Slide 1. Slide 2. Slide 3. Susan L. Cain, LCSW, presenter 2:30-5:30pm. 2:30-3:00pm SCHEMA THERAPY ORIGINS. 3:00-4:00pm SCHEMAS AND MODES

Transcription

1 Slide 1 Susan L. Cain, LCSW, presenter 2:30-5:30pm Slide 2 2:30-3:00pm SCHEMA THERAPY ORIGINS 3:00-4:00pm SCHEMAS AND MODES 4:00-4:15pm BREAK 4:15-5:15pm EXPERIENTAL TECHNIQUES 5:15pm QUESTIONS Slide 3 Candidate for Advanced Certification in Schema Therapy Private Practitioner At the Anchor Clinic, LLC in Pensacola Founder of the Schema Therapy Center of Florida Full Member of the International Society of Schema Therapists (ISST)

2 Slide 4 2:30-:300pm Definitions History Basic Concepts Slide 5 Slide 6 An integrative, unifying theory & treatment Designed to treat a variety of long-standing emotional difficulties, with individuals & couples Combines cognitive, behavioral, attachment, object relations, and experiential approaches

3 Slide 7 Slide 8 Greater emphasis on the therapeutic relationship More emphasis on affect (e.g., imagery, roleplaying) and mood states More discussion of childhood origins and developmental processes Slide 9 More emphasis on lifelong coping styles (e.g., avoidance and overcompensation) More emphasis on entrenched core themes (i.e., schemas)

4 Slide 10 To help patients get their core needs met In an adaptive manner Through changing maladaptive schemas, coping responses, & modes Slide 11 3:00-4:00pm Core Needs Schema Development Coping With Schemas Slide 12 A broad, pervasive theme or pattern Comprised of memories, bodily sensations, emotions & cognitions Regarding oneself and one's relationships with others Developed during childhood or adolescence, and elaborated throughout one's lifetime Dysfunctional to a significant degree

5 Slide 13 Early Maladaptive Schemas form when specific core needs of a child (or adolescent) are not met. Slide 14 Safety Stable Base, Predictability Love, Nurturing & Attention Acceptance & Praise Empathy Guidance & Protection Validation of Feelings & Needs Slide 15 Toxic frustration of needs Traumatization, victimization, mistreatment Too much of a good thing Selective internalization or identification

6 Slide 16 Abandonment Mistrust & Abuse Emotional Deprivation Dependence Vulnerability Enmeshment Defectiveness Social Isolation Approval-Seeking Failure Subjugation Self-Sacrifice Unrelenting Standards Negativity Entitlement Insufficient Self- Control Overcontrol Punitiveness Slide 17 Slide 18 Schema surrender (freeze) Schema avoidance (flight) Schema overcompensation (fight)

7 Slide 19 Aggression, Hostility Manipulation Exploitation Dominance Overcompensation, Recognition-Seeking Stimulation-Seeking, Impulsivity Substance abuse Compliance, Dependence Excessive Self- Reliance Compulsivity, Inhibition Psychological Withdrawal Social isolation, Avoidance Slide 20 Those schemas, coping responses, or healthy reactions that are currently active for an individual The predominant state that we re in at a given point in time Slide 21 Vulnerable Child Angry Child Detached Protector Punitive, Critical Parent Overcompensator Spontaneous Child Healthy Adult

8 Slide 22 Slide 23 4:15-5:15pm Limited Re-parenting Empathic Confrontation Imagery & Chair work Slide 24 Assessment and Education Young Schema Inventory Conceptualization Form Change Experiential Techniques

9 Slide 25 Slide 26 Focused Life History Interview Link presenting problems to life pattern Find emotional links Pattern- Identification What are your schemas? What are your modes? What are your triggers? Developing Empathy Slide 27

10 Slide 28 Empathic confrontation essentially means recognizing that bad behavior comes from a place of pain and confusion, and then setting limits. Used a lot with Narcissism Slide 29 Get upsetting image from childhood of mother, father, significant other people Set up dialogues Ask patient what they NEED in the image Link emotions from childhood images with current life circumstances Slide 30

11 Slide 31 Bypassing the Detached Protector The therapist s own Schemas & Modes Slide 32 Slide 33

12 Slide 34 Schematherapy.com DissarmmingtheNarcis sist.com Schematherapysociety. com WEBSITES BOOKS Slide 35