Abstract
Early adverse childhood events lead formation to maladaptive schema
and schema modes. #Maladaptive schema modes are triggered by life events
in adult life causing intense unpleasant emotions. Schema therapy
provides an experiential approach to understanding and changing schema
and modes. Schema refers to emotion, perception, meaning and actions given to an
experience, often a significant childhood experience [1].#Schema is
formed in an individual and is influenced by interactions with others,
culture and upbringing. Schema is present in everyone with or without
psychological disorders. Early maladaptive schema was proposed by
Jeffrey Young as a pervasive dysfunctional pattern of emotions, thought
and sensations associated with one's relationship with others, developed
as a result of early aversive childhood events [1]. These significant
unpleasant early experience leads to formation of maladaptive schemas
that is linked to maladaptive schema modes. Schema mode refers to
transient emotional and behavioral response to a live event [2]. Schema
mode often triggers strong #unpleasant emotions. The types of schema and
schema mode are listed in Table 1 [3]. Schema therapy is one of the proposed solutions to deal with early
maladaptive schema [4,5]. Schema therapy focused on dealing with
maladaptive modes through cognitive and experiential techniques [4].
Schema therapy uses #imagery rescripting to allow patient to
re-experienced early traumatic event in a controlled manner whereby
needs are met without being overwhelmed by negative emotions related to
the event. Imagery rescripting is a visualization process used to change
meaning and emotions related to a past traumatic event. [6,7] The
process allowed #emotions to be processes while providing unmet needs,
care and support experientially. In addition, imagery rescripting assist
patient in building healthy adult mode via modeling provided by the
therapist.
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Schema Therapy: An Experiential Approach to Dealing with Maladaptive Schema Mode by Renee Tan Huey Jing in BJSTR
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