Table of Contents
Cover
Title page
Copyright page
List of Contributors
Foreword
Acknowledgments
Part I: An Introduction to Schema Therapy
1 Schema Therapy in Historical Perspective
Beyond Beck’s Cognitive Therapy
The Integration of Attachment, Interpersonal, and Object Relations Theories
The Integration of Experiential Techniques
Three Phases in the Development of Young’s Schema Therapy
Schema Therapy and Its Relationship to Other Schema-based Models
2 Theoretical Model
In Practice
Describing the Schemas
Coping Styles
Schema Modes
Mode Model in Borderline Personality Disorders
Current Situation and the Future
3 A New Look at Core Emotional Needs
Introduction
Needs, Temperament, and Parenting Styles
Needs, Temperament, Genes, and Molecular Biology
Core Emotional Needs and the Role of Mothers, Fathers, and Culture
The Evolution of Hominid Parenting and Needs
Empirically-based Comprehensive Models of Core Emotional Needs
The Empirical Status of Schema Therapy’s Current Model as it Relates to Needs
The Core Emotional Needs Model
CNM and Other Models of Core Emotional Needs
Summary
Acknowledgment
Part II: The Indication Process in Schema Therapy
1 The Case Formulation Process in Schema Therapy of Chronic Axis I Disorder (Affective/Anxiety Disorder)
Introduction
The Patient and the Treatment Context
The Case Formulation Process
Treatment Plan
Pitfalls and Tips
2 Schema Therapy for Narcissism – A Case Study
The Four Schema Modes of Patients with NPD
3 Assessment for Schema Therapy
Indicators for Schema Therapy
Alternatives to Schema Therapy
Approach
Pitfalls and Tips
The Future
4 The Use of Experiential Techniques for Diagnostics
In Practice
Approach
Pitfalls and Tips
The Future
5 Clinical Use of Schema Inventories
Introduction
Clinical Practice
Approach: Clinical Utility and Functions
Measuring Outcome
General Limitations on Clinical Use
Choosing a Schema Inventory to Use
Interpreting Schema Inventories
Pitfalls and Tips
The Future
6 Case Conceptualization in Schema Therapy
In Practice
Approach
Case Conceptualization Model for Schemas
The Schema Mode Model
Pitfalls and Tips
The Future
Part III: Schema Therapy Techniques
1 Schema Therapy for Eating Disorders
Introduction
Case Study – Nicki
Acknowledgements
2 Treating OCD with the Schema Mode Model
Introduction
Current Status
Approach
Pitfalls and Tips
The Future
3 Techniques within Schema Therapy
In Practice
Approach
Pitfalls and Tips
The Future
4 On Speaking One’s Mind: Using Chairwork Dialogues in Schema Therapy
Introduction
History and Background
External Dialogues
Internal Dialogues I
Internal Dialogues II
An Integrated Example
Pitfalls and Tips
The Future
Conclusion
5 Schema Therapy and the Role of Joy and Play
Introduction
Theory
Practice
Interventions
Play within the Therapeutic Relationship
Imagery as Play, Play in Imagery, and Playing as Dreaming
Play, Imagery, and Modes
Working with Play in a Group
Group Play Activities
Pitfalls and Tips
Summary
6 Schema Therapy, Mindfulness, and ACT – Differences and Points of Contact
Introduction
Current Status
Approach
Pitfalls and Tips
The Future
7 Why Are Mindfulness and Acceptance Central Elements for Therapeutic Change in Schema Therapy Too?
Introduction
Current Status: The So-Called Third Wave In Behavior Therapy
Looking Deeper into the Schema Mode Model
How Does the Healthy Adult Really Work?
Pitfalls and Tips
Conclusions and the Future
8 Mindfulness and ACT as Strategies to Enhance the Healthy Adult Mode
Introduction
Schemas and Memory
Levels of Intervention
Approach
Conclusion
9 Teaching Mindfulness Meditation within a Schema Therapy Framework
Introduction
Awareness
Choice and Intention
Relaxation
Letting Go
Here and Now Orientation
Non-Judgmental Acceptance
Values
Conclusion
10 Schema-Focused Mindfulness: an Eight-Session Protocol
In Practice
Approach
Pitfalls and Tips
11 The Impact of Measuring
In Practice
Approach
The Meaning and Interpretation of Outcome in Schema Therapy
Pitfalls and Tips
The Future
Part IV: Schema Therapy Settings and Patient Populations
1 Inpatient Schema Therapy for Patients with Borderline Personality Disorder – a Case Study
Background
Case Description: Patient Background and Presenting Problems
Schema Therapy Case Conceptualization and Course of Psychotherapeutic Treatment
After Inpatient Treatment
Summary
2 Individual Schema Therapy
In Practice
Approach
Pitfalls and Tips
The Future
3 Schema Therapy for Couples: Healing Partners in a Relationship
Introduction
Clashes and Healing: Mode Cycles in Couples
Application
Change
Tips and Pitfalls
The Future
4 Introduction to Group Schema Therapy
5 Group Schema Therapy for Borderline Personality Disorder Patients
Introduction
The Healing Power of the GST
Group Schema Therapy for BPD: the Beginning Stage
Limited Reparenting Broadened: Building a “Healthy Family”
Schema Mode Change
The Therapy Group Provides Opportunities for Identity Formation
Punitive or Demanding Parent work: Using the “Group Army”
Using Group Curative Factors to Build the Healthy Adult Mode
Challenges of Group Schema Therapy
The Future
6 Implementation of Schema Therapy in an Inpatient and Day Treatment Group Setting
In Practice
Approach
Treatment Strategies
Pitfalls and Tips
The Future
7 Schema Therapy in Groups: A Short-Term Schema CBT Protocol
In Practice
Approach
Pitfalls and Tips
The Future
8 Schema Therapy in a Psychodynamic Group
In Practice
Approach
The Structured Hour
Unstructured Hour
Pitfalls and Tips
The Future
9 Schema Therapy in Adolescents
In Practice
Approach
Pitfalls and Tips
The Future
10 Schema Therapy for Cluster C Personality Disorders
Introduction
Approach
Case Conceptualization
Treatment Approach
Pitfalls and Tips: Specific Issues with the Different Cluster C PDs
Acknowledgment
11 Schema Therapy in Personality Disorders and Addiction
In Practice
Approach
Pitfalls and Tips
The Future
12 Schema Therapy in Forensic Settings
Introduction
Clinical Practice
Approach
Pitfalls and Recommendations
The Future
Part V: The Therapist
1 Training for and Registrations of Schema Therapists
In Practice
Approach
Pitfalls and Tips
The Future
2 Training and Supervision in Schema Therapy
In Practice
Approach
Becoming an ISST Supervisor
Pitfalls and Tips
The Future
3 The Schema Mode Model in Personal Therapy
Introduction
In Practice
Approach
Pitfalls and Tips
The Future
4 Therapist Self-Care in the Context of Limited Reparenting
Definition of Self-Care: Therapist Burn-Out
Definition of Human Suffering
A ST Approach to Human Suffering and its Implications for Therapist Self-Care
General Demands of ST
Demands of Group ST
Therapist Self-Care in Practice
Pitfalls and Tips
Conclusion
Part VI: Research in Schema Therapy
1 Effectiveness Studies
Schema Therapy for Personality Disorders
Schema Therapy for Axis I Problems
Conclusion
Pitfalls and Tips
The Future
2 Experimental Studies of Schema Modes
In Practice
Approach
Comparison between Self-Report of Schema Modes and Reports Made by Others
The Influence of Emotional Inductions on Schema Modes
Pitfalls and Tips
The Future
3 Experimental Studies for Schemas
In Practice
Approach
Interpretations and Evaluations
Conclusion
Pitfalls and Tips
The Future
4 Validation of the Young Schema Questionnaire
In Practice
Approach
Pitfalls and Tips
The Future
5 Validation of the Schema Mode Inventory
In Practice
Approach
Sample Survey
Pitfalls and Tips
The Future
Part VII: Implementation and Public Relations in Schema Therapy
1 Implementation of Schema Therapy in General Mental Healthcare Institutes
Approach
In Practice
Outcomes
Pitfalls and Tips
The Future
2 Using ST Principles to Increase the Therapeutic Efficacy of the Forensic Care Team’s Interactions with Personality Disordered Clients
Introduction
In Practice
Approach
Pitfalls and Tips
Developing STPs
Summary
3 Implementation of Schema Therapy in de Rooyse Wissel Forensic Psychiatric Center
In Practice
Approach
Pitfalls and Tips
The Future
4 Cost-Effectiveness of Schema Therapy
Introduction
Practice
Approach
Pitfalls and Tips
The Future
5 Public Relations for Schema Therapy
In Practice
Approach
Pitfalls and Tips
The Future
6 Concluding Thoughts
Author Index
Subject Index – Schema Therapy