Remco van der Wijngaart

Schema Therapy, Step by Step is a practical guide to understanding schema therapy and applying it with clarity and confidence. The authors explain the basics of schema therapy theory - how unmet core emotional needs shape early maladaptive schemas, coping responses and modes, and how these patterns lead to longstanding psychological difficulties. They also provide detailed descriptions of schemas, modes and emotional needs, alongside step-by-step guidelines for assessment, case conceptualisation and treatment across the initial, middle and final phases of therapy. Techniques such as imagery rescripting, chairwork, cognitive restructuring and behavioural change are illustrated through therapist-client dialogues and three running case studies, and the book also offers worksheets, mode models, safety plans and adaptations for diverse populations, settings and treatment formats including adolescents, groups and clients with intellectual disabilities.

Personality disorders are categorised into three ‘clusters’, each containing several specific disorders with common characteristics that differentiate them from those contained in the other clusters. Schema therapy was developed primarily to manage and treat ‘cluster B’ personality disorders, especially borderline personality disorder, and it has a robust evidence base in this area. Research studies have shown that schema therapy is also an effective treatment for clients with ‘cluster C’ personality disorders – dependent personality disorder, avoidant personality disorder and obsessive-compulsive personality disorder – but only if a number of important adaptations and adjustments to the treatment protocol are made. Written by well-known experts in the field, this is the first book to explore the theory and practice of using schema therapy to treat individuals with ‘cluster C’ personality disorders. Part of the Schema Therapy Approaches and Resources series, following the success of Chairwork, Imagery Rescripting and Schema Therapy: A Phase-Oriented Approach.

Dit boek helpt therapeuten om schematherapie toe te passen bij cli nten met afhankelijke, vermijdende of dwangmatige persoonlijkheidsstoornissen, ook wel cluster C-persoonlijkheidsstoornissen genoemd. Schematherapie is een zeer effectieve behandelmethode voor cluster C-stoornissen. De meeste literatuur en trainingen op het gebied van schematherapie richten zich echter op de behandeling van de borderline persoonlijkheidsstoornis of andere vormen van externaliserende problematiek. Dit boek laat zien hoe schematherapie effectief toepasbaar is bij internaliserende persoonlijkheidsproblematiek. Schematherapie voor cluster C-persoonlijkheidsstoornissen - Behandeling van afhankelijke, vermijdende en dwangmatige cli nten beschrijft hoe cluster C-stoornissen begrepen kunnen worden in termen van basisbehoeften, schema's en modi. Daarnaast wordt ook beschreven hoe limited reparenting op een andere manier vormgegeven wordt in deze behandeling dan bij meer externaliserende problematiek. Ten slotte worden specifieke knelpunten, varianten en toepassingen van methoden en technieken beschreven die nog niet terug te vinden zijn in andere literatuur over schematherapie. Het boek begint met een beschrijving van onder meer geschiedenis en onderzoek. Daarna gaat het in op casusconceptualisatie en de stap van conceptualisatie naar behandeling. Vervolgens behandelt het de verschillende persoonlijkheidsstoornissen waarbij steeds beschreven wordt hoe methoden en technieken anders toegepast worden in de verschillende behandelfasen. Ten slotte gaat het in op methoden om de gezonde volwassene te versterken en de therapieresultaten in de toekomst te behouden. Het boek bevat veel aansprekende casu stiek. De auteurs zijn psychotherapeut en gz-psycholoog Remco van der Wijngaart, en klinisch psycholoog Hannie van Genderen.

The book provides the reader with a thorough understanding of the model of Schema Therapy, methods and techniques used throughout the process of Schema Therapy treatment. Experienced trainers in Schema Therapy, the authors provide a unique understanding of the questions, challenges, and points of issue experienced by practitioners learning the model. Designed for the practitioner with a specific focus on the theory and practice of modern schema therapy, the book discusses the powerful techniques and cutting-edge developments of the Schema Therapy model, with step-by-step guidance and clinical examples. A comprehensive resource for both students and experienced practitioners providing valuable examples of the model in clinical practice and solutions to the challenges and questions practitioners face in applying the model. Part of the Cambridge Guides to the Psychological Therapies series, offering all the latest scientifically rigorous, and practical information on a range of key, evidence-based psychological interventions for clinicians.

Chairwork is a therapeutic technique that allows clients to create distance between themselves and problematic beliefs, events, memories, individuals and patterns of responding. Although chairwork has been used in various therapeutic frameworks for decades, it is as part of schema therapy (ST) that it has recently taken a big step forward. This new title in the Schema Therapy Approaches and Resources series is a practical guide for therapists who want to learn to apply chairwork in their own practice. It also offers tools for those who already have some experience with this technique, as well as advice on further techniques to make working with chairs more effective in challenging situations. A final chapter looks at pitfalls for therapists, with guidance for recognizing and dealing with a wide range of challenging situations that occur in clinical practice.

1 Inleiding.- 2 Diagnostische imaginatie.- 3 Imaginatie met rescripting: therapeut rescript.- 4 Imaginatie met rescripting eind therapie: client rescript.- 5 Imaginatie met rescripting gericht op de toekomst.- 6 Specialistische toepassingsgebieden.- 7 Valkuilen van de therapeuten.- 8 Slot