Handboek klinische schematherapie

Muste, Eelco H.; Weertman, Anoek; Claassen, Anne-Marie

doi:10.1007/978-90-313-7206-5

Cited by 14 publications

(5 citation statements)

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“…These results are particularly noteworthy considering the patient cohort in this study, in which 94% of participants had two or more clinical disorders, including PDs, and 70% had at least three clinical disorders, with an average of 6 years of prior treatment experience, indicating the severity of their problems. This aligns with the inclusion criteria for day treatment as defined by Muste, Weertman, and Claassen (2009). In contrast, Bamelis et al.…”

Section: Discussionsupporting

confidence: 77%

“…Inpatient or day treatment is recommended for individuals with severe problems, absence of social roles and networks or after multiple unsuccessful outpatient treatments and for patients with system‐related hindrances to growth or change and severe attachment issues requiring a secure clinical environment. Day and inpatient treatments emphasize diverse multidisciplinary approaches to foster multiple opportunities for change (Muste, Weertman, and Claassen 2009).…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of Day Treatment Group Schema Therapy for Personality Disorders: A Multiple Baseline Single‐Case Study

van Houten,

Bouwmeester,

Bachrach

2024

Clin Psychology and Psychoth

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BackgroundSchema therapy is effective for most outpatients with personality disorders (PDs). However, a subgroup does not sufficiently benefit from outpatient programmes. Despite its common clinical use, a thorough evaluation of day treatment group schema therapy (GST) is lacking.AimsThis study aimed to investigate the effectiveness of day treatment GST for patients with PDs.Methods and ProceduresNegative core beliefs were the primary outcome in a multiple baseline single‐case design, measured weekly before and during 30 weeks of day treatment GST. Secondary outcomes included severity of primary PD, early maladaptive schemas (EMS), schema modes and general psychopathology measured before and after day treatment GST. Intervention effects were evaluated through visual inspection and randomization test analysis, with a reliable change index calculated for the secondary outcome measures.Outcomes and ResultsA total of 79% of treatment completers showed a significant positive effect of day treatment GST with large effect sizes (Cohen's d: 0.96–10.04). Secondary outcomes supported these findings: 56% had a significant decrease in the severity of primary PD and 53% in general psychopathology. In addition, 63% of EMS and 72% of schema modes (87.5% for functional schema modes) showed significant positive reliable changes.Conclusions and ImplicationsThis is the first empirical study that demonstrated the effectiveness of day treatment GST in patients with severe PDs. Day treatment GST can serve as a stepped care treatment option for nonresponsive patients in outpatient programmes. Further randomized controlled (cost‐)effectiveness research is necessary to substantiate these findings and investigate the specific patient populations for which day treatment is essential.

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Section: Discussionsupporting

confidence: 77%

Section: Introductionmentioning

confidence: 99%

Effectiveness of Day Treatment Group Schema Therapy for Personality Disorders: A Multiple Baseline Single‐Case Study

van Houten,

Bouwmeester,

Bachrach

2024

Clin Psychology and Psychoth

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“…Thanks to the improved contact with deeper feelings, by pursuing a healthy internal dialogue, a more stable sense of self can emerge as well as better contact with oneself and others. In order to gain control of the other modes, it is important that the Healthy Adult confirms the vulnerable child mode, consoles and sets limits to the angry child mode, and neutralizes the punitive parent mode (Muste et al, 2009).…”

Section: Healthy Ego Functions Linked To Art Therapy Interventionsmentioning

confidence: 99%

Strengthening the Healthy Adult Self in Art Therapy: Using Schema Therapy as a Positive Psychological Intervention for People Diagnosed With Personality Disorders

Haeyen

2019

Front. Psychol.

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This article reviews recent theoretical contributions and studies about art therapy that attempt to capture aspects of healthy ego functioning and presents an inventory of art therapy interventions to strengthen the Healthy Adult. It discusses how art therapy can offer interventions that focus specifically and directly on the integration and growth of the whole person, and which interventions are suitable for this purpose in the treatment of people diagnosed with severe personality disorders. A link is made between the Healthy Adult as a familiar concept from Schema Therapy, and Positive Psychology, with its focus on well-being, strength and positive affect. On the basis of our present knowledge, available studies and experiences, art therapy seems promising in contributing to the development of Healthy Adult functioning. Art therapy addresses the different areas of healthy adult functioning. Specific art therapy interventions are discussed on a concrete level. Art therapy appears to offer ways to strengthen the Healthy Adult and helps people to free themselves from destructive patterns and to work on satisfying their basic needs as independent and responsibly functioning individuals in a positive connectedness with themselves and their surroundings. The strength of art therapy may be the experiential level and the appeal to the capacity to play, to flexibility, and to be creative. This makes experiences easier to reach, and developing from there into a Healthy Adult mode is possible in a manner that is more felt than thought. Creativity can be regarded as the ability of the Healthy Adult to be flexible and to find different solutions to a problem. This appeal of art therapy fits well the therapeutic goal of empowerment and well-being, which is at the heart of positive psychology. More research is needed to verify the effects and working mechanisms of art therapy interventions.

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“…On the other hand, Arts therapies incorporate a broader range of experiential methods, and are more focused on experiential as opposed to verbal learning, compared to standard ST. Recently, some Arts therapists have begun to integrate elements of ST into their work (Griffith, 2003a;Muste, Weertman & Claassen, 2009). The schema mode model appears to provide a useful conceptual framework for Arts therapies, given that Arts therapies use a variety of media (e.g., drama, music, dance) to evoke and reprocess emotions (Muste et al, 2009).…”

Section: Introductionmentioning

confidence: 99%

“…Recently, some Arts therapists have begun to integrate elements of ST into their work (Griffith, 2003a;Muste, Weertman & Claassen, 2009). The schema mode model appears to provide a useful conceptual framework for Arts therapies, given that Arts therapies use a variety of media (e.g., drama, music, dance) to evoke and reprocess emotions (Muste et al, 2009). From an ST perspective, the methods used by Arts therapists can be conceptualized as "mode evoking techniques" -techniques for evoking emotional states ("schema modes") that may be more difficult to access via conventional therapies.…”

Section: Introductionmentioning

confidence: 99%

Emotional states, crime and violence : a schema therapy approach to the understanding and treatment of forensic patients with personality disorders

Vos

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People interested in the research are advised to contact the author for the final version of the publication, or visit the DOI to the publisher's website.• The final author version and the galley proof are versions of the publication after peer review.• The final published version features the final layout of the paper including the volume, issue and page numbers. Link to publication General rightsCopyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.• Users may download and print one copy of any publication from the public portal for the purpose of private study or research. • You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal.If the publication is distributed under the terms of Article 25fa of the Dutch Copyright Act, indicated by the "Taverne" license above, please follow below link for the End User Agreement:

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Handboek klinische schematherapie

Cited by 14 publications

References 0 publications

Effectiveness of Day Treatment Group Schema Therapy for Personality Disorders: A Multiple Baseline Single‐Case Study

Effectiveness of Day Treatment Group Schema Therapy for Personality Disorders: A Multiple Baseline Single‐Case Study

Strengthening the Healthy Adult Self in Art Therapy: Using Schema Therapy as a Positive Psychological Intervention for People Diagnosed With Personality Disorders

Emotional states, crime and violence : a schema therapy approach to the understanding and treatment of forensic patients with personality disorders

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