Schema therapy for patients with borderline personality disorder and comorbid alcohol dependence: A multiple‐baseline case series design study

Boog, Michiel; Goudriaan, Anna E.; Wetering, Ben J M V D; Franken, Ingmar H. A.; Arntz, Arnoud

doi:10.1002/cpp.2803

Cited by 9 publications

(8 citation statements)

References 77 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The prominent Transtheoretical Model of Behavior Change (TTM), developed in the 1970’s, gained momentum through the 90’s ( Prochaska and DiClemente, 1982 , 2005 ; LaMorte, 2019 ); more recently, Acceptance and Commitment Therapy (ACT) has also been well-received ( Luoma et al, 2012 ; González-Menéndez et al, 2014 ; Bahrami and Asghari, 2017 ). Cognitive Behavioral Therapy, Dialectical Behavioral Therapy and Contingency Management have also shown great promise but may not address the needs of patients with comorbid personality disorders well enough for improved outcomes ( Davis et al, 2016 ; Zamboni et al, 2021 ; Boog et al, 2023 ). These models address behavior change, skills, and emotion tolerance; however, they are often applied as pieces within more comprehensive, traditional treatment.…”

Section: What’s Currently Availablementioning

confidence: 99%

STAT: schema therapy for addiction treatment, a proposal for the integrative treatment of addictive disorders

Lacy

2024

Front. Psychol.

View full text Add to dashboard Cite

The nature and origins of addictions and of their adjunctive behaviors, as well as their chronicity, call for treatments that conceptualize and treat them as the long-term and complex processes that they are. Addictions are often comorbid with personality problems and with trauma histories. Patients suffering from these disorders often show poor engagement with treatment and high rates of relapse, possibly because available treatments have yet to address the patient suffering from addiction in a more integrated or holistic manner. In particular, comprehensive treatment models for addictive disorders – like treatments for personality disorders or trauma – are likely to require the integration of behavioral, cognitive, and emotion-focused interventions within a facilitative therapeutic relationship. However, most current treatment models, including ones which are highly effective in stabilization or behavioral change, lack one or more components of treatment that could sustain longer term recovery, wellness, and health for a higher percentage of patients. In this article, I propose approaching addictions and their treatment from the perspective of schema therapy, an integrative, developmental model with a strong track record of positive outcomes in addressing personality disorder symptoms and long-standing trauma histories, commonly comorbid with addictive disorders. In advancing this proposal, I begin by providing some background tying together addictions, attachment, and personality, suggesting they be treated simultaneously to achieve improved outcomes. Then, after briefly reviewing the leading approaches to the treatment of addictions, I introduce the idea that schema therapy is well-situated – both theoretically and practically – to address many of the shortcomings of existing treatment options. In particular, I note how addictive and co-occurring colluding behaviors are deeply intertwined with both early and continued frustration of core developmental needs. I illustrate how the addictive cycle is perpetuated through the process of schema reinforcement and through the operation of schema modes. I then demonstrate how these key terms (i.e., needs, schemas, and modes) inform the patient’s assessment and case formulation, guiding treatment interventions from a strong therapeutic relationship that focuses on integrating recovery behavior change, healing dysfunctional schemas and modes, and preventing relapse.

show abstract

Section: What’s Currently Availablementioning

confidence: 99%

STAT: schema therapy for addiction treatment, a proposal for the integrative treatment of addictive disorders

Lacy

2024

Front. Psychol.

View full text Add to dashboard Cite

show abstract

“…The lack of control over the functioning of schema modes paired with the increase of awareness of the functioning of the modes, might explain the increase of suffering, so often seen in the case conceptualization phase in ST ( 24 , 46 ).…”

Section: The Case Of Jonathanmentioning

confidence: 99%

“…However, it seems to be so self-evident, that it is not described thoroughly. ST is an evidence-based form of psychotherapy for individuals suffering from personality disorders (21,22), although in recent years ST has expanded its reach to several other disorders, like substance use disorders (23)(24)(25). The core concepts of ST are schemas and schema modes.…”

Section: Schema Therapy and Automaticitymentioning

confidence: 99%

“…Given the fact that habit theories of addiction are increasingly critiqued because there is growing evidence that drug use is more goal-driven than cue- or stimulus-driven [see ( 29 )], we suggest that the ST model is a potentially valuable addiction theory that can function as an alternative to the ‘habit theories’ of addiction ( 6 , 7 , 34 , 35 ). It is considered especially promising for patients with SUD and comorbid borderline personality disorder (e.g., 24 ). Further exploring ST in the context of addiction, and reflecting on how schema concepts apply to SUD therefore seems like a valuable venture.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Automaticity: schema modes in addiction

Boog,

Tibboel

2023

Front. Psychiatry

Self Cite

View full text Add to dashboard Cite

Automaticity is a hallmark of substance use disorder. In Schema Therapy (an evidence-based form of psychotherapy, that has also been applied to substance use disorders), automaticity appears to be a relevant variable. However, the role of automaticity in Schema Therapy has never been made explicit. In the present article, we investigate the role of automaticity in schema modes and its role in different phases in Schema Therapy for substance use disorders. In performing this investigation, we facilitate a better understanding of the working mechanisms of Schema Therapy, and, vice versa, suggest an alternative understanding of automaticity in substance use disorders. We suggest that the automatic use of substances is way of coping with schemas and, therefore, is the consequence of schema mode activity. In the article, four characteristics of automaticity (unconscious, uncontrollable/uncontrolled, efficient, fast) are translated to schema modes. Subsequently, a Schema Therapy case of a patient suffering from an alcohol use disorder and a narcissistic personality disorder is discussed, focusing on the four facets of automaticity. Last, implications for theory, clinical practice and future research are discussed.

show abstract

“…The increased recognition of chronic mental conditions, such as personality pathology and PDs, in adults with ASD calls for interventions targeting these co-occurring conditions, which require specific interventions and therapeutic strategies (Bateman et al, 2015;Jackson et al, 2021;Kramer et al, 2020;Roberts et al, 2017). Schema therapy (ST) is a relatively well-validated psychological treatment modality for chronic mental conditions in adults, including personality pathology and PDs (Arntz et al, 2022;Boog et al, 2023;Jacob & Arntz, 2013;Koppers et al, 2021;Peeters et al, 2021;Videler et al, 2018Videler et al, , 2020, as well as eating disorders, anxiety disorders, obsessive-compulsive disorder, post-traumatic stress disorder and depression (Joshua et al, 2023;Peeters et al, 2022;Schneider Bakos et al, 2015) .…”

Section: Introductionmentioning

confidence: 99%

Schema therapy in adults with autism spectrum disorder: A scoping review

Vuijk,

Turner,

Zimmerman

et al. 2024

Clin Psychology and Psychoth

View full text Add to dashboard Cite

BackgroundSchema therapy (ST) in adults with autism spectrum disorder (ASD) have gained increasing interest in clinical practice and research. However, to date, there has been no synthesis of the literature on ST as treatment for adults with ASD. Through a scoping review, we aim to summarize the emerging research and literature on ST for adults with ASD.MethodsA comprehensive literature search of three electronic databases was conducted using the Preferred Reporting Items for Systematic reviews and Meta‐Analyses extension for Scoping Reviews (PRISMA‐ScR) guidelines. Publications were included that examined ST in adults with ASD and non‐clinical adults with autistic traits.ResultsSystematic searches identified a total of 11 publications, all published since 2014, with the majority being conducted by Dutch and Japanese researchers. Of the 11 publications, 1 described an ST‐informed social interaction training, 1 was an ST protocol, 2 described conceptual ST models, 2 were case examples, 2 examined early maladaptive schemas (EMSs) and 3 investigated the effectiveness of ST interventions. In summary, the theoretical exploration, practical examples of the application of ST and research findings with preliminary evidence of ST, EMSs and schema modes (SMs) in adults with ASD point towards the potential of ST for the treatment of adults with ASD.DiscussionThe current scoping review highlights preliminary research findings and offers valuable suggestions for clinicians treating adults with ASD. This review underscores the need for development of and research in specialized ST protocols and programmes tailored to adults with ASD with chronic mental conditions, such as personality disorders (PDs).

show abstract

Schema therapy for patients with borderline personality disorder and comorbid alcohol dependence: A multiple‐baseline case series design study

Cited by 9 publications

References 77 publications

STAT: schema therapy for addiction treatment, a proposal for the integrative treatment of addictive disorders

STAT: schema therapy for addiction treatment, a proposal for the integrative treatment of addictive disorders

Automaticity: schema modes in addiction

Schema therapy in adults with autism spectrum disorder: A scoping review

Contact Info

Product

Resources

About