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Schema therapy, working with modes

USB by Remco van der Wijngaart & David Bernstein

This USB box shows 4 experienced Schema Therapis work with schema modes in 4 patients with different personality disorders; Borderline Personality Disorder with Antisocial Traits; Narcissistic PD with Paranoid Traits; Obsessive-Compulsive PD with Avoidant traits; and Dependent PD. The video illustrate various schema modes in these patients, and show how the therapists use some of the most important Schema Therapy interventions.

“This is an outstanding USB for any professional interested in utilizing Schema Therapy with difficult patients. The therapists are extremely skillful at blending the many components of schema therapy such as: limited reparenting, confrontation, limit-setting, emotion-focused techniques like imagery, and cognitive work. I plan to use segments from these videos in teaching advanced trainees in our certification program, as well as in workshops I teach in other countries.”

Jeffrey E. Young, PhD, Founder and Director of the Cognitive Therapy Centers of New York and Connecticut, and the Schema Therapy Institute in New York City.

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Borderline Personality Disorder with Antisocial traits

  • Therapist Marjon Nadort:
  • Starting therapy: exploring patterns and modes
  • Detached Protector: identifying and exploring modes
  • Chair Work Start of TherapyDetached Protector: multiple chair technique
  • Punitive parent: multiple chair technique
  • Therapist David Bernstein
  • Bully and Attack: setting limits
  • Bully and Attack: multiple chair technique
  • Self Soother: identifying and exploring modes, reviewing pros and cons
  • Self Soother: multiple chair technique
  • Therapist: Remco van der Wijngaart
  • Angry Child: general strategy (ventilate, empathize, and reality test)
  • Angry child: cognitive strategy using flip-over board
  • Angry Child: cognitive strategy using flashcard
  • Vulnerable Child: transitional object
  • Vulnerable Child being sad: limited reparenting
  • Punitive Parent: imagery rescripting
  • Healthy Adult: multiple chair technique
  • Healthy Adult: reviewing pros and cons of the Detached Protector

Narcissistic Personality Disorder with Paranoid traits

  • Therapist: David Bernstein
  • Starting therapy: exploring patterns and modes
  • Starting therapy: working in the therapy relationship
  • Self Aggrandizer + Paranoid Overcontroller: identifying and exploring modes
  • Self Aggrandizer: empathic confrontation
  • Vulnerable Child: identifying and exploring modes
  • Enraged Child: setting limits and connecting to the Vulnerable Child
  • Formulating a mode model
  • Therapist : Marjon Nadort
  • Self Aggrandizer : empathic confrontation
  • Self Aggrandizer : multiple chair technique

Obsessive Compulsive Personality Disorder with Avoidant traits

  • Therapist Wiesette Krol
  • Starting therapy: exploring patterns and modes
  • Obsessive Compulsive Overcontroller: identifying and exploring modes
  • Obsessive Compulsive Overcontroller: reviewing pros and cons
  • Obsessive Compulsive Overcontroller: empathic confrontation
  • Demanding Parent: imagery rescripting
  • Demanding Parent: multiple chair technique
  • Happy Child: pushing for spontaneity

Dependent Personality Disorder

  • Therapist Remco van der Wijngaart
  • Starting therapy: exploring patterns and modes
  • Compliant Surrender : identifying and exploring modes
  • Compliant Surrender : multiple chairs technique
  • Compliant Surrender: empathic confrontation
  • Guilt Inducing Parent: identifying and exploring modes
  • Guilt Inducing Parent: imagery rescripting
  • Dependent Child: pushing for autonomy
  • Angry Child: pushing for expressing anger

Mode examples

  • Coping modes: avoidance
  • Detached Protector flat
  • Detached Protector rationalizing
  • Detached Protector rambling
  • Self Soother
  • Coping modes: surrender
  • Compliant Surrender
  • Coping modes: overcompensation
  • Bully and Attack towards therapist
  • Bully and Attack pestering
  • Bully and Attack pestering and threatening
  • Predator towards others
  • Paranoid Overcontroller
  • Perfectionistic Overcontroller
  • Self Aggrandizer towards others
  • Self Aggrandizer towards others
  • Self Aggrandizer towards therapist
  • Self Aggrandizer towards therapist
  • Parent modes
  • Punitive Parent
  • Punitive Parent
  • Demanding Parent
  • Child modes
  • Angry Child
  • Enraged Child
  • Vulnerable Child: mistrust/abuse schema
  • Vulnerable Child: abandonment/instability schema
  • Vulnerable child: dependence schema
  • Vulnerable Child: defectiveness/shame schema
  • Healthy Adult
  • Healthy Adult
  • Exercises in identifying modes
  • Exercise 1: Borderline Personality Disorder with Antisocial traits
  • Exercise 2: Narcissistic PD with Paranoid traits
  • Exercise 3: Obsessive Compulsive PD with Avoidant traits
  • Exercise 4: Dependent PD
  • Exercise 5: Different modes played at random
  • Exercise 6: Different modes played at random
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