F1HT1/4 - Hot Topics
Tracks
Track 7
Innovation
| Friday, May 31, 2024 |
| 10:00 AM - 11:30 AM |
Overview
Hot Topics
Details
If the presenter suggests breaking into groups then you should access the Breakout Foyer HERE
Integrating Voice Dialogue, IFS & Positive Psychology with Schema: Therapy for Healthy Modes
Edward Chan
Schema Therapy, with its formulation of multiple modes, has in common with some other psychotherapy modalities that view the person as having multiple parts, such as IFS (Internal Family System) (Swartz, R, 2017; 2021) and Voice Dialogue (Stone, H and Stone, S,1998). The modes and Schema in Schema Therapy are mostly considered as maladaptive and need to be rescripted or changed to healthy ones. There is, however, little specification on the healthy mode and schema.
The Voice Dialogue model, on the other hand, does not view the parts as maladaptive, and the therapy involves developing an awareness, thereby allowing the client to make a healthy choice of choosing the best part for a given situation. There is also scant specification in the Voice Dialogue model on how this healthy choice of the parts is to be made, and there is an inherent assumption of a healthy "aware ego" to be able to make this choice with increased awareness of the different parts, just as in IFS there is an assumption of a healthy self that can lead the parts or selves towards a healthy outcome.
This presentation explores how insights from Positive Psychology such as the Happiness principles expounded by Brooks and Winfrey in: Build the Life you want, The Art and Science of getting Happier. (2023), can be utilised conceptually to facilitate the therapeutic process of Voice Dialogue and Schema Therapy in a modified model whereby all the parts can be validated, accepted, and selected based on the happiness principles for any given situation to facilitate a healthy selection of modes leading to a healthy and happier (ibid.) outcome for clients.
Target Audience:
Intermediate-Advanced level
Comparing the efficacy of cognitive-behavioral therapy with the treatment of allegorical schema modes on psychotherapists burnout
Mohammad Faghanpour Ganji
Background:
Job burnout is one of the psychological problems that threaten therapists. This problem can lead to a decrease in service quality. Cognitive-behavioral therapy and paradigmatic schema mentalities therapy are two intervention methods that have been proposed to deal with job burnout. Both intervention methods have their advantages and limitations. Therefore, comparing the effectiveness of these two methods on job burnout in therapists is necessary and necessary research.
Aims:
The main purpose of the present study was to compare the effectiveness of treatment of allegorical schema modes with cognitive behavioral therapy on therapists' job burnout.
Methods:
The method of the current research is of semi-experimental type and the statistical population consisted of psychotherapists of therapeutic centers in the 3rd district of Tehran who were engaged in therapeutic work between December 2021 and December 2022. To select the sample size according to the research method, 15 people were selected for each group. In order to evaluate the variables of the research, the job burnout questionnaire of Moslesh and Jackson (1993) was used.
Results:
The findings showed that the F rate of the effect of the treatment of allegorical schema modes was not significant on the variable of emotional exhaustion and sense of success, and it was significant on the variable of depletion. Also, the F rate of the effect of cognitive behavioral therapy on the variable of emotional exhaustion and depletion was not significant, and it was significant on the variable of feeling of success.
Conclusion:
Based on the results of the present study, the effects of treatment methods on burnout scores did not fluctuate much in both and both were equally effective in this variable. It seems that both treatment methods are effective in reducing therapists' burnout. Therefore, it is expected that policy makers in the field of mental health will invest and promote such approaches to improve the health of psychotherapists.
Exploring the "Parent Mode" Dynamics in Japanese Clients: Struggles in Externalization, Criticism, and Overcoming Techniques
Dr Arinobu Hori
Background:
After more than two decades as a psychiatrist in Japan, the author undertook the study of Schema Therapy. While recognizing its effectiveness in Japanese clinical settings, challenges arose when applying the recommended "Mode Model" from Schema Therapy textbooks for certain clients. This study aims to elucidate these challenges and offer potential adjustments for more effective therapeutic interventions.
Method:
Observational analysis was conducted on clients who demonstrated resistance to the standard practices of Schema Therapy. Specifically, the study focused on clients' responses to the externalization of the "Parent Mode" and their reactions to its negative messages.
Results:
Several clients found it challenging to externalize the punitive and demanding facets of the "Parent Mode," perceiving the associated negative messages as inherently their thoughts and voices. This was accompanied by significant resistance to distancing and critically examining these messages. Many exhibited what appeared to be manifestations of the Enmeshment Schema, where the Parent and Child Modes were fused, and the Healthy Adult Mode's function was notably fragile. Furthermore, therapeutic interventions that aimed at promoting differentiation occasionally elicited paranoid-like pushbacks. This phenomenon was thought to be deeply influenced by Japanese societal values, where the concept of individual importance is not yet mature, and there's a pronounced tendency to prioritize alignment with collective groups and authority.
Conclusions:
To address these client tendencies, a modified approach proved effective. Initially using less confrontational terminology than "Punitive and Demanding Parent Mode" and emphasizing the importance of transitioning from an "all-good" worldview to one accepting the "bad" seemed beneficial. Experiential techniques to strengthen the Healthy Adult Mode that challenge the Parent Mode were used cautiously. This tailored approach underscores the need for flexibility and cultural sensitivity in applying Schema Therapy techniques.
The mediation role of self-compassion in the link between early maladaptive schemas and perseverative thinking in depression
Pawel Holas
In prior research, it was established that the severity of depressive symptoms is positively correlated with early maladaptive schemas (EMSs) and inversely associated with self-compassion and trait mindfulness in the general population. Additionally, perseverative thinking, manifested as rumination and worrying, has been identified as a transdiagnostic risk factor related to depression. However, there is a limited understanding of the connection between EMSs and perseverative thinking in major depression and the mediating mechanisms of their interaction.
Therefore, the objective of our current study was to investigate the intricate relationship between EMSs, self-compassion, mindfulness, and perseverative thinking in major depression. To achieve this, we administered questionnaires assessing these variables to 60 depressed women (MDD), diagnosed based on the Mini-International Neuropsychiatric Interview, and to 36 healthy women as control subjects (SC). Moderated mediation analysis, considering group membership (HC or MDD), was performed using Hayes' Process macro (2018) in model no. 59. The findings revealed significant positive associations between EMSs and perseverative thinking, and negative associations with trait mindfulness and self-compassion. Importantly, self-compassion, in contrast to mindfulness, which was found to be insignificant, was identified as a full mediator in the relationship between EMSs and perseverative thinking. These results underscore the importance of incorporating techniques that enhance self-compassion skills in depressed individuals with increased early maladaptive schemas.
Integrating Voice Dialogue, IFS & Positive Psychology with Schema: Therapy for Healthy Modes
Edward Chan
Schema Therapy, with its formulation of multiple modes, has in common with some other psychotherapy modalities that view the person as having multiple parts, such as IFS (Internal Family System) (Swartz, R, 2017; 2021) and Voice Dialogue (Stone, H and Stone, S,1998). The modes and Schema in Schema Therapy are mostly considered as maladaptive and need to be rescripted or changed to healthy ones. There is, however, little specification on the healthy mode and schema.
The Voice Dialogue model, on the other hand, does not view the parts as maladaptive, and the therapy involves developing an awareness, thereby allowing the client to make a healthy choice of choosing the best part for a given situation. There is also scant specification in the Voice Dialogue model on how this healthy choice of the parts is to be made, and there is an inherent assumption of a healthy "aware ego" to be able to make this choice with increased awareness of the different parts, just as in IFS there is an assumption of a healthy self that can lead the parts or selves towards a healthy outcome.
This presentation explores how insights from Positive Psychology such as the Happiness principles expounded by Brooks and Winfrey in: Build the Life you want, The Art and Science of getting Happier. (2023), can be utilised conceptually to facilitate the therapeutic process of Voice Dialogue and Schema Therapy in a modified model whereby all the parts can be validated, accepted, and selected based on the happiness principles for any given situation to facilitate a healthy selection of modes leading to a healthy and happier (ibid.) outcome for clients.
Target Audience:
Intermediate-Advanced level
Comparing the efficacy of cognitive-behavioral therapy with the treatment of allegorical schema modes on psychotherapists burnout
Mohammad Faghanpour Ganji
Background:
Job burnout is one of the psychological problems that threaten therapists. This problem can lead to a decrease in service quality. Cognitive-behavioral therapy and paradigmatic schema mentalities therapy are two intervention methods that have been proposed to deal with job burnout. Both intervention methods have their advantages and limitations. Therefore, comparing the effectiveness of these two methods on job burnout in therapists is necessary and necessary research.
Aims:
The main purpose of the present study was to compare the effectiveness of treatment of allegorical schema modes with cognitive behavioral therapy on therapists' job burnout.
Methods:
The method of the current research is of semi-experimental type and the statistical population consisted of psychotherapists of therapeutic centers in the 3rd district of Tehran who were engaged in therapeutic work between December 2021 and December 2022. To select the sample size according to the research method, 15 people were selected for each group. In order to evaluate the variables of the research, the job burnout questionnaire of Moslesh and Jackson (1993) was used.
Results:
The findings showed that the F rate of the effect of the treatment of allegorical schema modes was not significant on the variable of emotional exhaustion and sense of success, and it was significant on the variable of depletion. Also, the F rate of the effect of cognitive behavioral therapy on the variable of emotional exhaustion and depletion was not significant, and it was significant on the variable of feeling of success.
Conclusion:
Based on the results of the present study, the effects of treatment methods on burnout scores did not fluctuate much in both and both were equally effective in this variable. It seems that both treatment methods are effective in reducing therapists' burnout. Therefore, it is expected that policy makers in the field of mental health will invest and promote such approaches to improve the health of psychotherapists.
Exploring the "Parent Mode" Dynamics in Japanese Clients: Struggles in Externalization, Criticism, and Overcoming Techniques
Dr Arinobu Hori
Background:
After more than two decades as a psychiatrist in Japan, the author undertook the study of Schema Therapy. While recognizing its effectiveness in Japanese clinical settings, challenges arose when applying the recommended "Mode Model" from Schema Therapy textbooks for certain clients. This study aims to elucidate these challenges and offer potential adjustments for more effective therapeutic interventions.
Method:
Observational analysis was conducted on clients who demonstrated resistance to the standard practices of Schema Therapy. Specifically, the study focused on clients' responses to the externalization of the "Parent Mode" and their reactions to its negative messages.
Results:
Several clients found it challenging to externalize the punitive and demanding facets of the "Parent Mode," perceiving the associated negative messages as inherently their thoughts and voices. This was accompanied by significant resistance to distancing and critically examining these messages. Many exhibited what appeared to be manifestations of the Enmeshment Schema, where the Parent and Child Modes were fused, and the Healthy Adult Mode's function was notably fragile. Furthermore, therapeutic interventions that aimed at promoting differentiation occasionally elicited paranoid-like pushbacks. This phenomenon was thought to be deeply influenced by Japanese societal values, where the concept of individual importance is not yet mature, and there's a pronounced tendency to prioritize alignment with collective groups and authority.
Conclusions:
To address these client tendencies, a modified approach proved effective. Initially using less confrontational terminology than "Punitive and Demanding Parent Mode" and emphasizing the importance of transitioning from an "all-good" worldview to one accepting the "bad" seemed beneficial. Experiential techniques to strengthen the Healthy Adult Mode that challenge the Parent Mode were used cautiously. This tailored approach underscores the need for flexibility and cultural sensitivity in applying Schema Therapy techniques.
The mediation role of self-compassion in the link between early maladaptive schemas and perseverative thinking in depression
Pawel Holas
In prior research, it was established that the severity of depressive symptoms is positively correlated with early maladaptive schemas (EMSs) and inversely associated with self-compassion and trait mindfulness in the general population. Additionally, perseverative thinking, manifested as rumination and worrying, has been identified as a transdiagnostic risk factor related to depression. However, there is a limited understanding of the connection between EMSs and perseverative thinking in major depression and the mediating mechanisms of their interaction.
Therefore, the objective of our current study was to investigate the intricate relationship between EMSs, self-compassion, mindfulness, and perseverative thinking in major depression. To achieve this, we administered questionnaires assessing these variables to 60 depressed women (MDD), diagnosed based on the Mini-International Neuropsychiatric Interview, and to 36 healthy women as control subjects (SC). Moderated mediation analysis, considering group membership (HC or MDD), was performed using Hayes' Process macro (2018) in model no. 59. The findings revealed significant positive associations between EMSs and perseverative thinking, and negative associations with trait mindfulness and self-compassion. Importantly, self-compassion, in contrast to mindfulness, which was found to be insignificant, was identified as a full mediator in the relationship between EMSs and perseverative thinking. These results underscore the importance of incorporating techniques that enhance self-compassion skills in depressed individuals with increased early maladaptive schemas.
Speaker
Dr Edward Chan
Psychologist
International Psychology & Complementary Medicine University
Integrating Voice Dialogue, IFS and Positive Psychology with Schema Therapy for Healthy Modes
Biography
Dr. Chan gained his degree in psychology with Honours from Middlesex University, U.K.; his MSc. degree in Learning from the University of Lancaster, U.K. His Doctorate in Psychology was co-supervised by Professor Kim Plunkett at the Department of Experimental Psychology, University of Oxford, UK.
Dr. Chan has over 20 years of clinical experience and was trained in Voice Dialogue, IFS (Internal Family System) and Transactional Analysis as well as Schema Therapy.
Dr. Chan is the Chief Editor of the International Journal of Psychotherapy, Counseling & Psychiatry: Theory, Research & Clinical Practice. Dr. Chan was a keynote speaker at multiple international conferences including the World Congress on Mental Health 2016 in Moscow; the 4th International Psychotherapy, Counseling & Psychiatry Conference 2020. He is also the author and co author of multiple academic papers and psychology books including: Towards a Reformulated Theory Underlying Schema Therapy: Position Paper of an International Workgroup published in The Journal of Cognitive Research & Therapy which he co-authored with Professors Arntz and Rijkeboer; and Schema Chemistry published in the Journal of Developmental Diversity; and Current Research and Clinical Practice of CBT in Asia edited by Professor Tian Oei.
Country
Malaysia
Level of ISST membership
Supporter
ISST Certification Level
Advanced
ISST Certification Area
Individual, Couple
Mohammad Faghanpour Ganji
Supervisor
University Of Isfahan
ON DEMAND - Comparing the efficacy of cognitive-behavioral therapy with the treatment of allegorical schema modes on psychotherapists burnout
Biography
Mohammad Faghanpour Ganji, Clinical Psychologist, BA, MSc, PhD
Head of International Communication Committee of Iranian department of schema therapy.
Dr. Arinobu Hori
Director
Hori Mental Clinic
Exploring the "Parent Mode" Dynamics in Japanese Clients: Struggles in Externalization, Criticism, and Overcoming Techniques
Biography
Director of Hori Mental Clinic
Special Assistant Professor, Department of Disaster and Comprehensive Medicine, Fukushima Medical University
Specialization: Psychiatry, PTSD
Medical License (Japan), Doctor of Medicine
Currently applying for the standard certification in Schema Therapy (Individual)
Publications:
Hori A, Hoshino H, Miura I, Hisamura M, et al. Psychiatric Outpatients After the 3.11 Complex Disaster in Fukushima, Japan. Ann Glob Health. 2016 Sep-Oct;82(5):798-805.
Hori A, Takebayashi Y, Tsubokura M, Kim Y. PTSD and bipolar II disorder in Fukushima disaster relief workers after the 2011 nuclear accident. BMJ Case Rep. 2020 Sep 17;13(9):e236725.
Hori A, Murakami M, Tsubokura M. Against an insufficient intervention for patients with alcoholism or PTSD: An activity report on a psychiatric clinic after the 2011 complex disaster in Fukushima, Japan. International Journal of Disaster Risk Reduction, 2023 96, 103990.
Books Authored:
"Sins and Crimes of Japanese Narcissism" (in Japanese, 2016)
Paweł Holas
The mediation role of self-compassion in the link between early maladaptive schemas and perseverative thinking in depressio
Biography
Cognitive-Behavior (CBT) therapist and supervisor, mindfulness teacher (MBCT/MBSR/MSC), a specialist in psychiatry. Associate Professor and the head of the division of Clinical Neuropsychology & Psychotherapy at the Faculty of Psychology, University of Warsaw. The head of the e-MPAT Lab (e-Mindfulness, Psychotherapy and Technology Lab). The director of postgraduate studies: Mindfulness and Compassion. Fundaments, Research, and Psychotherapy at University SWPS in Warsaw.
My primary focus of research lies in investigating mechanisms underlying emotional disorders and on understanding processes that contribute to the flourishing of people, with a emphasis on how to transfer this knowledge into effective treatment and personal development methods, with particular focus on mindfulness. Research interests extend from cognitive biases underlying emotional disorders, behavioral addictions, psycho-emotional aspects of chronic medical conditions to mindfulness and compassion, and intervention based on them for emotional disorders and climate change related conditions.
