WHAT IS SCHEMA THERAPY?
Schema Therapy introduced by Jeffrey E.Young et al.; traditional Cognitive-Behavioral TherapyAlthough it is a significantly expanded version of the system; interpersonal and your vital techniques with the addition of integralhas the feature of therapy system
Other therapy systems affected by schema therapy;
* attachment therapy
* Gestalt therapy
*Object relations therapy
* Constructivist and Psychoanalytic therapy
IN WHICH DISORDERS IS SCHEMA THERAPY FUNCTIONAL?
difficult to treat Borderline Personality Disorderand Narcissistic Personality Disorders It is a therapy system developed to treat patients with chronic characterological problems such as (According to studies conducted in the Netherlands, while the improvement rate of Schema therapy in such patients is 66%, the clinical improvement rate of Transference Focused Psychotherapy, which is another therapy system working in this field, is 46%.)
In addition, schema therapy us; Characterological aspects of chronic psychological problems ( origins of ailments ) to treatIt is designed for k. ( eg; major depression, panic attack, okb ..)
“ schema therapy; chronic depression, anxiety, eating disorders, complicated partner relationship problems, long-term ability to maintain a satisfied close relationshipIt has been proven to be beneficial in the treatment of distress” (Young, 2019 p.25)
“Schema therapy, assist in criminal offensesand preventive in returning to substance usehas happened” (Young 2019 p.25)
Also Schema Therapy self-improvement It also helps us. If we need to talk about them briefly;
being able to say no
Maintaining the diet, providing self-discipline
Ability to establish and maintain healthy communication with others
Ability to decide for yourself
Ability to protect their own rights without making excessive sacrifices
Ability to defend one’s own rights without giving in
Ability to empathize
To stop the habit of procrastination
Ability to adapt to the environment, to take a place in the group without isolating oneself
Ability to combat feelings of imperfection
To be able to express their feelings in a healthy way without suppressing them
Ability to fight the fear of failureetc.
Schema therapy is a resource-focused therapy system rather than symptom-focused. It works through schemas by combining the causes of the problem with past experiences and future concerns. And thus it provides a more lasting effect.
Conditions not treated with schema therapy:
It is not applied in acute and major problems ( schema therapy is applied in full-blown disorders eg; anxiety)
psychoses(in schizophrenia and manic episodes
severe axis 1 disorders(For example, in major depression in the suicidal stage, the first intervention is not therapy, but drug therapy. Therapy is applied when it becomes appropriate for therapy)
Heavy substance use(in cases where the person is not self-aware)
In cases where the problem does not belong to the schema it belongs to the state.
HOW ARE SCHEMES FORM?
Studies have found that 18 main thoughts and emotions are the basis of psychological and psychiatric disorders. Schema therapy has named these 18 root thoughts and emotions ‘Early Mismatched Schemas’. We call each structure a ‘Schema’ for short.
Schema therapy is a therapy system that works deeply with these root thoughts and helps a lot in eliminating and reoccurring the discomfort.
So, how do these structures that emerge in the early stages of our lives and affect our entire lives come into being?
When we look at the reasons for the formation of these schemas that appear in the early period of life, 3 different reasons have been found.
1. Childhood needs(love, justice, trust, and respect) not adequately fulfilled or over-received.
2. Temperamental differences It is as important as whether needs are met or not in the development of schemas. (It consists of 9 different main temperaments and 27 different subtypes. And there are different intensities of emotion, thought and behavior structures that affect each temperament). Even adequate fulfillment of childhood needs may cause the person to feel (with the effect of temperament) that the needs are not sufficiently satisfied.
3. Characteristics of the society in which they live(Some thoughts, feelings and behaviors show social characteristics and are accepted as normal in the society they live in. For example, in our society, a self-sacrificing child is applauded and well-done by the society. This can prepare the environment for the development of the Sacrifice Scheme.)
CHILDHOOD NEEDS DEVELOPED DUE TO CHILDHOOD NEEDS
As a result of not meeting our 4 basic childhood needs, which have been accepted recently, our mind develops ways of coping, namely schemas, in order to meet these needs. Although these copings are beneficial for the development of the soul and protect the soul at the beginning, they form the root for the formation of spiritual problems in the future. Unmet childhood needs and the resulting schemas are:
1. In cases where the Need for Love and Belonging is not adequately met; schemes of emotional deprivation, suppression of emotions, imperfection, and social isolation.
2. The need for respect is not adequately met; failure, entanglement, submissiveness, dependency schema.
3. The need for freedom is not adequately met; inadequate self-control, justification schemes
4. When the need for justice is not adequately met; (pessimism, abandonment, skepticism, vulnerability) and (high standards, punishment, self-sacrifice) conscience schemas.