Cover

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

Title page