L12: Schema Therapy Flashcards
According to Schema therapy theory, what are the core emotional needs?
- Stability, nurturance, safety,
acceptance - Autonomy, competence, sense of identity
- Freedom to express needs and emotions
- Spontaneity and play
- Realistic limits and self control
PROPOSED:
* Fairness
* Self-coherence/ comprehensible world
What is the need for fairness/justice?
- Fundamental need already present in childhood
- Experiments with animals indicate a need for fairness in specific species – Need serves constructive collaboration between individuals in groups (survival value)
What are schema domains?
they relate unmet needs in childhood to schemas
What is the Schema therapy theory?
Unmet core needs / trauma
↓
Maladaptive Schema’s
↓
Coping w Schema Activation
(influenced by temperament)
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Schema Modes
What are the different schema domains?
- Disconnection and rejection
* Abandonment/instability
* Mistrust/abuse
* Emotional deprivation
* Defectiveness/shame
* Social isolation/alienation - Impaired autonomy and achievement
* Dependency/incompetence
* Vulnerability to harm and illness
* Enmeshment/undeveloped self
* Failure - Overvigilance and inhibition
* Negativity/pessimism
* Emotional inhibition
* Unrelenting standards
* Punitiveness - Other-directedness
* Subjugation
* Self sacrifice
* Approval seeking - Impaired limits
* Entitlement/grandiosity
* Insufficient self-control - Unfairness/Injustice
* Unfairness - Lack of coherence
* Lack of self-coherence
* Incomprehensible world
How effective is Schema therapy?
in wide range of PDs
- lower drop out rates
- better treatment outcomes
How does schema therapy work?
conceptualize case using schema mode model
- use therapeutic realtionship to reveal & modify dysfunctional interpersonal relationshipos & patients relationships in outside world
- TR built using empathic confrontation & limited reparenting
- also use CB interventions, behavioural techniques (role play, problem solving etc), and experiental techniques (chair diaglouges, imagery rescripting)
