{"id":60,"date":"2019-08-20T13:35:30","date_gmt":"2019-08-20T13:35:30","guid":{"rendered":"https:\/\/gotweb4.co.za\/cbtasa\/schema-therapy\/"},"modified":"2024-01-08T05:31:01","modified_gmt":"2024-01-08T05:31:01","slug":"schema-therapy","status":"publish","type":"page","link":"https:\/\/gotweb4.co.za\/cbtasa\/schema-therapy\/","title":{"rendered":"Schema therapy"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"60\" class=\"elementor elementor-60\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-11296a2 e-con-full e-flex e-con e-parent\" data-id=\"11296a2\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;full&quot;}\" data-core-v316-plus=\"true\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b9bc67f elementor-widget elementor-widget-image\" data-id=\"b9bc67f\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.19.0 - 07-02-2024 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1920\" height=\"498\" src=\"https:\/\/gotweb4.co.za\/cbtasa\/wp-content\/uploads\/2023\/11\/CBTASA-Headers-Third-Generation.png\" class=\"attachment-full size-full wp-image-134\" alt=\"\" srcset=\"https:\/\/gotweb4.co.za\/cbtasa\/wp-content\/uploads\/2023\/11\/CBTASA-Headers-Third-Generation.png 1920w, https:\/\/gotweb4.co.za\/cbtasa\/wp-content\/uploads\/2023\/11\/CBTASA-Headers-Third-Generation-300x78.png 300w, https:\/\/gotweb4.co.za\/cbtasa\/wp-content\/uploads\/2023\/11\/CBTASA-Headers-Third-Generation-1024x266.png 1024w, https:\/\/gotweb4.co.za\/cbtasa\/wp-content\/uploads\/2023\/11\/CBTASA-Headers-Third-Generation-768x199.png 768w, https:\/\/gotweb4.co.za\/cbtasa\/wp-content\/uploads\/2023\/11\/CBTASA-Headers-Third-Generation-1536x398.png 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1e6d7edd e-flex e-con-boxed e-con e-parent\" data-id=\"1e6d7edd\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\" data-core-v316-plus=\"true\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-38eb4e60 elementor-widget elementor-widget-text-editor\" data-id=\"38eb4e60\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.19.0 - 07-02-2024 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<h2 style=\"text-align: center;\"><span style=\"color: #373535;\">Schema Therapy<\/span><\/h2><p>An introduction by David Edwards<\/p><p>The cognitive aspect of CBT is about changing problematic personal meanings.<\/p><p>Often, when we work with cognitive restructuring, the client tells us, \u201cI can see it rationally but I just don\u2019t feel it.\u201d This is usually because of the way the brain is structured: there\u2019s one system that is language-based, and rational and linear (the explicit or propositional system), and another system that\u00a0 is holistic and based on sensory and emotional experiences (the implicit or episodic system).\u00a0<\/p><p>When we do rational analysis and reality testing, we mostly only impact the propositional system.\u00a0 However, problematic emotions and behaviours usually have their origin in the episodic system, which is already running at birth and, among other things, encodes patterns based on attachment experiences.\u00a0\u00a0<\/p><p>When there is insecure or disorganised attachment, these patterns are disturbed, and we call them early maladaptive schemas (EMSs).\u00a0<\/p><p>They arise when the <strong>normal needs of a human infant and small child are not properly met either because of neglectful or abusive parenting or adverse events such as maternal depression or the death of a parent. <\/strong><\/p><p>Schema therapists recognise 18 EMSs and their themes are common in clients\u2019 problematic automatic thoughts:\u00a0<\/p><ul><li>\u201cI\u2019m alone and no-one cares\u201d (Emotional Deprivation)<\/li><li>\u201cAs soon as you get close, they leave\u201d (Abandonment)<\/li><li>\u201cPeople just want to get the better of you\u201d (Mistrust\/Abuse)<\/li><li>\u201cThere\u2019s something wrong with me, I\u2019m never good enough\u201d (Defectiveness\/Shame)<\/li><li>\u201cI have to do my very best at all times\u201d (Unrelenting Standards).<\/li><\/ul><p>If those don\u2019t shift with rational analysis, we probably need to find a way to effect change in the underlying episodic memory system where they are encoded.\u00a0<\/p><p><strong>How do we do this?<\/strong><\/p><p>Schema therapists use emotion-focused techniques to activate the underlying schemas and then employ imagery re-scripting to provide corrective experiences.<\/p><p>The memories in which these beliefs are embedded are usually interpersonal &#8211; they are memories of a child whose needs are not being met. This means providing corrective experiences in which the child\u2019s needs are met \u2013 whether the need for nurturing care, for empathic understanding, for protection from mistreatment or for guidance and support for the development of autonomy.\u00a0<\/p><p><strong>The child in the memory needs to be re-parented to counteract the failure of the parents to meet the child\u2019s needs in the first place. <\/strong><\/p><p><strong>Finding new roles<\/strong><\/p><p>In the re-script, the role of parent is taken by the therapist, or the client\u2019s adult self or by other caring people in the client\u2019s life. The therapist also offers a warm re-parenting relationship to the client throughout the therapy process \u2013 in contrast to the more functional and business-like relationship we find in some CBT approaches.<\/p><p>Schema therapists use all the evidence-based CBT interventions, but when these don\u2019t work, we move to working at the early schema level.<\/p><p>In due course, clients are ready to work with cognitive and behaviour change again \u2013 a phase we call <strong>behavioural pattern breaking<\/strong>. \u00a0<\/p><p>Schema therapy is a system that integrates relational work and emotion-focused work &#8211; often using imagery and chairwork &#8211; with cognitive and behavioural methods.<\/p><p>By accessing the implicit meaning system and understanding the problematic patterns embedded there, it provides an approach to conceptualising cases that can guide treatment decisions in working with complex cases where there are, for example, personality disorders and a history of childhood neglect and\/or trauma.<\/p><p><a href=\"https:\/\/gotweb4.co.za\/cbtasa\/third-generation\/\"><img decoding=\"async\" class=\"alignnone wp-image-34 size-full\" src=\"https:\/\/gotweb4.co.za\/cbtasa\/wp-content\/uploads\/2019\/08\/CBTATA-Buttons-Back-To-List.png\" alt=\"\" width=\"210\" height=\"34\" \/><\/a><\/p><p><img decoding=\"async\" class=\" size-full wp-image-58\" style=\"display: block; margin-left: auto; margin-right: auto;\" src=\"https:\/\/gotweb4.co.za\/cbtasa\/wp-content\/uploads\/2019\/08\/STISA_new_logo.png\" width=\"350\" srcset=\"https:\/\/gotweb4.co.za\/cbtasa\/wp-content\/uploads\/2019\/08\/STISA_new_logo.png 1100w, https:\/\/gotweb4.co.za\/cbtasa\/wp-content\/uploads\/2019\/08\/STISA_new_logo-300x114.png 300w, https:\/\/gotweb4.co.za\/cbtasa\/wp-content\/uploads\/2019\/08\/STISA_new_logo-1024x388.png 1024w, https:\/\/gotweb4.co.za\/cbtasa\/wp-content\/uploads\/2019\/08\/STISA_new_logo-768x291.png 768w\" sizes=\"(max-width: 1100px) 100vw, 1100px\" \/><\/p><p><img decoding=\"async\" class=\" size-full wp-image-59\" style=\"display: block; margin-left: auto; margin-right: auto;\" src=\"https:\/\/gotweb4.co.za\/cbtasa\/wp-content\/uploads\/2019\/08\/STISA_letterhead_2019.png\" width=\"500\" srcset=\"https:\/\/gotweb4.co.za\/cbtasa\/wp-content\/uploads\/2019\/08\/STISA_letterhead_2019.png 951w, https:\/\/gotweb4.co.za\/cbtasa\/wp-content\/uploads\/2019\/08\/STISA_letterhead_2019-300x111.png 300w, https:\/\/gotweb4.co.za\/cbtasa\/wp-content\/uploads\/2019\/08\/STISA_letterhead_2019-768x284.png 768w\" sizes=\"(max-width: 951px) 100vw, 951px\" \/><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a12f684 e-flex e-con-boxed e-con e-parent\" data-id=\"a12f684\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\" data-core-v316-plus=\"true\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-efdda87 elementor-widget elementor-widget-spacer\" data-id=\"efdda87\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.19.0 - 07-02-2024 *\/\n.elementor-column .elementor-spacer-inner{height:var(--spacer-size)}.e-con{--container-widget-width:100%}.e-con-inner>.elementor-widget-spacer,.e-con>.elementor-widget-spacer{width:var(--container-widget-width,var(--spacer-size));--align-self:var(--container-widget-align-self,initial);--flex-shrink:0}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container,.e-con>.elementor-widget-spacer>.elementor-widget-container{height:100%;width:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer{height:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner{height:var(--container-widget-height,var(--spacer-size))}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty,.e-con>.elementor-widget-spacer.elementor-widget-empty{position:relative;min-height:22px;min-width:22px}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon,.e-con>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon{position:absolute;top:0;bottom:0;left:0;right:0;margin:auto;padding:0;width:22px;height:22px}<\/style>\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b2f6b1f elementor-widget elementor-widget-text-editor\" data-id=\"b2f6b1f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Beth Cooper Howell Proof reader\/copy editor<br \/>SAFREA SAF 00748<\/p><p><strong>Contributions by<\/strong><br \/>Prof David Edwards<br \/>Dr Linda Blokland<br \/>Matthew Watkin<br \/>Edgar Tyrone<br \/>Bertus Swanepoel<br \/>Dr Shane Pienaar-Du Bruyn<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Schema Therapy An introduction by David Edwards The cognitive aspect of CBT is about changing problematic personal meanings. Often, when we work with cognitive restructuring, the client tells us, \u201cI can see it rationally but I just don\u2019t feel it.\u201d This is usually because of the way the brain is structured: there\u2019s one system that [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":34,"parent":0,"menu_order":28,"comment_status":"closed","ping_status":"closed","template":"","meta":{"ocean_post_layout":"","ocean_both_sidebars_style":"","ocean_both_sidebars_content_width":0,"ocean_both_sidebars_sidebars_width":0,"ocean_sidebar":"","ocean_second_sidebar":"","ocean_disable_margins":"enable","ocean_add_body_class":"","ocean_shortcode_before_top_bar":"","ocean_shortcode_after_top_bar":"","ocean_shortcode_before_header":"","ocean_shortcode_after_header":"","ocean_has_shortcode":"","ocean_shortcode_after_title":"","ocean_shortcode_before_footer_widgets":"","ocean_shortcode_after_footer_widgets":"","ocean_shortcode_before_footer_bottom":"","ocean_shortcode_after_footer_bottom":"","ocean_display_top_bar":"default","ocean_display_header":"default","ocean_header_style":"","ocean_center_header_left_menu":"","ocean_custom_header_template":"","ocean_custom_logo":0,"ocean_custom_retina_logo":0,"ocean_custom_logo_max_width":0,"ocean_custom_logo_tablet_max_width":0,"ocean_custom_logo_mobile_max_width":0,"ocean_custom_logo_max_height":0,"ocean_custom_logo_tablet_max_height":0,"ocean_custom_logo_mobile_max_height":0,"ocean_header_custom_menu":"","ocean_menu_typo_font_family":"","ocean_menu_typo_font_subset":"","ocean_menu_typo_font_size":0,"ocean_menu_typo_font_size_tablet":0,"ocean_menu_typo_font_size_mobile":0,"ocean_menu_typo_font_size_unit":"px","ocean_menu_typo_font_weight":"","ocean_menu_typo_font_weight_tablet":"","ocean_menu_typo_font_weight_mobile":"","ocean_menu_typo_transform":"","ocean_menu_typo_transform_tablet":"","ocean_menu_typo_transform_mobile":"","ocean_menu_typo_line_height":0,"ocean_menu_typo_line_height_tablet":0,"ocean_menu_typo_line_height_mobile":0,"ocean_menu_typo_line_height_unit":"","ocean_menu_typo_spacing":0,"ocean_menu_typo_spacing_tablet":0,"ocean_menu_typo_spacing_mobile":0,"ocean_menu_typo_spacing_unit":"","ocean_menu_link_color":"","ocean_menu_link_color_hover":"","ocean_menu_link_color_active":"","ocean_menu_link_background":"","ocean_menu_link_hover_background":"","ocean_menu_link_active_background":"","ocean_menu_social_links_bg":"","ocean_menu_social_hover_links_bg":"","ocean_menu_social_links_color":"","ocean_menu_social_hover_links_color":"","ocean_disable_title":"default","ocean_disable_heading":"default","ocean_post_title":"","ocean_post_subheading":"","ocean_post_title_style":"","ocean_post_title_background_color":"","ocean_post_title_background":0,"ocean_post_title_bg_image_position":"","ocean_post_title_bg_image_attachment":"","ocean_post_title_bg_image_repeat":"","ocean_post_title_bg_image_size":"","ocean_post_title_height":0,"ocean_post_title_bg_overlay":0.5,"ocean_post_title_bg_overlay_color":"","ocean_disable_breadcrumbs":"default","ocean_breadcrumbs_color":"","ocean_breadcrumbs_separator_color":"","ocean_breadcrumbs_links_color":"","ocean_breadcrumbs_links_hover_color":"","ocean_display_footer_widgets":"default","ocean_display_footer_bottom":"default","ocean_custom_footer_template":"","footnotes":""},"class_list":["post-60","page","type-page","status-publish","has-post-thumbnail","hentry","entry","has-media"],"_links":{"self":[{"href":"https:\/\/gotweb4.co.za\/cbtasa\/wp-json\/wp\/v2\/pages\/60","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/gotweb4.co.za\/cbtasa\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/gotweb4.co.za\/cbtasa\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/gotweb4.co.za\/cbtasa\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/gotweb4.co.za\/cbtasa\/wp-json\/wp\/v2\/comments?post=60"}],"version-history":[{"count":9,"href":"https:\/\/gotweb4.co.za\/cbtasa\/wp-json\/wp\/v2\/pages\/60\/revisions"}],"predecessor-version":[{"id":372,"href":"https:\/\/gotweb4.co.za\/cbtasa\/wp-json\/wp\/v2\/pages\/60\/revisions\/372"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/gotweb4.co.za\/cbtasa\/wp-json\/wp\/v2\/media\/34"}],"wp:attachment":[{"href":"https:\/\/gotweb4.co.za\/cbtasa\/wp-json\/wp\/v2\/media?parent=60"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}