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Schema therapy step by step

6 chapters by Remco van der Wijngaart and Hannie van Genderen

This production follows the whole process of schema therapy from the first to the last session. Although in the course of the curriculum you do learn what the various components of schema therapy are, the application of these components in the different phases of therapy often raises questions. The purpose of this production is to familiarize novice therapists with all aspects of schema therapy. The treatment of a client with a Borderline Personality Disorder is shown in 91 scenes.

All steps of the schema therapy process are shown. It starts by making a case conceptualization, introducing schemas and modes, discussing the results from the questionnaires and using experiential techniques in this phase. To teach therapists how to recognize schemas and modes, they are demonstrated in short fragments. Methods and techniques will then be shown in the different phases of the treatment; beginning and end of the therapy. The application of these methods and techniques at the end of the therapy and the strengthening of the Healthy Adult are also demonstrated.

Finally, there are various exercises in which the viewer is invited to consider how he/she would better deal with the session which was shown. This production can be used as an integral part of a course on schema therapy or as a supplement to supervision or intervision.

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Start phase

  • Getting started: exploring patterns and schemas
  • Discussing the scores on the YSQ
  • Diagnostic Imagery
  • Introducing modes
  • Discussing the mode model
  • Discussing goals of therapy
  • Mode guessing game

Treatment Phase

  • Limited Reparenting - Offering care
  • Limited Reparenting - Providing direction
  • Limited Reparenting - Empathic Confrontation
  • Limited Reparenting - Limit setting
  • Detached Protector - Chairwork
  • Historical role play
  • Punitive Parent - Imagery rescripting
  • Bullying Peers - Imagery rescripting
  • Punitive Parent - Chairwork
  • Punitive Parent - cognitive technique
  • Vulnerable Child - Circle Diary Form
  • Vulnerable Child: audio flashcard
  • Vulnerable Child - Set homework
  • Angry Child: Ventilate, Empathize, Reality testing
  • Angry Child - Chairwork
  • Structure of complete session with transitions to black

End phase

  • Empathic Confrontation
  • Detached Protector - Chairwork: coaching Healthy Adult
  • Detached Protector - Chairwork: therapist plays coping mode
  • Punitive Parent - Chairwork
  • Punitive Parent - Imagery Rescripting
  • Healthy Adult - Identifying the Healthy Adult
  • Healthy Adult - psychoeducation
  • Future Imagery - mode awareness & mode management
  • Future Imagery - behavioral change
  • Homework assignments
  • Healthy Adult - dealing with conflict

Examples of schemas

  • Mistrust/Abuse
  • Emotional Deprivation
  • Abandonment
  • Social Isolation
  • Defectiveness/Shame
  • Social Rejection
  • Failure
  • Dependence/Incompetence
  • Vulnerability to Illness & Harm
  • Insufficient Self-control/Self-Discipline
  • Entitlement/Grandiosity
  • Unrelenting Standards
  • Emotional Inhibition
  • Self-sacrifice
  • Subjugation
  • Enmeshment
  • Punitiveness

Examples of modes

  • Vulnerable Child
  • Angry Child
  • Enraged Child
  • Impulsive Child
  • Undisciplined Child
  • Happy Child
  • Compliant Surrender
  • Detached Protector
  • Detached Self-soother
  • Avoidant Protector
  • Angry Protector
  • Self-aggrandizer
  • Bully & Attack 1
  • Bully & Attack 2
  • Predator
  • Perfectionistic Over - controller
  • Paranoid Over - controller
  • Conning and Manipulative Mode
  • Approval Seeking
  • Punitive Parent
  • Demanding Parent
  • Guilt-inducing Parent
  • Healthy Adult

Exercises

  • Exploring patterns & schemas exercise
  • Identifying different schemas - exercise 1
  • Identifying different schemas - exercise 2
  • Identifying different modes - exercise 1
  • Identifying different modes - exercise 2
  • Discussing the scores on the YSQ: exercise
  • Diagnostic Imagery exercise
  • Offering care at start of therapy - exercise
  • Providing direction at the start of therapy - exercise
  • Empathic Confrontation - exercise 1
  • Empathic Confrontation - exercise 2
  • Limit setting exercise 1
  • Limit setting exercise 2
  • Schema interactions - exercise
  • Mode interactions - exercise
  • Chairwork: fighting the punitive antagonist - exercise 1
  • Chairwork: fighting the punitive antagonist - exercise 2
  • Dealing with anger-exercise 1
  • Dealing with anger-exercise 2
  • Dealing with anger-exercise 3
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