Schema therapy for emotional dysregulation in personality disorders

Dadomo, Harold; Panzeri, Marta; Caponcello, Daniele; Carmelita, Alessandro; Grecucci, Alessandro

doi:10.1097/yco.0000000000000380

Cited by 46 publications

(42 citation statements)

References 29 publications

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“…The use of experiential techniques have been found to distinguish ST from CBT and psychodynamic therapies [ 12 ]. Experiential techniques including imagery rescripting and chair work dialogues have been linked to improving emotional dysregulation in personality disorders [ 13 ]. Imagery involves recalling a particular situation and the events that occurred, together with one’s thoughts and feelings.…”

Section: Introductionmentioning

confidence: 99%

“…On the other hand, the use of chair work allows for dialogues and interactions with significant persons in the re-enactment of a past situation, and is particularly useful in increasing the metacognitive capacity of individuals when working with their respective modes [ 15 ]. Both experiential techniques serve as agents in facilitating one’s access to emotions and unmet core needs [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

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Schema therapy for borderline personality disorder: A qualitative study of patients’ perceptions

et al. 2018

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Schema therapy (ST) has been found to be effective in the treatment of borderline personality disorder (BPD). However very little is known about how the therapy is experienced by individuals with BPD including which specific elements of ST are helpful or unhelpful from their perspectives. The aim of this study is to explore BPD patients’ experiences of receiving ST, in intensive group or combined group-individual format. Qualitative data were collected through semi-structured interviews with 36 individuals with a primary diagnosis of BPD (78% females) who received ST for at least 12 months. Participants were recruited as part of an international, multicenter randomized controlled trial (RCT). Interview data (11 Australian, 12 Dutch, 13 German) were analyzed following the procedures of qualitative content analysis. Patients’ perceptions of the benefits gained in ST included improved self-understanding, and better awareness and management of their own emotional processes. While some aspects of ST, such as experiential techniques were perceived as emotionally confronting, patient narratives informed that this was necessary. Some recommendations for improved implementation of ST include the necessary adjunct of individual sessions to group ST and early discussion of therapy termination. Implications of the findings are also discussed, in particular the avenues for assessing the suitability of patients for group ST; management of group conflict and the optimal format for delivering treatment in the intensive group versus combined group-individual formats.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Schema therapy for borderline personality disorder: A qualitative study of patients’ perceptions

et al. 2018

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“…However, other authors claim that there is no need to increase the number of modes. In fact, for some applications of ST (e.g., couple schema therapy), some authors claim that a simplification of the model is necessary (Dadomo et al 2018;Simeone-DiFrancesco et al 2015). To understand a patient who shows severe emotional dysregulation, using the concept of modes is essential.…”

Section: Introductionmentioning

confidence: 99%

“…To understand a patient who shows severe emotional dysregulation, using the concept of modes is essential. The mode theory's basic concept shows that different mental states have different purposes and are related to different basic needs (Dadomo et al 2018). In addition, if the therapy itself works directly with one active mode at a given moment, it follows that it is very important to be able to identify it precisely.…”

Section: Introductionmentioning

confidence: 99%

A Contribution to Validation of the Short Schema Mode Inventory in an Italian Clinical Versus Non-clinical Population

Panzeri

Fontanesi

Busà

et al. 2018

J Rat-Emo Cognitive-Behav Ther

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Schema therapy (ST) has been proven to be an effective psychotherapy model in the treatment of complex personality disorders. ST helps analyze causes of emotional, cognitive, and behavioral alteration in patients using schemas and modes (i.e., sets of emotional states, coping responses and schemas active in a given moment). ST finds its empirical validation in the short Schema Mode Inventory (SMI), a practical tool consisting of 14 subscales assessing 14 different mode categories, grouped in 4 (child, coping, parent and adult modes) high-order categories used to assess different modes at different times. We introduced the Italian validation of the short SMI to a sample of 707 participants, of whom 230 were psychiatric patients. Confirmatory factor analysis (CFA) provides evidence that the 14-dimensional model best describes the SMI's structure at a lower level. Higher-order CFA provides evidence for both four higher-level mode categories and one higher-level mode category, the four-mode category being the best approach. Internal reliability, test-retest stability and the relationship between the SMI's subscales have been evaluated with promising results. Clinical vs nonclinical subjects were compared with a multigroup CFA in order to test invariance and with a MANOVA and Bonferroni post hoc comparisons in order to test mean differences. A linear thread was found for all modes except Bully/Attack. While contributing to international research and to the diffusion of SMI and schema therapy, our results also suggest that SMI is a powerful tool for the assessment of modes in ST, both in therapeutic and diagnostic contexts.

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“…In daily life, the activation of dysfunctional modes negatively influences parents' attitudes and behaviors toward their child. This is because DCM and DPM are associated with either (1) dysregulated emotions, or with (2) dysregulatory mechanisms (Dadomo et al, 2016 , 2018 ). DPM are the primary source of dysregulated emotions and reflect pathological aspects of the parent that are enacted inside the relationship.…”

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confidence: 99%

Decoupling Internalized Dysfunctional Attachments: A Combined ACT and Schema Therapy Approach

2018

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Schema therapy for emotional dysregulation in personality disorders

Cited by 46 publications

References 29 publications

Schema therapy for borderline personality disorder: A qualitative study of patients’ perceptions

Schema therapy for borderline personality disorder: A qualitative study of patients’ perceptions

A Contribution to Validation of the Short Schema Mode Inventory in an Italian Clinical Versus Non-clinical Population

Decoupling Internalized Dysfunctional Attachments: A Combined ACT and Schema Therapy Approach

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