13

Treatment Methods (Fach) / L5 (Lektion)

Diese Lektion wurde von tklmn erstellt.

Lektion lernen

Diese Lektion ist leider nicht zum lernen freigegeben.

zurück  |  weiter 1 / 1

• Schematherapy Integrative psychotherapy that blends elementsfrom cognitive-behavioural, client-centered,psychodynamic and attachment theory Expands on traditional CBT: greater emphasis onexploring childhood and adolescent origins ofpsychological problems, emotive techniques,therapist-patient relationship and maladaptivecoping styles Effective for patients with personality disorders orsignificant characterological issuesthat underlie their Axis I disorder
• Schematherapy patients - are unable or unwilling to comply with CBTprocedures- are unable to access cognitions and emotions,avoidance- have distorted thoughts and self-defeatingbehaviours are extremely resistant to modificationby CBT techniques, rigidity- Have difficulty forming the therapeutic alliance,lifelong disturbances in relationships- present vague, chronic
• Early Maladaptive Schemas • Self-defeating emotional and cognitivepatterns that begin early in ourdevelopment and repeat throughout life.• Maladaptive behaviour develops as aresponse to a schema• Schema’s are influenced by biological,psychological, social and cultural factors• Schema feels ‘right’• Dysfunctionality appears later in life
• Schemas result from 5 unmet core emotional needs in childhood: 1. Secure attachment to others2. Autonomy, competence and sense of identity3. Freedom to express valid needs and emotions4. Spontaneity and play5. Realistic limits and self-control
• Schemas result from emotional temperament Labile – nonreactive Passive – aggressive Dysthymic – optimistic Irritable – cheerful Anxious – calm Shy – sociable Obsessive – distractable
• Three primary mechanisms the patient does to keep the schema going 1. Cognitive distortion: misinterpret situationsso that schema is reinforced, accentuatinginformation that confirms and minimizinginformation that contradicts.Affectively block emotions 2. Self-defeating life patterns:unconsciously selecting and remaining insituations and relationships that trigger andperpetuate the schema, while avoidingrelationships that are likely to healthe schema. 3. Maladaptive coping styles:• Surrender: yield to schema, accept theschema is true, act in a way to confirm theschema• Avoidance: try to arrange their lives so thatthe schema is never activated, avoid thinkingabout the schema• Overcompensation: try to fight the schema bythinking, feeling, behaving and relating asthough the opposite of theschema is true
• Coping style collection of copingresponses that an individualcharacteristically uses to surrender, avoidor overcompensate
• Coping response : the specific behaviouran individual is exhibiting at a given pointin time
• Schema operations: healing Is the ultimate goal of schema therapyDiminishing the intensity of the memoriesconnected to the schema, the schema’semotional charge, the strength of the bodilysensation and the maladaptive cognitions.Also involves behaviour changeSchema never disappears: becomesactivated less often, affect lessintense and does not last as long
• Modes Moment to moment emotional statesand coping responsive (adaptive andmaladaptive) that we experienceOften triggered by life situations that weare oversensitive to
• Anzeige
• Child modes vulnerable child, angry child,impulsive child, happy child
• Dysfunctional coping modes – surrender: compliant surrenderer– avoidance: detached protector– overcompensation: overcompensator
• Dysfunctional parent modes: – punitive parent– demanding parent

zurück  |  weiter 1 / 1