Summary: Psychological Interventions For Complex Problems

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  • 1 Schema therapy

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  • Early Maladaptive Schema's (EMS)

    Broad, pervasive pattern of memories, emotions, cognitions and physical sensations, developed during childhood
  • Four categories schema modes

    Child modes, coping modes, parent modes, healthy adult mode
  • Schema/coping/mode

    Schema: developed during childhood
    Coping: response to schema
    Schema+ coping =  mode: temporary way of being
  • Modes borderline PD (5)

    Punititive parent, detached protector, furious child, vulnerable child, healthy adult
  • Modes narcisstic PD (6)

    Self-aggrandizer, vulnerable child, detached self-sustainer, demanding parent, healthy adult, happy child
  • Modes cluster C personality (5)

    Compliant surrender, detached protector, vulnerable child, punititive parent, overcompensator
  • 2 Literature ST

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  • Conclusie Arntz et al: schema therapy

    ST is increasingly popular, low dropout rates, therapeutic relationship and schema mode model
  • Conclusie Arntz et al: reformulated theory Schema therapy

    Add two emotional needs to the original 5 core needs: need for self-coherence and need for fairness, leading to three new EMS: lack of coherent identity, lack of meaningful world, and unfairness
  • Young: three ways of coping with EMS activation + reformulation of Arntz et al

    -surrender (accepting EMS as if it's true)
    -avoidance (avoiding or escaping EMS)
    -overcompensation (fighting EMS by believing opposite is true)

    Arntz et al: resignation instead of surrender, avoidance, inversion instead of overcompensation
  • Renner et al: treatment chronic depression ST conclusion

    Risk factors depression: early adversity, cognitive factors, personality pathology, interpersonal factors
    ST targets these underlying risk factors
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