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Chapter 7 - Intervention Strategies for Schema Healing 2

Cognitive Strategies

from Part II - The Model of Schema Therapy in Practice

Published online by Cambridge University Press:  27 July 2023

Robert N. Brockman
Affiliation:
Australian Catholic University
Susan Simpson
Affiliation:
NHS Forth Valley and University of South Australia
Christopher Hayes
Affiliation:
Schema Therapy Institute Australia
Remco van der Wijngaart
Affiliation:
International Society of Schema Therapy
Matthew Smout
Affiliation:
University of South Australia
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Summary

Cognitive techniques in schema therapy make use of an array of methods traditionally drawn from cognitive-behavioral therapy (CBT) but which focus on the ‘schema’ or ‘mode’ level. However, in clients with more chronic presentations (e.g. those with a personality disorder), the healthy part as addressed in traditional CBT is often not sufficiently developed. Cognitive methods and techniques in schema therapy therefore need to be adjusted to the particular mode being targeted and must take into account the limited capacity for rational, reflective processing often seen during the initial phases of therapy. Socratic dialogue, for example, might not prove effective when addressing a Parent mode in the start phase of therapy. Frequently used cognitive techniques in the early phase of schema therapy focus on developing awareness of activated schemas or modes through the use of psychoeducation, using the white board or flip-over to reformulate emotional experiences into modes, and the use of cognitive ‘schema’ or ‘mode’ diaries. In the later stages of therapy cognitive techniques are used to change the beliefs in activated schemas or modes. This can include simple (e.g. listing pros and cons of a coping mode) or more complex techniques (e.g. Socratic dialogue).

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Publisher: Cambridge University Press
Print publication year: 2023

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