interventions for the care of people living with
mental disorders and distress in low‐ and middle‐ income countries.
References:
AlAwdah, A. S., AlHabdan, A. H., AlTaifi, B., & AlMejrad, L. (2021) The effect of
Thought Field Therapy on dental fear among Saudi women during restorative
treatment. EC Dental Science 20 (5).
Bangpan, M., Dickson, K., Felix, L., & Chiumento, A. (2017). The impact of mental
health and psychosocial support interventions on people affected by humanitarian
emergencies: A systematic review. Humanitarian Evidence Programme. Oxford:
Oxfam GB.
Bangpan, M., Felix, L., & Dickson, K. (2019) Mental health and psychosocial support
programmes for adults in humanitarian emergencies: A systematic review and meta-
analysis in low and middle-income countries. British Medical Journal Global Health.
4:e001484. 22618
Banz, L., Stefanovic, M., von Boeselagera, M., Schäfer, I., Lotzin, A., Kleim, B., &
Ehring, T. (2022). Effects of current treatments for trauma survivors with posttraumatic
stress disorder on reducing a negative self-concept: A systematic review and meta-
analysis. European Journal of Psychotraumatology. Vol. 13, 2122528
https://doi.org/10.1080/20008066.2022.2122528
Barraza-Alvarez, F.V. (2021). Callahan’s Thought Field Therapy and the management
of emotions associated with stress. World Journal of Biology, Pharmacy, and Health
Sciences.7 (2), 60-68. Doi: 10.30574/wjbphs.2021.7.2.0045.
Brown, R. C., Witt, A., Fegert, J. M., Keller, F., Rassenhofer, M., & Plener, P. L.
(2017). Psychosocial interventions for children and adolescents after man-made and
natural disasters: A meta-analysis and systematic review. Psychological Medicine, 47,
1893–1905. doi:10.1017/S0033291717000496
Connolly, S. M., Vanchu-Orosco, M., Warner, J., Seidi, P. A., Edwards, J., Boath, E.,
& Irgens, A. C. (2021). Mental health interventions by lay counsellors: A systematic
review and meta-analysis. Bulletin of the World Health Organization, 99(8), 572–582.
retrieved from https://doi.org/10.2471/BLT.20.269050
©2023 Callahan Techniques, Ltd. 9Connolly, S.M., Roe-Sepowitz, D., Sakai, C.E., & Edwards, J. (2013). Utilizing
community resources to treat PTSD: A randomized controlled study using Thought
Field Therapy.
African Journal of Traumatic Stress, 3(1), 24-32. Retrieved from
http://doi:10.13140/RG.2.2.14793.44644.
Connolly, S.M., & Sakai, C.E. (2011). Brief trauma symptom intervention with
Rwandan genocide survivors using Thought Field Therapy. International Journal of
Emergency Mental Health, 13(3), 161-172. PubMed Retrieved from
https://www.ncbi.nlm.nih.gov/pubmed/22708146
Dheepa, V., Prabavathy, S, & Renuka K. (2019). Thought Field Therapy on stress and
anger in schoolchildren. International Journal of Advanced Research.
doi: http://dx.doi.org/:10.21474/IJAR01/8859
Dunnewold, A. L. (2014) Thought Field Therapy efficacy following large scale
traumatic events. Current Research in Psychology, 5(1): 34-39. doi:10.38/crpsp.
Edwards, J. (2016) Healing in Rwanda: In the words of the therapists. Wholistic
Healing Publications., 16(1) Retrieved from
https://irpcdn.multiscreensite.com/891f98f6/files/uploaded/IJHC-16-1%20Edwards.pdf
Irgens, A. C., Hoffart, A., Nysaeter, T. E., Haaland, V.O., Borge, F.M., Pripp, A. H.,
Martinsen, E. W., & Dammen, T. (2017). Thought Field Therapy compared to
Cognitive Behavioral Therapy and wait-list for agoraphobia: A randomized, controlled
study with a 12-fonth follow-up. Frontiers of Psychology, 20,
https://doi.org/10.3389/fpsyg.2017.01027 PubMed
Irgens, A., Dammen, T., Nysaeter T., & Hoffart, A. (2012). Thought Field Therapy
(TFT) as a treatment for anxiety symptoms: A randomized controlled trial. Explore. 8
(6) 331-337.
Morikawa, A., Takayama, M., & Yoshizawa, E. (2021). The efficacy of Thought Field
Therapy and its impact on heart rate variability in student counseling: A randomized
controlled trial. EXPLORE, 2021. (In press)
https://doi.org/10.1016/j.explore.2021.09.005
Morina, N., Nickerson, A., Malek, M., & Bryant, R. (2017). Meta-analysis of
interventions for posttraumatic stress disorder and depression in adult survivors of
mass violence in low- and middle-income countries Depression and Anxiety 34(8)679-
691. doi: 0.1002/da.22618
Ntlantsana V, Molebatsi K, Mashaphu S, et al. (2022). Post-traumatic stress disorder
psychological interventions in sub-Saharan Africa: Protocol for a systematic review of
the literature. BMJ Open. 2022;12:e052903. doi:10.1136/mjopen-2021-052903
Purgato, M., Gastaldon, C., Papola, D., van Ommeren, M., Barbui, C., & Tol, W. A.
(2018). Psychological therapies for the treatment of mental disorders in low- and
middle-income countries affected by humanitarian crises. Cochrane Database of
Systematic Reviews 7. Art. No.: CD011849. DOI: 10.1002/14651858.CD011849.pub2
©2023 Callahan Techniques, Ltd. 10Robson, R. H., Robson, P. M., Ludwig, R., Mitabu C., & Phillips, C. (2016).
Effectiveness of Thought Field Therapy provided by newly instructed community
workers to a traumatized population in Uganda: A randomized trial. Current Research
in Psychology. Doi: 10.3844/crpsp.201
Sakai, C., Connolly, S., & Oas, P. (2010). Treatment of PTSD in Rwanda genocide
survivors using Thought Field Therapy. International Journal of Emergency Mental
Health, 12(1), 41-49. PubMed. Retrieved From:
https://pubmed.ncbi.nlm.nih.gov/20828089/
Seidi, P. A., Jaff, D., Connolly, S. M., & Hoffart, A. (2020). Applying Cognitive
Behavioral Therapy and Thought Field Therapy in Kurdistan Region of Iraq: A
retrospective case series study of mental-health interventions in a setting of political
instability and armed conflicts. EXPLORE.
https://doi.org/10.1016/j.explore.2020.06.003
van Ginneken, N., Chin, W. Y., Lim Y. C., Ussif, A., Singh R., Shahmalaker, U., &
Lewin, S. (2021). Primary‐level worker interventions for the care of people living with
mental disorders and distress in low‐ and middle‐income countries. Cochrane
Database of Systematic Reviews 8. Art. No.: CD009149. DOI:
10.1002/14651858.CD009149.pub3.
TFT citings of note for future reference.in future studies
In 2019, Sullivan, et al. cited Sakai, Connolly, & Oas (2010) in Using simple
acupressure and breathing techniques to improve mood, sleep, and pain management
in refugees: a peer-to-peer approach in a Rohingya refugee camp. Sullivan noted
“Acupressure point stimulation has been used effectively in adolescent survivors of
genocide in Rwanda (Sakai, Connolly,
& Oas, 2010) but has not been systematically studied.
Bagchi, et al. (2019) published a protocol for a potential review of the training of lay
counselors. The authors quoted Connolly, et al, 2021 as one of several examples of
there not being enough published about the methods of training lay counselors.
References
Bagchi, A. D., Hargwood, P., Saravana, A. DiBello, A.M., Alonzo, K.D., & Jadotte, Y.
(2022). Methods of training lay individuals in the use of evidence-based services for
the management of mental and behavioral health disorders: A scoping review
protocol. JBI Evid Synth 2020; 18(0):1–11.
Sullivan, J., Thorn, N., Amin, M., Mason, K., Lue, N., & Nawzir, M. (2019). Using
simple acupressure and breathing techniques to improve mood, sleep, and pain
management in refugees: a peer-to-peer approach in a Rohingya refugee camp.
Intervention, 17(2), 252-258. https://doi.10.4103/INTV.INTV_13_19