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UTS exam > Schema Therapy > Flashcards

Schema Therapy Flashcards

1
Q

4 therapy components of schema therapy?

A
  1. Limited reparenting (empathic confrontation, positive regard, guidance)
  2. Cognitive techniques
  3. Emotional/experiential (chair work, imagery rescripting)
  4. Behavioural pattern breaking
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2
Q

5 differences between schema and CBT?

A
  1. Greater emphasis on therapeutic relationship
  2. Longer treatment
  3. Greater emphasis on affect (through imager, role playing) and mood states
  4. Childhood origins and developmental processes
  5. Core themes (schemas) over symptom reduction
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3
Q

What are 4 qualities of early maladaptive schemas?

A
  1. Pervasive pattern of memories, emotions, cognitions
  2. Regarding oneself and relationship with others
  3. Developed during childhood/adolescence and perpetuated
  4. Dysfunctional (but functional at origin)
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4
Q

How are EMSs developed?

A

Core emotional needs + Early environment + emotional temperament = EMS

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5
Q

List some EMSs? Give examples.

A 
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
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6
Q

What are the 3 schema coping styles?

Give two clinical examples of each.

A
  1. Surrender (freeze)
    - Compliance
    - self-blame/punishment
  2. Avoidance (flight)
    - Dietary restriction
    - Bingeing, purging
    - Substance use
    - Detachment
    - self-harm
    - Social withdrawal
    - stimulation/workaholism
    - Distraction (gaming, gambling)
  3. Overcompensation (fight)
    - Perfectionism
    - Over control
    - Excessive self reliance
    - Demandingness
    - Manipulation
    - Competitiveness
    - Aggression/hostility
    - Recognition-seeking
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7
Q

Name 5 child modes?

A
  1. Vulnerable
  2. Angry
  3. Lonely
  4. Impulsive
  5. Happy
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8
Q

What is the Healthy Adult mode?

A

Client’s healthy side –that is compassionate, limit-setting, nurturing, assertive, wise and empathic.

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9
Q

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

A

Detached protector

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10
Q

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

A

Detached self-soother

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11
Q

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

A

Angry Protector

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12
Q

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

A

Compliant surrenderer

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13
Q

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

A

Complaining protector

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14
Q

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

A

Self-aggrandiser

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15
Q

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

A

Perfectionistic, over-controller

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16
Q

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

A

Bully/attack

17
Q

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

A

Paranoid over-controller

18
Q

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

A

Predator mode

19
Q

Name the coping mode: Lies, victimising others, escaping punishment

A

Conning/Manipulating

20
Q

Why is schema therapy needed? 3 reasons

A
  1. Cognitions and behaviours are more rigid with individuals with PDs
  2. Intimate problems more common with PDs
  3. Gap between cognitive and emotional change bigger in those with PDs (“get it but don’t feel it”)
21
Q

What are the five core emotional needs?

A
  1. Secure attachment
  2. Autonomy, competence and sense of identity
  3. Freedom to express needs and emotions
  4. Spontaneity and play
  5. Realistic limits and self-control
22
Q

What are repisodes?

A

Repeated experiences - e.g., every day I come home

and mum is passed out on coach and I’m alone

23
Q

What happens to healthy adult mode in clients with severe PD?

A

Can be absent or very weak

24
Q

How is healthy adult mode modelled?

A

By the therapist initially, then the client evolves until she can assume this role.

25
Q

What are schema modes

A

Cluster of schemas or schema coping styles – adaptive or maladaptive – that are currently active for an individual.

26
Q

What are the 4 classes of modes?

A
  1. Child modes
  2. Coping modes (e.g., detached protector)
  3. Internalized parent modes (e.g., demanding parent)
  4. Healthy adult mode
27
Q

What are 3 ways to spot schema modes?

A
  1. Verbal content; what does the client tell you?
  2. Non-verbal communication: tone of voice etc.
  3. Countertransference: what is your primary
    emotional reaction to what the client is doing?
28
Q

Two phases of schema therapy?

A
  1. Assessment and education

2. Change phase

29
Q

What are 4 goals of therapy in the change phase?

A
  1. Increase autonomy
  2. Increase feelings of connectedness to others
  3. Build self-confidence
  4. Learn realistic limits and expectations
30
Q

What is the overall aim of the change phase?

A

Validate the core needs and restart the emotional development of the client

31
Q

Limited parenting involves supplying what clients ______ but did not ______ from their parents in childhood.

A

Limited parenting involves supplying what clients needed but did not receive from their parents in childhood.

32
Q

What are 4 main parts of limited reparenting?

A
  1. Care, understanding, warmth, attunement
  2. Giving direction and guidance
  3. Empathic confrontation
  4. Limit setting

UTS exam (6 decks)

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