Schema Therapy

Question 1

Tell me SEVEN ways ST differs from CBT…

TR - A&M - CO - LCS - C - ES - LD

Answer 1

1. Therapeutic relationship - active therapist
2. Affect & mood states
3. Childhood origins
4. Lifelong coping strategies
5. Confrontation (instead of guided discovery)
6. Experiential strategies (to connect to childhood origins)
7. Longer duration (client resistance to change)

Question 2

What are the two things that assessment focuses on?

Answer 2

1. Identifying unmet emotional needs
2. Identify maladaptive schemas

Question 3

What are the TWO key goals of schema therapy

Answer 3

1. Help patient get their core needs met
2. Build insight into schema and impact on life

Question 4

What are the five schema domains?

D&R - IA - IP - OD - O&I

Answer 4

1. Disconnection & Rejection (e.g., abandonment)
2. Impaired Autonomy & Performance (e.g., unrelenting standards)
3. Impaired limits (e.g., insufficient self control)
4. Other-directedness (e.g., self sacrifice)
5. Overvigilance & Inhibition (e.g., emotional inhibition)

Question 5

What are the two maintenance processes identified for schemas?

Answer 5

1. Classic cognitive distortions - e.g., magnification, overgeneralisation, selective abstraction
2. Self defeating behaviour patterns (likely adaptive and functional in childhood)

Question 6

What are the three schema coping responses?

Answer 6

1. Surrender
2. Avoidance
3. Compensation

Question 7

What are the five components of schema therapy

Answer 7

1. Assessment and education
2. Therapeutic relationship - limited reparenting
3. Cognitive strategies
4. Experiential techniques
5. Behavioural pattern breaking

Question 8

What are the four core elements of limited reparenting, and what are the two umbrella concepts they fall into?

N&S - C + G
B&C - EC + LS

Answer 8

1. Nurturance & Support
   a) care
   b) guidance
2. Boundaries & Confrontation
   a) empathetic confrontation
   b) limit setting.

Question 9

What are the three things that imagery rescripting does?

Answer 9

1. Processing of emotion (memory reconsolidating)
2. Adult perspective/resources - introduced into child view
3. Encourages master, works on shame