Schema Therapy

hnd

Padawan Learner
In addition to other books I'm reading, I recently have started to read this book: Schema Therapy by Jeffrey E. Young and so far I've had the impression that it helps me understand my programs as well as others' and offers some useful ways to cope with them. The idea behind the book is summarized here:

The 5 Schema Domains relate to the basic emotional needs of a child. When these needs are not met in childhood, schemas develop that lead to unhealthy life patterns. The 18 schemas are grouped into 5 broad schema domains, on the basis of which core needs the schema is related to.

Coping Styles are the ways the child adapts to schemas and to damaging childhood experiences. For example, some children surrender to their schemas; some find ways to block out or escape from pain; while other children fight back or overcompensate.

Schema Modes are the moment-to-moment emotional states and coping responses that we all experience. Often our schema modes are triggered by life situations that we are oversensitive to (our "emotional buttons"). Many schema modes lead us to overreact to situations, or to act in ways that end up hurting us.

And more details can be found here:

http://www.schematherapy.com/id73.htm
 
I've read one of his books. It thought it was extremely useful, combining cognitive therapy with other therapies. It made perfect sense to me! In fact, I'm still doing the "exercises" of the book :) I wrote about it here:

http://www.cassiopaea.org/forum/index.php?topic=13657.msg102492#msg102492

There also therapies that combine several methods so it will have a more integrative approach. For example, Jeffrey E. Young, Ph.D. and Janet S. Klosko, Ph.D. wrote a book about it, titled "Reinventing Your Life: The Breakthough Program to End Negative Behavior...and Feel Great Again" which includes cognitive, behavioral, psychoanalytic, and experiential therapies, while maintaining the problem solving focus of cognitive therapy. I read it a few months ago and found it very useful, I started to do their exercises to change negative patterns and have done 1 exercise per month (or more), I still have two more exercises to go which will take probably the rest of the year, or more. Patience pays
 
Hi hnd and Psyche. Thank you for this thread. I'm also aware of Schematherapy. In fact, I had made a post I titled "Snapshots and Cognitive Schemas" but didn't post it yet. I read the site that hnd linked, but this actually comes from another related book I've read called "Principles and Practice of Stress Management" and starts about page 467. So, in case it's interesting, here is an excerpt:

Snapshots and Cognitive Schemas (assumptions made, cues picked up?) p.467

NOTES:
1. Schemas are cognitive structures for screening, coding, and evaluating experiences. Their content consists of unconditional core beliefs (e.g., “I’m no good”; “Others can’t be trusted”; “Effort does not pay off”) that are derived from previous experience. Schemas typically operate outside of the individual’s awareness and often are not clearly verbalized.

2. For a detailed discussion of methods for identifying dysfunctional cognitions, see Beck (1995, Ch. 6).

The individual’s construction of a particular situation may be likened to taking a snapshot. In taking a photograph, the individual scans the relevant environment and then focuses on specific aspects of the situation. The photograph reduces a three-dimensional situation to two dimensions and consequently sacrifices a great deal of information; it also may introduce a certain amount of distortion. Similarly, in perceiving a particular event, the cognitive set influences the “picture” obtained by an individual. Whether the mental image or conception is broad or narrow, clear or blurred, accurate or distorted depends on the characteristics of the existing cognitive set. The individual’s cognitive set automatically determines which aspects are to be magnified, which minimized, and which excluded.

It is probable that a person takes a series of “pictures” before reaching a final conceptualization. The first “shot” of an event provides a very basic appraisal of the situation—whether it is likely to be pleasant, neutral, or noxious and whether it directly affects the individual’s vital interests. This first “shot” provides feedback that either reinforces or modifies the preexisting cognitive set.

If the initial appraisal is that the situation affects the individual’s vital interests, he or she shows a “critical response.” One type of critical response is the “emergency response.” This response is activated when the individual perceives a threat to his or her survival, domain, individuality, functioning, status, or attachments—that is, attack, depreciation, encroachment, thwarting, abandonment, rejection, or deprivation. Another type of critical response occurs when the individual perceives an event as increasing or facilitating self-enhancement—the attainment of personal goals, exhibitionism, or receiving admiration.

An essential feature of the critical response is that it is egocentric. The situation is conceptualized in terms of “How does it affect me?” The immediate interests of the individual are central in the conceptualization, and the details are selected and molded (or distorted) to focus solely on self-interest. The critical response tends to be simplistic and to focus on situations that were of central importance in more primitive times—physical danger, predation, social bonding, and so forth. Generally, the critical response tends to be overly inclusive. Events that actually are not related to issues of personal identity, survival, or self-enhancement may be perceived as though they are relevant to these issues.

For our present purpose, let us assume that the individual’s first impression of a situation is that it is noxious. This appraisal activates a particular mode (assembly of schemas), which is used to refine the classification of the stimulus situation. The initial impression of a situation fits into the category of “primary appraisal” (Lazarus, 1966). If the primary appraisal is that the situation is noxious, successive “reappraisals” are made to provide immediate answers to a series of questions:

1. Is the noxious stimulus a threat to the individual or his or her interests?
2. Is the threat concrete and immediate or abstract, symbolic, and remote?
3. What is the content and magnitude of the threat?
a. Does it involve possible physical damage to the individual?
b. Is the threat of a psychosocial nature—for example, disparagement or devaluation?
c. Does the threat involve violation of some rules that the individual relies on to
protect his or her integrity or interest?

At the same time that the nature of the threat is being evaluated, the individual is assessing his or her resources for dealing with it.

This assessment, labeled “secondary appraisal” by Lazarus (1966), aims to provide concrete information regarding the individual’s coping mechanisms and ability to absorb the impact of any assault. The final picture or construction of the noxious situation is based on an equation that takes into account the amount and the probabilities of damage inherent in the threat as opposed to the individual’s capacity to deal with it (the “risk–resources equation”). These assessments are not cool, deliberate computations but to a large degree are automatic. The equation is based on highly subjective evaluations that are prone to considerable error; two individuals with similar coping capacities might respond in a vastly different manner to the same threatening situation.

If the risk is judged to be high in relation to the coping resources available, the individual is mobilized to reduce the degree of threat through avoidance or escape (“flight reaction”), preparing for defense, or self-inhibition (“freezing”). If the individual judges the threat to be low in relation to available coping mechanisms, he or she is mobilized to eliminate or deflect the threat (“fight reaction”).

Another type of critical response, as noted earlier, occurs when the stimulus situation is perceived as potentially self-enhancing. For example, a person is challenged or invited to compete for a prize. The person then makes rapid evaluations of the desirability of the goal, his or her capacity for reaching it, and the costs to him or her in terms of expenditure of time, energy, and sacrifice of other goals. These factors may be reduced to a cost– benefit ratio analogous to the risk–resources ratio. The final construction of the stimulus situation determines whether or not the person accepts the challenge or invitation and, consequently, whether or not the person becomes mobilized to attain the goal.

The processes involved in the critical response are automatic, involuntary, and typically not within awareness. Because of the exclusionary and categorical nature of thinking at this primitive level, critical responses are typically based on a one-sided, exaggerated view of the stimulus situation.

As pointed out by Bowlby (1981), current studies of human perception show that before a person is aware of seeing or hearing a stimulus, the sensory inflow coming through the eyes or ears has already passed through many stages of selection, interpretation, and appraisal. This processing is done at extraordinary speeds, almost all of it is outside awareness, and it is quite selective. Many potentially relevant aspects of the stimulus situation are excluded in the course of this initial processing. The criteria applied to sensory inflow that determine what information is to be accepted and what is to be excluded reflect what appears to be in the person’s best interests at any one time. Thus, when a person is hungry, information regarding food is given priority, whereas other information that might ordinarily be useful is excluded. However, some aspects of the situation take precedence over others. Bowlby (1981) writes that, should the individual perceive danger, priorities would immediately change so that input concerned with issues of danger and safety would take precedence and input concerned with food would temporarily be excluded. He asserts that this change regarding which inputs are accepted and which are excluded is effected by systems that are central to cognitive organizations. Of course, not all stimuli are interpreted as noxious, and not all psychophysiological reactions are “fight” or “flight.”

Depending on the kind of appraisal, a host of different reactions may be stimulated by a given situation. These reactions may range from a wish to engage in some recreational activity to a desire to undertake a dangerous mission. They have a common theme, however: The individual is mobilized to engage in some kind of action. For a variety of reasons, he or she may not yield to the desire, wish, or drive; nonetheless, the mobilization has a powerful effect. Recent writings have emphasized the emotional response to a stressful stimulus but have largely neglected the importance of the motivated response.
 
I was reading a guide of schema therapy for psychologists. It is more intellectual, for example:

Jeffrey E. Young, Cognitive Therapy for Personality Disorders: A Schema-Focused Approach. Third Edition.

Disconnection and Rejection (Expectation that one's needs for security, safety, stability, nurturance, empathy, sharing of feelings, acceptance, and respect will not be met in a predictable manner. Typical family origin is detached, cold, rejecting, withholding, lonely, explosive, unpredictable, or abusive.)

Impaired autonomy and performance: Expectations about oneself and the environment that interfere with one's perceived ability to separate, survive, function independently, or perform successfully. Typical family of origin is enmeshed, undermining of child's confidence, overprotective, or failing to reinforce child for performing competently outside the family.

Impaired limits: Deficiency in internal limits, responsibility to others, or long-term goal-orientation. Leads to difficulty respecting the right of others, cooperating with others, making commitments, or setting and meeting realistic personal goals. Typical family origin is characterized by permissiveness, overindulgence, lack of direction, or a sense of superiority—rather than appropriate confrontation, discipline, and limits in relation to taking responsibility, cooperating in a reciprocal manner, and setting goals. In some cases, child may not have been pushed to tolerate normal levels of discomfort or may not have been given adequate supervision, direction, or guidance.

Other-directiveness: An excessive focus on the desires, feelings, and responses of others, at the expense of one's own needs-- in order to gain love and approval, maintain one's sense of connection, or avoid retaliation. Usually involves suppression and lack of awareness regarding one's own anger and natural inclinations. Typical family origin is based on conditional acceptance: children must suppress important aspects of themselves in order to gain love, attention, and approval. In many such families, the parents' emotional needs and desires—or social acceptance and status—are valued more than the unique needs and feelings of each child.

But I thought their self-help book was more friendly and easier to relate to.
 
But I thought their self-help book was more friendly and easier to relate to.

The one I'm reading (a translated version) is Schema Therapy: A Practitioner's Guide ( written by Jeffrey E. Young PhD , Janet S. Klosko Phd and Marjorie E. Weishaar Phd.) and although written for therapists, it is pretty clear and easy to understand. Besides, it examines the schemas of therapists as well and that is something I liked about the book and I'm curious about the self-help book version. Thank you, Psyche, for mentioning it.

If the initial appraisal is that the situation affects the individual’s vital interests, he or she shows a “critical response.” One type of critical response is the “emergency response.” This response is activated when the individual perceives a threat to his or her survival, domain, individuality, functioning, status, or attachments—that is, attack, depreciation, encroachment, thwarting, abandonment, rejection, or deprivation. Another type of critical response occurs when the individual perceives an event as increasing or facilitating self-enhancement—the attainment of personal goals, exhibitionism, or receiving admiration.

An essential feature of the critical response is that it is egocentric. The situation is conceptualized in terms of “How does it affect me?” The immediate interests of the individual are central in the conceptualization, and the details are selected and molded (or distorted) to focus solely on self-interest. The critical response tends to be simplistic and to focus on situations that were of central importance in more primitive times—physical danger, predation, social bonding, and so forth. Generally, the critical response tends to be overly inclusive. Events that actually are not related to issues of personal identity, survival, or self-enhancement may be perceived as though they are relevant to these issues.

Thank you for the excerpt,Bud. The language is highly intellectual and one need some background information to grasp it better I guess, but this part above seems to shed light at the roots of self-importance-to some extent.
 
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