F3STP1-3 - Science to Practice
Tracks
Track 7
Science & Research
| Friday, May 31, 2024 |
| 2:30 PM - 4:00 PM |
Overview
Science to Practice
Details
Assessing partner responsiveness to disconnection and rejection: A new schema therapy-informed measure for couples research and practice.
Poul Perris
Objectives/Background. In adulthood, romantic partners are considered to be a person’s primary attachment figure. Therefore, the relationship that one develops with a romantic partner in adulthood represents an important relational context within which schema-congruent and schema-incongruent experiences can occur. Of particular interest is the extent to which romantic partners can help to mitigate or attenuate an individual’s activation and perpetuation of early maladaptive schemas (EMSs) within the domain considered critical to secure attachment bonds – the disconnection and rejection domain (i.e., schemas of abandonment, mistrust abuse, emotional deprivation, social isolation, and defectiveness shame).
However, it remains unclear as to the relationship behaviours that romantic partners engage in that can attenuate the activation of their partner's EMSs within the disconnection and rejection domain. Indeed, there exists no research that has specifically examined the types of behavioral responses rendered by partners that can address EMS activation. The reasons for this lack of research are varied, but a primary reason relates to issues around assessment. To date there is no measure that evaluates the specific partner behaviours that reflect responses that can soothe or mitigate activation of EMSs. This presentation addresses this gap by reporting on the development and psychometric evaluation of a novel self-report measure of partner behaviours that can help to mitigate or attenuate EMSs in the disconnection rejection domain.
Method. A large (N~800) general community sample of adults currently in a romantic relationship will complete an online survey. Participants are administered items comprising the partner behaviours measure as well as widely validated measures to examine the convergent and divergent validity of the new measure. These assessments include adult attachment styles, loneliness, partner conflict, partner support and responsiveness, partner relationship quality, sexual satisfaction, and items from the disconnection rejection domain of the YSQ-S3. Confirmatory Factor Analysis will be used to evaluate the structural validity of the newly developed measure. Correlation analyses will be used to evaluate the convergent and divergent validity of the measure.
Results and Conclusions. It is anticipated that this study will provide a psychometrically sound new measure that can be used by clinicians and researchers to evaluate the extent to which a romantic partner engages in behaviour that can attenuate a variety of EMSs associated with the disconnection/rejection schema domain and thereby meet a person’s need to experience a stable, nurturing and secure romantic attachment.
Increasing mode awareness whit patients’ home- made videos in Group Schema Therapy
Jari Peltomaa & Tarja Koffert
At the University of Turku, we have studied the use of visual material, especially video, as a facilitator of psychotherapy (Koffert et al. 2019). We have named the method VideoTalk (VT). In the method, patients take videos at home in different emotional situations with the therapist's precise instructions for the next therapy session. Video recording at home is important because when patients are alone, symptoms are more likely to be activated. On the videotape, the patient speaks out the thoughts that come to mind around the theme at present. Next, they watch the video in therapy session and pay attention to their emotional state, their bodily reactions, their tone of voice, their way of thinking and how they talk about the situation that is problematic for them. Patients' experiences of the work have been positive (Nordström et al. 2021). The Group Schema Therapy (GST) model of program is theoretically consistent with the model and theory of ST as developed by Young and later Farrell & Shaw (Young et al. 2003; Farrell & Shaw 2012). We combined the individual VT treatment program to GST context and run a group with eight BPD patients. Patient videotaped at home their modes which were watched in the group.
Video Talk method is an observational tool in Schema Therapy group for observing modes. Patients videotape their mode states at home according to the treatment program. The aim is making observations from the videotape of patient’s internal experience and understand more the causal impacts of experience. The videos are watched in the group sessions where the patient identifies the schema, coping styles and pattern of emotions and behaviors that results of schema. The video expands the number of the patient's observations, bringing out the reactions caused by the negative schema, which appear in the video image as bodily changes, making the mode's harmfulness concrete. The patient must understand the ways in which the schema distorts the way in which he/she sees the world. The Video Talk method provides a platform where to combine observations of hearing, vision, and bodily signals. Link them to cognitions and spoken language on the video. Video gives feedback of the impact of schema which can be used in group discussions to build a Healthy Adult mode. This video-assisted communication between the internal and outside world gives an opportunity to observe how modes are affecting in experiences. It will also socialize group members for new observation from the other group members videos.
Our presentation presents the interventions of VT-model for mode interventions in GST. and preliminary treatment results and discuss the treatment method.
Parallel Process In schema therapy and Supervision
Jan Praško, Ilona Krone, Marie Ociskova
The parallel process is a psychosocial phenomenon where the relationship dynamics between the therapist and the client are repeated in the supervisory relationship between the therapist and the supervisor. The concept of the parallel process can be a useful tool for understanding and solving problems in therapy. However, it can induce supervision drift or block the supervision process.
Objective: This lecture aims to familiarize the reader with parallel processes in schema therapy supervision and discuss how to manage this phenomenon in supervision.
Method: The lecture provides an overview of theoretical constructions and empirical studies related to the parallel process. Case vignettes were collected from trainees, training leaders and supervisors to provide real-life examples of how self-reflection and self-experience can enhance the understanding of parallel process in schema therapy training, practice, and supervision.
Results: Interventions focused on the parallel process within supervision can help understand what is happening in the client-therapist relationship and can help focus on therapeutic and supervisory practices. Schema therapy interventions such as guided discovery, psychoeducation, imagery rescripting, cognitive techniques, role-playing, dialogue of modes, and chairwork might reveal and elaborate the parallel process.
Conclusion: Supervisors and supervisees should acknowledge and be vigilant about the diverse manifestations of parallel processes and leverage their potential for supervision and therapeutic interventions.
Poul Perris
Objectives/Background. In adulthood, romantic partners are considered to be a person’s primary attachment figure. Therefore, the relationship that one develops with a romantic partner in adulthood represents an important relational context within which schema-congruent and schema-incongruent experiences can occur. Of particular interest is the extent to which romantic partners can help to mitigate or attenuate an individual’s activation and perpetuation of early maladaptive schemas (EMSs) within the domain considered critical to secure attachment bonds – the disconnection and rejection domain (i.e., schemas of abandonment, mistrust abuse, emotional deprivation, social isolation, and defectiveness shame).
However, it remains unclear as to the relationship behaviours that romantic partners engage in that can attenuate the activation of their partner's EMSs within the disconnection and rejection domain. Indeed, there exists no research that has specifically examined the types of behavioral responses rendered by partners that can address EMS activation. The reasons for this lack of research are varied, but a primary reason relates to issues around assessment. To date there is no measure that evaluates the specific partner behaviours that reflect responses that can soothe or mitigate activation of EMSs. This presentation addresses this gap by reporting on the development and psychometric evaluation of a novel self-report measure of partner behaviours that can help to mitigate or attenuate EMSs in the disconnection rejection domain.
Method. A large (N~800) general community sample of adults currently in a romantic relationship will complete an online survey. Participants are administered items comprising the partner behaviours measure as well as widely validated measures to examine the convergent and divergent validity of the new measure. These assessments include adult attachment styles, loneliness, partner conflict, partner support and responsiveness, partner relationship quality, sexual satisfaction, and items from the disconnection rejection domain of the YSQ-S3. Confirmatory Factor Analysis will be used to evaluate the structural validity of the newly developed measure. Correlation analyses will be used to evaluate the convergent and divergent validity of the measure.
Results and Conclusions. It is anticipated that this study will provide a psychometrically sound new measure that can be used by clinicians and researchers to evaluate the extent to which a romantic partner engages in behaviour that can attenuate a variety of EMSs associated with the disconnection/rejection schema domain and thereby meet a person’s need to experience a stable, nurturing and secure romantic attachment.
Increasing mode awareness whit patients’ home- made videos in Group Schema Therapy
Jari Peltomaa & Tarja Koffert
At the University of Turku, we have studied the use of visual material, especially video, as a facilitator of psychotherapy (Koffert et al. 2019). We have named the method VideoTalk (VT). In the method, patients take videos at home in different emotional situations with the therapist's precise instructions for the next therapy session. Video recording at home is important because when patients are alone, symptoms are more likely to be activated. On the videotape, the patient speaks out the thoughts that come to mind around the theme at present. Next, they watch the video in therapy session and pay attention to their emotional state, their bodily reactions, their tone of voice, their way of thinking and how they talk about the situation that is problematic for them. Patients' experiences of the work have been positive (Nordström et al. 2021). The Group Schema Therapy (GST) model of program is theoretically consistent with the model and theory of ST as developed by Young and later Farrell & Shaw (Young et al. 2003; Farrell & Shaw 2012). We combined the individual VT treatment program to GST context and run a group with eight BPD patients. Patient videotaped at home their modes which were watched in the group.
Video Talk method is an observational tool in Schema Therapy group for observing modes. Patients videotape their mode states at home according to the treatment program. The aim is making observations from the videotape of patient’s internal experience and understand more the causal impacts of experience. The videos are watched in the group sessions where the patient identifies the schema, coping styles and pattern of emotions and behaviors that results of schema. The video expands the number of the patient's observations, bringing out the reactions caused by the negative schema, which appear in the video image as bodily changes, making the mode's harmfulness concrete. The patient must understand the ways in which the schema distorts the way in which he/she sees the world. The Video Talk method provides a platform where to combine observations of hearing, vision, and bodily signals. Link them to cognitions and spoken language on the video. Video gives feedback of the impact of schema which can be used in group discussions to build a Healthy Adult mode. This video-assisted communication between the internal and outside world gives an opportunity to observe how modes are affecting in experiences. It will also socialize group members for new observation from the other group members videos.
Our presentation presents the interventions of VT-model for mode interventions in GST. and preliminary treatment results and discuss the treatment method.
Parallel Process In schema therapy and Supervision
Jan Praško, Ilona Krone, Marie Ociskova
The parallel process is a psychosocial phenomenon where the relationship dynamics between the therapist and the client are repeated in the supervisory relationship between the therapist and the supervisor. The concept of the parallel process can be a useful tool for understanding and solving problems in therapy. However, it can induce supervision drift or block the supervision process.
Objective: This lecture aims to familiarize the reader with parallel processes in schema therapy supervision and discuss how to manage this phenomenon in supervision.
Method: The lecture provides an overview of theoretical constructions and empirical studies related to the parallel process. Case vignettes were collected from trainees, training leaders and supervisors to provide real-life examples of how self-reflection and self-experience can enhance the understanding of parallel process in schema therapy training, practice, and supervision.
Results: Interventions focused on the parallel process within supervision can help understand what is happening in the client-therapist relationship and can help focus on therapeutic and supervisory practices. Schema therapy interventions such as guided discovery, psychoeducation, imagery rescripting, cognitive techniques, role-playing, dialogue of modes, and chairwork might reveal and elaborate the parallel process.
Conclusion: Supervisors and supervisees should acknowledge and be vigilant about the diverse manifestations of parallel processes and leverage their potential for supervision and therapeutic interventions.
Speaker
Mr Poul Perris
Md
Swedish Institute For CBT & Schema Therapy
Assessing partner responsiveness to disconnection and rejection: A new schema therapy-informed measure for couples research and practice.
Biography
Poul Perris, MD, Licensed Psychotherapist and Supervisor, is the Director of the Swedish Institute for CBT & Schema Therapy in Stockholm, Sweden. He is the Founding President of ISST (2008 - 2010), and served as President of the Swedish Association for Cognitive Behavioral Therapies (SABCT) from 2010 to 2016. Poul was originally trained by Dr. Jeffrey Young in Schema Therapy and is certified as an advanced level schema therapist, supervisor & trainer for individuals and couples. He specializes in the treatment of personality disorders, and on couples therapy for complex relational problems. Poul has published a handbook on Schema Therapy (in Swedish), and also co-authored several chapters in English textbooks on schema therapy. Poul has been teaching and supervising therapists internationally for over a decade.
Psychotherapist Jari Peltomaa
Psychotherapist
University of Turku
Increasing mode awareness whit patients’ home- made videos in Group Schema Therapy
Biography
Jari Peltomaa is psychiatric nurse, cognitive psychotherapist and MSc student from Finland. He had worked nearly twenty years in Community Mental Health hospital, outpatient clinic and child protection service and as private psychotherapist. He has worked mainly whit PBD patients and other serious mental healh problems whit in individually and in group context. He is certified (advanced level) group schematherapist and has run groups mainly for BPD patients from 2015.
Tarja Koffert is a Cognitive Psychotherapy and Family Therapy Trainer in upper Specialized Level. She has a Degree of Adviser in Organizational Development. She has a Group ST Certification (advanced level). She has worked in a psychiatric hospital in the 80’s, and 90’s in the National Research and Development Centre for Welfare and Health in Finland. Since the beginning of the year 2000, she has had her own practice where she has used photographing and videotaping in therapy work over fifteen years, first only in the individual therapy but lately with Schema therapy groups. Currently she works partly as a private psychotherapist and partly in the University of Turku, Finland. Her assignment is to write digitalized cognitive behavioral therapy intervention for depression. She is also a non-fiction writer in Finland.
Jan Praško
Professor Of Psychiatry
Department Of Psychiatry, Faculty Of Medicine And Dentistry, Palacky University Olomouc
Parallel Process In schema therapy and Supervision
Biography
Jan Prasko is a professor of psychiatry and a certified schema therapist. He has over 35 years of experience in teaching, training and supervising cognitive-behavioral in various countries. He is the president of the Czech Psychotherapeutic Association and the author of over 600 articles on psychotherapy research and practice (HI=29), and over 80 monographies. He specializes in working with patients with complex mental disorders, such as OCD, personality disorders, anxiety disorders, trauma, and bipolar disorder. He is passionate about sharing his knowledge and skills with other professionals and helping them improve their clinical outcomes.
Marie is a clinical psychologist based in Prague, the Czech Republic. She has been working at psychiatric departments in Olomouc and Beroun, providing treatment for adults with personality disorders and other chronic mental health issues. Marie has also engaged in psychiatric research and has done studies on mental health stigma and predictors of treatment outcomes in naturalistic settings
llona Krone, Ph.D. in clinical psychology from the State University of Latvia, began her journey in psychology in 2000. Her studies delved into child-parent relationships and neuropsychology, leading her to present findings at esteemed events like the World Congress of Psychology. Trained in Cognitive Behavioral Therapy (CBT) at several institutions, including Odyssea (International CBT Institute, Czech Republic), Ilona has practiced, taught, and conducted research on psychotherapy approaches since 2012. She gained recognition as a schema therapy supervisor/trainer in 2019. A key achievement in her career includes co-founding the Baltic Schema Therapy Institute in 2020, where she serves as the training program director. She’s actively supported colleagues all over the world . Dr. Krone has significantly contributed to the field through various roles, including a clinical psychologist at the Riga Psychiatry and Narcology Centre and the Maternity House of Riga. As a lecturer at Rigas's Stradins University, she integrates CBT and ST principles into her teachings for both Bachelors' and Masters' and Phd students. Ilona is also an active contributor to various scientific databases and looks forward to playing a crucial role in the growth and dissemination of schema therapy knowledge and practice.
