Arntz Arnoud - Schema therapy in practice : an introductory guide to the schema mode approach

The order of authors is based on alphabetical order

This edition first published in English in 2013

2013

This book is a translated version of: Gitta Jacob and Arnoud Arntz, Schematherapie in der Praxis 2011 BELTZ Psychologie in der Verlagsgruppe Beltz Weinheim, Basel

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Library of Congress Cataloging-in-Publication Data

Arntz, Arnoud.

Schema therapy in practice : an introductory guide to the schema mode approach / Arnoud Arntz, Gitta Jacob.

p. cm.

Includes bibliographical references and index.

ISBN 978-1-119-96285-4 (cloth) ISBN 978-1-119-96286-1 (pbk.) 1. Schema-focused cognitive therapy. 2. Personality disordersTreatment. I. Jacob, Gitta. II. Title.

RC489.S34A76 2013

616.891425dc23

2012017512

A catalogue record for this book is available from the British Library.

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Arnoud Arntz is Professor of Clinical Psychology and Experimental Psychopathology at Maastricht University, the Netherlands. He is Scientific Director of the Universitys Research Center of Experimental Psycho-pathology. He studies psychological theories and therapies for anxiety and personality disorders, and is the principal investigator for a series of multicenter trials investigating the effectiveness of schema therapy for various personality disorders. He also practices CBT and schema therapy.

Gitta Jacob is a Clinical Psychologist, Cognitive and Schema Therapist in the Department of Clinical Psychology and Psychotherapy, University of Freiburg, Germany. She is a founding board member of the International Society for Schema Therapy, and a past Chair of the Working Group on Borderline Personality Disorders at the Department of Psychiatry and Psychotherapy, University Hospital Freiburg.

The authors want to express their thanks to Jeffrey Young, the developer of Schema Therapy, for his teaching and deep insights; as well as to other prominent Schema Therapists who influenced their thinking, including Joan Farrell, Ida Shaw, Hannie van Genderen, and David Bernstein; to their collegues with whom they collaborated in applying and further developing Schema Therapy; and last but not least to their patients who helped them to develop the methods and techniques described in this book. This work was supported by a grant from the Netherlands Institute for Advanced Study in the Humanities and Social Sciences (NIAS) (A.A.) and by the European Social Fund and the Ministry of Science, Research and the Arts Baden-Wrttemberg (G.A.).

Schema therapy is increasingly attracting the attention of therapists and consumers. This is partly based on the good effects reported by various studies, and partly on its appealing basis in the idea that children require fundamental needs to be met in order to develop in a psychologically healthy way. The integration of insights, methods, and techniques derived from a range of schools, including attachment theory, cognitive behavior therapy, and experiential therapies into a comprehensive model formulated in terms of the most prominent current psychological paradigm, the cognitive model, also plays a role. The promise of schema therapy that it can deal with psychological problems largely ignored by mainstream cognitive behavior therapy, such as recurrent problems in intimate relationships and the processing of troublesome memories and patterns from childhood, is attractive. Finally, the finding that schema therapy contributes to real recovery, defined not only by a reduction of symptoms, but by the creation of a life that is satisfying and of high quality, is undoubtedly appealing.

In teaching the model, methods, and techniques, we felt that a book presenting the practical basics of schema therapy for those that want to learn it as a generic method, and not in a specialized form for one disorder, was missing. We therefore decided to write such a book. This book does not compete with other publications on schema therapy, as it doesnt focus on theory or on a specific disorder. It aims to present the basics of the schema-therapy model based on the relatively new schema mode concept. It is basically an extension of our work with schema modes in almost all personality disorders. As we felt that the mode approach could also have application in some axis-I problems, and in milder personality issues, we decided to present the model, methods, and techniques in a generic way, and to use case examples of various disorders and problems.

The book is divided into two parts. The first deals with case conceptualization and consists of three chapters: , Communicating the Mode Concept to the Patient, explains how an individual mode model can be introduced in therapy.

The second part deals with treatment, in six chapters. Each chapter is devoted to one group of modes and is subdivided into sections on cognitive, emotional, and behavioral interventions and the therapeutic relationship. , Strengthening the Healthy-adult Mode, summarizes how the healthy adult mode is explicitly and implicitly developed in schema therapy. It also addresses how the treatment should develop when completion is near, and how to relate with the patient after formal completion of treatment.