Introductie van de Schematherapie en de Gezonde Volwassene

Claassen, Anne-Marie; Pol, Silvia

doi:10.1007/978-90-368-0951-1_1

Cited by 9 publications

(5 citation statements)

References 11 publications

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“…Second, decreasing dysfunctional modes may not cause a strong growth of the Healthy Adult. As recognized by other authors, specific techniques are required to directly strengthen this mode(Claassen & Pol, 2015). This interpretation of our data aligns with schema therapy protocols, in which the first part of treatment mainly focuses on decreasing dysfunctional modes and the final part on strengthening the Healthy Adult(Skewes et al, 2015;Vuijk & Arntz, 2017).…”

supporting

confidence: 88%

The Network Structure of Schema Modes

Aalbers¹,

Engels²,

Haslbeck³

et al. 2021

Preprint

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A fundamental question in psychotherapy is whether interventions should target client problems (i.e., problem-focused approaches) or client strengths (i.e., strength-focused approaches). In this study, we first propose to address this question from a network perspective on schema modes (i.e., healthy or dysfunctional patterns of co-occurring emotions, cognitions, and behaviors). From this perspective, schema modes mutually influence each other (e.g., healthy modes reduce dysfunctional modes). Recent evidence suggests that changes in modes that are strongly associated to other modes (i.e., central modes) could be associated with greater treatment effects. Therefore, we suggest that research should investigate the relative centrality of healthy and dysfunctional modes. To make an exploratory start, we investigated the cross-sectional network structure of schema modes in a clinical (comprising individuals diagnosed with paranoid, narcissistic, histrionic, and Cluster C personality disorders) and non-clinical sample. Results showed that, in both samples, the Healthy Adult was significantly less central than several dysfunctional modes (e.g., Undisciplined Child and Abandoned and Abused Child). Although our study cannot draw causal conclusions, this finding could suggest that weakening dysfunctional modes (compared to strengthening the Healthy Adult) might be more effective in decreasing other dysfunctional modes. Our study further indicates that several schema modes are negatively associated, which could suggest that decreasing one might increase another. Finally, the Healthy Adult was among the modes that most strongly discriminated between clinical and non-clinical individuals. Longitudinal and experimental research into the network structure of schema modes is required to further clarify the relative influence of schema modes.

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supporting

confidence: 88%

The Network Structure of Schema Modes

Aalbers¹,

Engels²,

Haslbeck³

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Second, decreasing dysfunctional modes may not cause a strong growth of the Healthy Adult. As recognized by other authors, specific techniques are required to directly strengthen this mode (Claassen & Pol, 2015 ). This interpretation of our data aligns with schema therapy protocols, in which the first part of treatment mainly focuses on decreasing dysfunctional modes and the final part on strengthening the Healthy Adult (Skewes et al, 2015 ; Vuijk & Arntz, 2017 ).…”

Section: Discussionmentioning

confidence: 96%

The network structure of schema modes

Aalbers

Engels

Haslbeck

et al. 2021

Clin Psychology and Psychoth

View full text Add to dashboard Cite

A fundamental question in psychotherapy is whether interventions should target client problems (i.e., problem‐focused approaches) or client strengths (i.e., strength‐focused approaches). In this study, we first propose to address this question from a network perspective on schema modes (i.e., healthy or dysfunctional patterns of co‐occurring emotions, cognitions, and behaviours). From this perspective, schema modes mutually influence each other (e.g., healthy modes reduce dysfunctional modes). Recent evidence suggests that changes in modes that are strongly associated to other modes (i.e., central modes) could be associated with greater treatment effects. We therefore suggest research should investigate the relative centrality of healthy and dysfunctional modes. To make an exploratory start, we investigated the cross‐sectional network structure of schema modes in a clinical (comprising individuals diagnosed with paranoid, narcissistic, histrionic, and Cluster C personality disorders) and non‐clinical sample. Results showed that, in both samples, the Healthy Adult was significantly less central than several dysfunctional modes (e.g., Undisciplined Child and Abandoned and Abused Child). Although our study cannot draw causal conclusions, this finding could suggest that weakening dysfunctional modes (compared to strengthening the Healthy Adult) might be more effective in decreasing other dysfunctional modes. Our study further indicates that several schema modes are negatively associated, which could suggest that decreasing one might increase another. Finally, the Healthy Adult was among the modes that most strongly discriminated between clinical and non‐clinical individuals. Longitudinal and experimental research into the network structure of schema modes is required to further clarify the relative influence of schema modes.

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“…Arts and psychomotor therapies are often combined with Schema Therapy. In the actual practice of treatment of personality disorders, it can be seen that arts therapy tallies closely with the combination of Schema Therapy and Positive Psychology ( 68 , 69 ). Research makes use of the combination of arts therapy and Schema Therapy and endorses it [e.g., ( 22 , 70 )].…”

Section: From Evidence To Recommendationsmentioning

confidence: 99%

Effects of Arts and Psychomotor Therapies in Personality Disorders. Developing a Treatment Guideline Based on a Systematic Review Using GRADE

Haeyen

2022

Front. Psychiatry

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What is the effect of arts and psychomotor therapies, using art, dance, drama, music, movement and body awareness, in personality disorder treatment? This was explored by developing a treatment guideline based on a systematic review using the GRADE system within the context of the Dutch national multidisciplinary guidelines for treatment of personality disorders. Conclusions were formulated by a work group and based on the scientific substantiation and were integrated with other indications in the functioning of arts and psychomotor therapies in personality disorders. The first general search yielded 1,900 records which was brought back to 53 full-texts. Ultimately, 1 RCT and 2 pilot studies were included. Recommendations for treatment are that arts and psychomotor therapies are included in treatment, independent of age, sex or specific diagnostic characteristics. Arts and psychomotor therapies can be considered for purposes of coming into emotional contact with difficult aspects of patients and their experiences, to work on goals such as regulation of emotions, stress, identity/self-image, self-expression, mood/anxiety, relaxation, changing patterns and social functioning. Enlisting arts and psychomotor therapies for patients with a personality disorder is recommended because they value these therapies and perceive these to be effective. It could be considered to ask arts and psychomotor therapies to provide a contribution to the diagnostic process, to the problem analysis via observation and to determining treatment indication and treatment goals. More research is needed.

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Introductie van de Schematherapie en de Gezonde Volwassene

Cited by 9 publications

References 11 publications

The Network Structure of Schema Modes

The Network Structure of Schema Modes

The network structure of schema modes

Effects of Arts and Psychomotor Therapies in Personality Disorders. Developing a Treatment Guideline Based on a Systematic Review Using GRADE

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