Case of Silvia: A Schema-Focused Approach

Journal of Psychotherapy Integration - Tập 11 - Trang 217-229 - 2001
John J. Cecero1, Jeffrey E. Young2
1Department of Psychology, Fordham University, New York
2Cognitive Therapy Centers of New York and Connecticut, Department of Psychiatry, Columbia University, USA

Tóm tắt

This case study systematically addresses the components and sequence of a Schema-Focused cognitive therapy approach to the assessment, formulation, and treatment of Silvia's anxious and depressive symptoms and enduring life problems. Following a description of the major tools and procedures involved in collecting the evidence that is required to generate a Schema-Focused case conceptualization, a comprehensive formulation of this case is presented as a guide for treatment intervention. A Schema-Focused Therapy approach is then applied to this case, highlighting the four essential strategies—cognitive, experiential, behavioral, and the therapy relationship—used to change Silvia's maladaptive schemas. Adjunctive interventions and potential problems with this therapy approach are also proposed for consideration.

Tài liệu tham khảo

Ball, S. A. (1998). Manualized treatment for substance abusers with personality disorders: Dual focus schema therapy. Addictive Behaviors, 23, 883–891. Beck, A. T., & Emery, G., with Greenberg, R. L. (1985). Anxiety disorders and phobias: A cognitive perspective. New York: Basic Books. Beck, A. T., Freeman, A., & Associates. (1990). Cognitive therapy of personality disorders. New York: Guilford Press. Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford Press. Lazarus, A. A., & Lazarus, C. N. (1991). Multimodal life history inventory. Champaign, IL: Research Press. Lee, C. W., Taylor, G., & Dunn, J. (1999). Factor structure of the schema questionnaire in a large clinical sample. Cognitive Therapy and Research, 23(4), 441–451. McGinn, L. K., Young, J. E., & Sanderson, W. C. (1995). When and how to do longer term therapy without feeling guilty. Cognitive and Behavioral Practice, 2(1), 187–212. Schmidt, N. B., Joiner, T. E., Young, J. E., & Telch, M. J. (1995). The schema questionnaire: Investigation of psychometric properties and the hierarchical structure of a measure of maladaptive schemas. Cognitive Therapy and Research, 19(3), 295–321. Young, J. E. (1990/1999). Cognitive therapy for personality disorders: A schema-focused approach (3rd ed.). Sarasota, FL: Professional Resource Press. Young, J. E. (1994). Young Parenting Inventory (YPI). New York: Cognitive Therapy Center, New York. Young, J. E., & Behary, W. T. (1999). Schema-focused therapy for personality disorders. In N. Tarrier, A. Wells, & G. Haddock (Eds.), Treating complex cases: The cognitive behavioral therapy approach (pp. 340–376). New York, NY: JohnWiley & Sons. Young, J. E., & Gluhoski, V. L. (1996). Schema-focused diagnosis for personality disorders. In F. W. Kaslow (Ed.), Handbook of relational diagnosis and dysfunctional family patterns (pp. 300–321). New York: Wiley.