Working with Fear and Conscience in Schema Therapy

An interview with Alp Karaosmanoglu

The creator of schematv, among many other projects in the schema therapy world, Alp Karaosmanoglu, discusses the connection between fear and conscience in schema therapy. Alp and his colleagues conducted a study of schema domains and core needs with three samples, each having hundreds of participating patients. The results found a connection between schema domains and Abraham Maslow's hierarchy of needs for love and belonging, esteem, and justice/security. The area of justice/security specifically is highly correlated with the schemas of vulnerability, mistrust, pessimism, and abandonment. Watch Alp explain the results of the study, and clinical implications that schema therapists can use in practice, such as emphasizing conscience more in working with the vulnerability schema. FEAR AND CONSCIENCE

The Influence of Depression on Treating Personality Disorders with Schema Therapy

by Fritz Renner, Lotte Bamelis, Marcus Huibers, Anne Speckens & Arnoud Arntz

Many patients with personality disorders also suffer from depression. However, little is known about the implications of such comorbidity for psychotherapy.  In this blog post, Fritz Renner, Lotte L.M. Bamelis, Marcus J.H. Huibers, Anne Speckens, and Arnoud Arntz explore these implications with data taken from their larger research program comparing schema therapy to other psychotherapy techniques. Depressed patients with personality disorder recovered less during psychotherapy than did non-depressed patients. However, when controlling for the general severity of symptoms, there were no differences between the groups. These outcomes indicate that patients are less likely to recover from their personality disorder when their overall symptom severity is high.  DEPRESSION

INSPIRE 2016

What is it with Modes?

The Transdiagnostic Power of Mode Work in Schema Therapy

ISST Vienna Conference

June 30 - July 2, 2016

Planning for the INSPIRE 2016 ISST Conference in Vienna is underway, with the main theme of "What is it with Modes?" Keynote speakers are lining up, both from within and outside of the schema therapy community, to present ideas about the theme, and the planning committee invites the entire schema therapy community to submit proposals for workshops and other presentations. 

Deadlines for Submissions:

December 15, 2015: proposals for panels, symposia, hot-topic talks, case discussions, and workshops

January 20, 2016: proposals for poster presentations

For directions to submit your proposals, visit: SUBMISSIONS

Do You Use Schema Therapy with the Aged? Join the Member Forum Hosted by Bruce Stevens

"From small seeds, great oaks grow!  I would like to begin a discussion on applying Schema Therapy to aged patients. This will include helping older people that Schema Therapy was developed to treat: those with chronic problems and personality disorders. Of course many schema therapists have already been working extensively in this area, so this will provide an opportunity to share what we have learned. What I would like to see develop is an on-line place to discuss cases and schema treatment with the aged. We can raise issues, such as hoarding with older people, or stages of dementia, and together find ways to apply schema therapy in effective ways. Maybe we can develop an interest group, eventually a schema therapy specialty such as group or couple or child/adolescent, and when the ‘oak’ has grown, possibly international research projects."

Reply to the latest forum posting:

A couple of people over 70 years-old present with quite complex issues, one with hoarding problems which are complicated by a rigid Christian perspective on life (including what is right and wrong).  Any ideas for using schema therapy for hoarding, especially with older patients?  

The second issue came out in treating a very active couple with a volatile relationship. The male has what has been called a "manic defense" in psychoanalysis (hyper-active, rates his mood as being "euphoric to very happy", but with periodic outbursts of irritability, even rage as would be typical with an extended manic-like mood). His personality structure is more neurotic, not PD, but I would be interested in ideas from schema therapy to understand the dynamic and treat it (in mode terms, seems a blend of Detached Self-Soother and maybe Irritable Protector). Any suggestions?

by Bruce Stevens 

Join the discussion on the Member Forum now:

FORUM FOR THE AGED 

The Member Forum is a platform accessible only by ISST members to discuss topics of interest. Similar to the listserv, the forum allows for a more specific focus on a topic. In addition to a forum for working with the aged, several other specialty area forums are available.

Review the options in the forum section of the website: FORUMS

Submit Your Blog: Share Your Story

Send us your insights and perspectives from your work, activities, and experiences as a clinician, researcher, educator, supporter, or fan of ISST to be posted on our member blog. Submit your blog now, and include a picture (.jpg format) to help other members become familiar with you, and if you have a web address, make sure to include it. This is one of the best ways to help others get to know you more, and one of the top ways to increase your search engine visibility. Plus, use ISST as a tool for you--we'll use our vast media network to help promote you as a member of ISST.

What to do?

• Submit a blog consisting of 500-1000 words
• I'll add a picture that complements your blog
• English not your primary language? No problem. I'll help edit your work
• The goal of a blog can be to inform, analyze, assist, or entertain

Give yourself a boost, help all ISST members, and share your story now:  SUBMIT

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