Schema Therapy

The fells and dales group met on Friday, 17/9/19 to discuss a paper on schema therapy which was published in the BACP journal, therapy today in March this year entitled “Attachment is key” by Dan Rivers. The article states that “ we all have schemas” and, similar to the notion of “drivers” in transactional analysis, these are imprinted from an early age.They are identified by the client filling in a questionnaire. Rivers suggests that there are 18 early maladaptive schemas and that these influence us for good or ill but mostly ill until recognised and worked through in a positive therapeutic relationship. The list is well worth perusing and reflecting on- the one that linked particularly for me with recent clinical work was “abandonment or instability “ when you fear constantly that relationships will end. Most point to low self- worth as the main underlying issue. Another useful one was “Defectiveness/ Shame” when the client feels a failure and has strong self- critical beliefs possibly stemming from harshly critical parents or failing at school perhaps due in part to being dyslexic – whatever the cause, we felt that these categories were a helpful way of conceptualising and making sense of distress while also being wary of pigeonholing or over- simplifying what  the client is bringing. They could also be a useful mirror or prism for reviewing and re- evaluating our own experience.
We liked Rivers’ emphasis on an integrative approach which acknowledges the value of different ways of working including object relations and attachment -he states that schema therapy is essentially a mixture of CBT, gestalt and psychodynamic theories and originated in the mid 1980’s in the work of Jeffrey Young who was an associate of Aaron Beck, the founder of cognitive therapy.
Our meeting then mainly focussed on an exploration of the power dynamic in therapy including transference and how the counsellor accepts and views their authority and/or are uncomfortable with this to the extent of denying and being blind to their own effectiveness when they have achieved “good” work with a client who has a positive outcome- an example given was a possible tendency( which most of us owned and recognised) to say to a client at the end of the work together that they, the client, had “ done most of the hard work” so avoiding/ denying our own positive input! We then discussed why this might be, stemming from our own childhood experience and conditioning.
Schema Therapy