Schema change processes in cognitive therapy

1994 ◽  
Vol 1 (5) ◽  
pp. 267-278 ◽  
Author(s):  
Christine A. Padesky
1995 ◽  
Vol 9 (4) ◽  
pp. 215-227 ◽  
Author(s):  
Leah P. Dick ◽  
Dolores Gallagher-Thompson

The purpose of this case study is to describe, in detail, a systematic approach that was used to modify a long-standing dysfunctional schema in a depressed female outpatient over the age of 60. In our opinion, this paper addresses a gap in the current cognitive therapy literature which contains very little description of methods for schema change. The client, Mrs. A., was depressed as a result of caring for her elderly mother who was suffering from advanced Alzheimer’s disease. She first received a 20-session course of treatment for her depression which focused on goals such as reducing guilt, setting limits, and making some time for her personal needs. After attaining these goals, she was given the opportunity to participate in an intense program of 18 additional individual sessions to evaluate and revise a key core belief, using an adaptation of Young’s (1990) method of the Historical Test of Schemas. This core belief was stated as follows: “In order to alleviate my feelings of inferiority, I must be all things to everyone.” Mrs. A was able to discuss the origin and the maintenance of this schema throughout her life, and she also was able to revise it in a way that allowed her to be more accepting of herself and her abilities.


2001 ◽  
Vol 29 (2) ◽  
pp. 203-220 ◽  
Author(s):  
James Bennett-Levy ◽  
Frederick Turner ◽  
Taryn Beaty ◽  
Michelle Smith ◽  
Bethany Paterson ◽  
...  

Recent publications have suggested that practising cognitive therapy (CT) techniques on oneself may be valuable in the development of cognitive therapists' clinical skills. The present study asks: Is this useful? If so, in what ways? We report a qualitative study of the experience of trainees undertaking a CT training course, which included an explicit self-practice (SP) and self-reflection (SR) component. Key features of the learning process were: (i) experiencing cognitive techniques from the client's perspective, and (ii) reflecting on this experience that led to (iii) a “deeper sense of knowing” of CT practices. The primary learning outcome was an enhancement of therapeutic understandings, which trainees reported to be both professionally and personally useful. Professionally, they reported deeper understanding of the therapist's role, the cognitive model and change processes. Personally, SP/SR led to greater understanding of themselves, and to the perception of CT as a useful tool for personal change. The data also suggested two other positive learning outcomes: an enhancement of therapist skills and therapist self-concept. We conclude that SP/SR may be a valuable component in CT training. Guidelines and recommendations for inclusion of SP/SR in training courses are discussed.


2010 ◽  
Vol 18 (5) ◽  
pp. 367-375 ◽  
Author(s):  
Asle Hoffart ◽  
Hanne Lysebo ◽  
Bente Sommerfeldt ◽  
Øyvind Rø

ASHA Leader ◽  
2006 ◽  
Vol 11 (7) ◽  
pp. 3-14
Author(s):  
Mark Kander
Keyword(s):  

ASHA Leader ◽  
2017 ◽  
Vol 22 (10) ◽  
pp. 22-24
Author(s):  
Neela Swanson
Keyword(s):  

2014 ◽  
Vol 43 (4) ◽  
pp. 233-240 ◽  
Author(s):  
Thomas Heidenreich ◽  
Christoph Grober ◽  
Johannes Michalak

Unter den im Zentrum dieses Sonderhefts stehenden Neuentwicklungen nehmen achtsamkeitsbasierte Verfahren eine bedeutsame Rolle ein: Während die „Achtsamkeitsbasierte Stressreduktion” (mindfulness-based stress reduction, MBSR) bereits in der zweiten Hälfte der 1970er Jahre entwickelt wurde ( Kabat-Zinn, 1990 ), erlangte insbesondere die von Segal, Williams und Teasdale (2002) speziell für die Rückfallprävention bei rezidivierender depressiver Störung entwickelte „Achtsamkeitsbasierte Kognitive Therapie” (mindfulness-based cognitive therapy, MBCT) eine zunehmende Bedeutung im Bereich kognitiv-behavioraler Ansätze. Der vorliegende Beitrag geht zunächst auf den historischen und theoretischen Hintergrund der Achtsamkeitsbasierten Kognitiven Therapie ein. Im Anschluss daran wird die praktische Umsetzung des Gruppenkonzepts vorgestellt und der Stand der Forschung anhand aktueller Metaanalysen referiert. Der Beitrag schließt mit einer kritischen Diskussion einer allzu verkürzten Anwendung von Achtsamkeit in der klinischen Praxis.


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