Table of Contents Cover Title Copyright About the Authors Acknowledgments Introduction I CASE CONCEPTUALIZATION 1 Basics 1.1 Maladaptive Schemas 1.2 The Focus on Needs 1.3 Schema Coping 1.4 The Schema Mode Model 1.5 FAQ 2 The Mode Concept 2.1 Overview of Schema Modes 2.2 Case Conceptualization with the Mode Model 2.3 Specific Mode Models for Different Personality Disorders 2.4 FAQ 3 Communicating the Mode Concept to the Patient 3.1 Treatment Planning with the Mode Model 3.2 FAQ II TREATMENT 4 Treatment Overview 4.1 Treatment Goals for Individual Modes 4.2 Treatment Techniques 4.3 The Therapeutic Relationship 4.4 FAQ 5 Overcoming Coping Modes 5.1 The Therapeutic Relationship 5.2 Cognitive Techniques 5.3 Emotional Techniques 5.4 Behavioral Techniques 5.5 FAQ 6 Treating Vulnerable Child Modes 6.1 Reparenting and Extra Reparenting in the Therapeutic Relationship 6.2 Cognitive Techniques 6.3 Emotion-Focused Techniques 6.4 Behavioral techniques 6.5 FAQ 7 Treating Angry and Impulsive Child Modes 7.1 The Therapeutic Relationship 7.2 Cognitive Techniques 7.3 Emotional Techniques 7.4 Behavioral Techniques 7.5 FAQ 8 Treating Dysfunctional Parent Modes 8.1 The Therapeutic Relationship 8.2 Cognitive Techniques 8.3 Emotion-Focused Techniques 8.4 Behavioral techniques 8.5 FAQ 9 Strengthening the Healthy Adult Mode 9.1 The Therapeutic Relationship 9.2 Cognitive Techniques 9.3 Emotional Techniques 9.4 Behavioral Techniques 9.5 Terminating Therapy 9.6 FAQ References Index End User License Agreement List of Tables 1 Basics Table 1.1 Early maladaptive schemas (Young et al., 2003) and schema domains Table 1.2 The relationship between schema domains and basic needs 2 The Mode Concept Table 2.1 Mode categories—overview Table 2.2 Schema modes 5 Overcoming Coping Modes Table 5.1 Pros and cons of Susie’s detached protector mode Table 5.2 Pros and cons of Nicole’s bully and attack mode 6 Treating Vulnerable Child Modes Table 6.1 Psychoeducation for vulnerable child modes Table 6.2 Schema flashcard Table 6.3 Imagery rescripting process overview 7 Treating Angry and Impulsive Child Modes Table 7.1 Typical emotions and affects of angry, impulsive, and undisciplined child modes Table 7.2 Typical biographical background factors of angry or impulsive child modes List of Illustrations 2 The Mode Concept Figure 2.1 Phillip’s mode model Figure 2.2 Maria’s mode model Figure 2.3 Jane’s mode model Figure 2.4 Michael’s mode model Figure 2.5 Elisa’s mode model Figure 2.6 Nadine’s mode model Figure 2.7 Peter’s mode model Figure 2.8 Eric’s mode model Figure 2.9 Nicole’s mode model Figure 2.10 Evelyn’s mode model 4 Treatment Overview Figure 4.1 Treatment overview Figure 4.2 Cognitive treatment interventions Figure 4.3 Emotion-focused interventions Figure 4.4 Behavioral interventions Figure 4.5 The therapeutic relationship Schema Therapy in Practice An Introductory Guide to the Schema Mode Approach ARNOUD ARNTZ, PHD* Department of Clinical Psychological Science, Maastricht University, The Netherlands & Netherlands Institute for Advanced Study in the Humanities and Social Sciences, Wassenaar, The Netherlands GITTA JACOB, PHD Department of Clinical Psychology and Psychotherapy, Freiburg University, Germany * 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 Wiley-Blackwell is an imprint of John Wiley & Sons, formed by the merger of Wiley’s global Scientific, Technical and Medical business with Blackwell Publishing. Registered Office John Wiley & Sons Ltd, The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK Editorial Offices 350 Main Street, Malden, MA 02148-5020, USA 9600 Garsington Road, Oxford, OX4 2DQ, UK The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK For details of our global editorial offices, for customer services, and for information about how to apply for permission to reuse the copyright material in this book please see our website at www.wiley.com/wiley- blackwell. The right of Arnoud Arntz and Gitta Jacob to be identified as the authors of this work has been asserted in accordance with the UK Copyright, Designs and Patents Act 1988. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior permission of the publisher. 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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 disorders–Treatment. I. Jacob, Gitta. II. Title. RC489.S34A76 2013 616.89′1425–dc23 2012017512 A catalogue record for this book is available from the British Library. Cover image © cosmin4000/iStockphoto Cover design by www.cyandesign.co.uk