Schema Therapy Society e.V. (ISST) - November's Schema Therapy Bulletin: Case Studies in Schema Therapy

November's Schema Therapy Bulletin: Case Studies in Schema Therapy

15 Nov 2017 5:41 PM | Travis Atkinson

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CASE STUDIES IN SCHEMA THERAPY

Issue 8 of the Schema Therapy Bulletin offers three case presentations using Schema Therapy.

In the first article “The Hedgehog and the Prickles,” Galit Goren Gilead presents her very creative work in helping a 12-year-old boy who refused to go to school to work with his Avoidant Coping Mode. Using play therapy techniques, without the interpretive efforts in traditional psychodynamic therapy, the author was able to bypass and then weaken the avoidant coping mode, identify and strengthen the happy child mode, and begin to develop a healthy adult mode.

Christof Loose shared the case of Schema Therapeutic Outpatient Treatment of a 15-year-old boy with Hypochondria Against the Background of a Car Accident Caused Paraplegia Early in Childhood. In this case, the adolescent boy was referred for fear of dying, fatigue, depression and avoidance, along with physiological symptoms which interfered with school attendance as well as with other age-appropriate functioning. The author describes the five step schema therapy intervention that impact the teens symptoms and functioning.

The final case discussion: “Mad for Connection” is a “Case Study in Schema Therapy for Anorexia Nervosa,” by Suzy Redston, in which schema mode work provided an understanding of the patients behaviors. Working to contain the angry child, the angry protector and the demanding child helped to find and soothe the vulnerable child, enabling the patient to work toward his goal of being able to have a healthy intimate relationship.

In our ongoing “Meet the Board” series, Vivian Francesco interviewed Travis Atkinson, who ably manages Public Affairs for the ISST.

We are currently seeking articles for future issues of the Schema Therapy Bulletin, and would be particularly interested in hearing from people doing Schema Therapy with underserved or marginalised.

Co-Editors: Lissa Parsonnet, PhD, LCSW (USA) &

Chris Hayes Clinical Psychologist (Australia)

THE HEDGEHOG AND THE PRICKLES
BY GALIT GOREN GILAD (ISRAEL)

Y was 12 years old when he was referred to me by his psychiatrist. "He refuses to go into the classroom for 2 weeks now," his mother told me on the phone in a low, sad voice. "We practically have to push him in, with the teacher's help, and it's not easy, he's a big boy already. And when he does get in finally, we have to go through the whole circus again the next hour."

SCHEMA THERAPY OUTPATIENT TREATMENT
BY CHRISTOF LOOSE (GERMANY)

The reasons for the referral were vast: fear of dying, fatigue, and depression symptoms such as inactivity as well as social and emotional retreat; the teenager could not think about anything else other than his (to him unknown or awkward) physiological experiences such as dizziness or an extra systole could be the first signs of life-threatening diseases (e.g. brain tumor or heart disease). Numerous medical examinations, sometimes in emergency medical consultation, revealed no medical diagnosis. Since these problems did not only occur only at home, but also at school, significant social integration and achievement problems also arose. For example, about once or twice daily the patient had to leave the classroom, complaining about symptoms, and demanding immediate access to a rest room, where a personal school assist would help him to rest until the symptoms faded. After usually about 20-30 min, he returned to the classroom, to be met with the dismissing looks from peers and also at times from teachers.

MAD FOR CONNECTION
BY DR. SUZY REDSTON (AUSTRALIA)

The following describes the case of a man referred for psychotherapy after years of various treatments for anorexia nervosa restrictive subtype both voluntary and involuntary.The use of schema mode allowed the understanding of behaviours that were life interfering and until we adopted a schema mode approach had been managed by the patient (client) being obsessional about adherence to rules in all conditions and at the expense of all else.

November's Schema Therapy Bulletin: Case Studies in Schema Therapy

15 Nov 2017 5:41 PM | Travis Atkinson

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