Schema Therapy

Question 1

Components of ST?

Answer 1

Limited reparenting (empathic confrontation, positive regard, guidance)
Cognitive tech.
Emotional/experiential (chair work, imagery rescripting)
Behavioural pattern breaking

Question 2

Schema compared to CBT?

Answer 2

Greater emphasis on therapeutic relationship
Longer
Greater emphasis on affect (through imager, role playing) and mood states
Childhood origins and developmental processes
Core themes (schemas) over symptom reduction

Question 3

Emotional core needs (5)?

Answer 3

Secure attachements:
-Safety and security
-Nurturance
-Affection and acceptance
Play and spontaneity
Realistic limits and self-control
Autonomy competence and sense of identity
Freedom to express emotions and needs as valid

Question 4

What are Early maladaptive schemas?

Answer 4

Pervasive pattern
Memories, emotions, cognitions
Regarding oneself and relationship with others
Developed during childhood/adolescence and perpetuated
Dysfunctional (but functional at origin)

Question 5

How are EMSs developed?

Answer 5

Core emotional needs + Early environment + emotional temperament = EMS

Question 6

List some EMSs? Give examples.

Answer 6

Abandonment
Mistrust & abuse
Emotional deprivation
Defectiveness
Dependence
Vulnerability to harm
Enmeshment
Failure
Entitlement
Insufficient self-control
Approval-seeking
Subjugation
self-sacrifice
Unrelenting standards
Negativity / pessimism 
Emotional inhibition
Punitiveness

Question 7

Schema coping styles (3)?

Give two clinical examples of each.

Answer 7

Surrender (freeze)

• Compliance
• self-blame/punishment

Avoidance (flight)

• Dietary restriction
• Bingeing, purging
• Substance use
• Detachment
• self-harm
• Social withdrawal
• stimulation/workaholism
• Distraction (gaming, gambling)

Overcompensate (fight)

• Perfectionism
• Over control
• Excessive self reliance
• Demandingness
• Manipulation
• Competitiveness
• aggression/hostility
• Recognition-seeking

Question 8

What are the child modes (5 - i doubt you will need to know all these, just a few)?

Answer 8

vulnerable
angry
lonely
impulsive
happy

Question 9

What is the Healthy Adult?

Answer 9

• Therapist models
• compassionate, limit setting, nurturing, assertive, wise, empathic side of client
• Self-worth, value, identity, deal with limitations

Question 10

Name the mode: Emotional detachment to protect from painful feelings, numb, distant, avoid closeness

Answer 10

Detached protector

Question 11

Name the mode: Repetitive behaviours to calm/sooth, exciting behaviours to distance from pain. Addiction.

Answer 11

Detached self-soother

Question 12

Name the mode: Wall of anger to protect from others who are perceived as threatening, safe distance from others (more controlled than Angry Child)

Answer 12

Angry Protector

Question 13

Name the mode: Give into real/perceived expectations of others in attempt to avoid pain/get one’s needs met (e.g. love/acceptance)

Answer 13

Compliant surrenderer

Question 14

Name the mode: Demands in a victimised manner, expresses indirectly as irritation, helplessness, self-pity

Answer 14

Complaining protector

Question 15

Name the mode: Superiority to others, appearances over real feelings/authentic contact

Answer 15

Self-aggrandiser

Question 16

Name the mode: Always striving for order, perfect results and difficulty dealing with uncertainty

Answer 16

Perfectionistic, over-controller

Question 17

Name the mode: Threats, intimidation, aggression, coercion to get needs met. Asserting dominance, sadistic pleasure in attacking others.

Answer 17

Bully & attack

Question 18

Name the mode: Ruminating and exercising extreme control. Repetition or ritual (i.e. OCD)

Answer 18

Paranoid over-controller

Question 19

Name the mode: Eliminating perceived threat, obstacle or enemy. Cold, ruthless, calculating manner.

Answer 19

Predator mode

Question 20

Name the mode: Lies, victimising others, escaping punishment

Answer 20

Conning & Manipulating