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Chapter 3 - Schema Therapy Assessment

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

This chapter outlines a range of methods for developing a comprehensive schema therapy assessment, including clinical interview, identification of key problem areas and related therapy goals, functional assessment of key problem areas, self-monitoring forms, mode assessment, questionnaires and psychometric data, diagnostic imagery, and process assessment. The assessment process largely continues throughout the entire therapeutic process, as more information is understood and revealed, allowing for reformulation and fine tuning. Throughout the assessment process the schema therapist suggests possible links between current presenting issues and interpersonal patterns, early attachment processes and schema development. This process is aimed at building rapport through deep attunement and transparency, whilst providing education about schema development, thereby gradually strengthening the client’s capacity to self-reflect. A shared formulation (even if tentative) provides the groundwork for the therapeutic process. It is therefore essential to spend sufficient time exploring childhood and adolescent issues and the way in which these link to presenting issues.

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Chapter
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Publisher: Cambridge University Press
Print publication year: 2023

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References

Siegel, DJ. Aware: The science and practice of presence – a complete guide to the groundbreaking Wheel of Awareness meditation practice. Tarcherperigree; 2018.Google Scholar
Siegel, DJ, Bryson, TP. The whole-brain child: 12 revolutionary strategies to nurture your child’s developing mind. Bantam Books; 2012.Google Scholar
Linehan, M. Skills training manual for treating borderline personality disorder. Guilford Press; 1993.Google Scholar
Farrell, JM, Shaw, IA, Reiss, N. The schema therapy clinician’s guide: A complete resource for building and delivering individual, group and integrated schema mode treatment programs. Wiley; 2014.CrossRefGoogle Scholar
Roediger, E, Stevens, BA, Brockman, R. Contextual schema therapy: An integrative approach to personality disorders, emotional dysregulation, and interpersonal functioning. New Harbinger Publications; 2018.Google Scholar
Haugh, JA, Miceli, M, DeLorme, J. Maladaptive parenting, temperament, early maladaptive schemas, and depression: a moderated mediation analysis. Journal of Psychopathology and Behavioral Assessment. 2017; 39(1):103–16.CrossRefGoogle Scholar
Young, JE, Klosko, JS, Weishaar, ME. Schema therapy. Guilford; 2003.Google Scholar
Kennedy, E. Orchids and dandelions: How some children are more susceptible to environmental influences for better or worse and the implications for child development. Clinical Child Psychology & Psychiatry. 2013; 18(3):319–21.CrossRefGoogle ScholarPubMed
Belsky, M, Pluess, J. Differential susceptibility to rearing experience: the case of childcare. Child Psychology & Psychiatry. 2009; 50(4):396404.Google Scholar
Rothbart, MK, Dweck, CS, Eisenberg, N, Sameroff, AJ, Bates, JE. Becoming who we are: Temperament and personality in development. Guilford Press; 2011.Google Scholar
Cloninger, CR, Svrakic, DM, Przybeck, TR. A psychobiological model of temperament and character. Archives of General Psychiatry. 1993; 50: 975–90.CrossRefGoogle ScholarPubMed
Fuchs, T, Koch, SC. Embodied affectivity: on moving and being moved. Frontiers in Psychology. 2014;5:508.CrossRefGoogle ScholarPubMed
Arntz, A, Rijkeboer, M, Chan, E et al. Towards a reformulated theory underlying schema therapy: Position paper of an international workgroup. Cognitive Therapy and Research. 2021.Google Scholar
Windhorst, E, Williams, A. Growing up, naturally: The mental health legacy of early nature affiliation. Ecopsychology. 2015;7:115–25.CrossRefGoogle Scholar
Groeger, N. Meta needs in the context of schema therapy: Psychometric qualities of a new meta needs questionnaire and relationships with depression, anxiety and schemas. Maastricht Student Journal of Psychology and Neuroscience. 2012;1:6579.Google Scholar
Renye, D. We are the environment: Understanding how when we interpsychically and interpersonally take care and heal ourselves, we aid the evolution of the environment and planet. Presentation at The Annual Meeting of the California Sociological Association; 2007, 17 Nov.; Berkeley, California.Google Scholar
Pilkington, P, Younan, R, Bishop, A. Early maladaptive schemas, suicidal ideation, and self-harm: a meta-analytic review. Journal of Affective Disorders Reports. 2021; 3: 100051.CrossRefGoogle Scholar
van der Mark, W, van Oort, N. The genogram as a tool to break free from Intergenerational Schema Transference in Present Relationships. A presentation at: International Society of Schema Therapy (ISST) Conference; 2014, 14 June; Istanbul, Turkey.Google Scholar
Siegel, DJ. The developing mind. Guilford Press; 1999.Google Scholar
Young, J, Brown, G. (Eds.). Young Schema Questionnaire – Long form 3. Professional Resource Exchange; 2003.Google Scholar
Young, J. Young Schema Questionnaire-3. Cognitive Therapy Center; 2005.Google Scholar
Yalcin, O, Marais, I, Lee, C, Correia, H. Revisions to the Young Schema Questionnaire using Rasch analysis: The YSQ-R. Australian Psychologist. 2022;57:820, DOI: 10.1080/00050067.2021.1979885.CrossRefGoogle Scholar
Kriston, L, Schäfer, J, Jacob, GA, Härter, M, Hölzel, LP. Reliability and validity of the German version of the Young Schema Questionnaire–Short Form 3 (YSQ-S3). European Journal of Psychological Assessment. 2013;29(3):205–12.CrossRefGoogle Scholar
Bach, B, Simonsen, E, Christoffersen, P, Kriston, L. The Young Schema Questionnaire 3 Short Form (YSQ-S3): Psychometric properties and association with personality disorders in a Danish mixed sample. European Journal of Psychological Assessment. 2017; 33(2);134–43.CrossRefGoogle Scholar
Young, J. Young parenting inventory. Cognitive Therapy Center; 1994.Google Scholar
Louis, JP, Wood, AM, Lockwood, G. Psychometric validation of the Young Parenting Inventory – Revised (YPI-R2): Replication and Extension of a commonly used parenting scale in Schema Therapy (ST) research and practice. PloS One. 2018;13(11):e0205605.CrossRefGoogle Scholar
Young, JE, Arntz, A, Atkinson, T, Lobbestael, J, Weishaar, ME, van Vreeswijk, MF. The Schema mode inventory. Schema Therapy Institute; 2007.Google Scholar
Louis, JP, Wood, AM, Lockwood, G, Ho, MH, Ferguson, E. Positive clinical psychology and schema therapy (ST): The development of the Young Positive Schema Questionnaire (YPSQ) to complement the Young Schema Questionnaire 3 Short Form (YSQ-S3). Psychological Assessment. 2018;30(9):1199–213.CrossRefGoogle Scholar
Weathers, FW, Blake, DD, Schnurr, PP et al. The Life Events Checklist for DSM-5 (LEC-5) [Internet]. National Center for PTSD; 2013. Available from: www.ptsd.va.gov/professional/assessment/te-measures/life_events_checklist.aspGoogle Scholar
Holmes, EA, Mathews, A. Mental imagery in emotion and emotional disorders. Clinical Psychology Review. 2010; 30(3):349362.CrossRefGoogle ScholarPubMed
Siegel, D, Hartzell, M. Parenting from the inside out. Penguin; 2004.Google Scholar
Prochaska, JO, DiClemente, CC. Stages and processes of self-change of smoking: Toward an integrative model of change. Journal of Consulting and Clinical Psychology. 1983; 51(3),390–95.CrossRefGoogle ScholarPubMed
Reubsaet, R. Schema therapy – A phase-oriented approach, targeting tasks and techniques in individual and group schema therapy. Pavilion Publishing; 2021.Google Scholar
Simpson, S, Smith, E. Schema therapy for eating disorders: Theory and practice for individual and group settings. Routledge; 2019.CrossRefGoogle Scholar
Edwards, D. Self pity/victim: A surrender schema mode. Schema Therapy Bulletin. 2015;1(1):16.Google Scholar
Edwards, DJ. An interpretative phenomenological analysis of schema modes in a single case of anorexia nervosa: Part 2. Coping modes, healthy adult mode, superordinate themes, and implications for research and practice. Indo-Pacific Journal of Phenomenology. 2017; 17(1):112.Google Scholar

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