S4RT1 - Conceptualizing and assessing the Healthy Adult within the context of schema therapy practice
Tracks
Track 6
Innovation
| Saturday, June 1, 2024 |
| 3:45 PM - 5:15 PM |
Overview
Round Table Discussion
Details
If the presenter suggests breaking into groups then you should access the Breakout Foyer HERE
This panel discussion will focus on conceptual and practical aspects of the process of assessing a client’s healthy adult functioning in preparation for schema therapy. The Healthy Adult is best thought of as not a single mode, but a suite of healthy capacities or strengths that, when viewed together, characterize how a psychologically mature adult would think, feel and behave towards self and others. The ISST’s 2024 Case Conceptualization Form provides a framework for conceptualizing the Healthy Adult Mode with considerable breadth and depth, using eight broad categories.
David Edwards will discuss how these categories were arrived at. The nature of mature human functioning has always been of interest and concern within psychology and contributions will be reviewed from Alfred Adler’s community feeling, Carl Roger’s fully functioning person, Abraham Maslow’s self-actualizing personality, and those who have drawn on the traditional concept of wisdom as elaborated, for example, in the Berlin wisdom paradigm of Baltes, Linden and others. Within schema therapy, these perspectives are the foundation of Bernstein’s 16 qualities of the Healthy Adult portrayed in a set of illustrated iModes cards. More recently, the DSM-5 and ICD-11 diagnostic systems, in moving away from classifying personality disorders using a limited set of categories, have identified a range of dimensions of mature and healthy functioning which, taken together, offer a view of mature human functioning which is comprehensive, and evidence-based, and does justice to the complexity of human personality.
The eight categories for evaluating the Healthy Adult in the latest ISST case conceptualization form offer an attempt to synthesize these capacities into a manageable form for assessment of the Healthy Adult in clients along dimensions that are clinically relevant in that they directly impact case conceptualization and the effectiveness of therapy interventions.
On the basis of this, Poul Perris will describe a clinical tool for assessing these capacities: “My Healthy Adult Capacities in a specific Life Area/Relationship.” It is based on eight different statements relating to each of the eight categories from the case conceptualization form (64 in all). Based on a development process in which feedback was provided by clients and therapists, he will offer practical guidelines on how to implement this in clinical practice, both in the initial assessment process, and more generally, when conceptualizing the challenges presented by clients whose therapy does not proceed smoothly.
George Lockwood will draw on his experience in contributing to the development of the Positive Parenting Schema Inventory (PPSI) and the Young Positive Schema Questionnaire (YPSQ) and his clinical use of the PPSI, YPSQ and the International Personality Item Pool-NEO in the case conceptualization process to comment further on this discussion and to highlight the practical aspects of evaluating healthy adult functioning within the schema therapy process.
Tijana Mirovic will act as discussant, presenting her reaction to the material presented with a focus
This panel discussion will focus on conceptual and practical aspects of the process of assessing a client’s healthy adult functioning in preparation for schema therapy. The Healthy Adult is best thought of as not a single mode, but a suite of healthy capacities or strengths that, when viewed together, characterize how a psychologically mature adult would think, feel and behave towards self and others. The ISST’s 2024 Case Conceptualization Form provides a framework for conceptualizing the Healthy Adult Mode with considerable breadth and depth, using eight broad categories.
David Edwards will discuss how these categories were arrived at. The nature of mature human functioning has always been of interest and concern within psychology and contributions will be reviewed from Alfred Adler’s community feeling, Carl Roger’s fully functioning person, Abraham Maslow’s self-actualizing personality, and those who have drawn on the traditional concept of wisdom as elaborated, for example, in the Berlin wisdom paradigm of Baltes, Linden and others. Within schema therapy, these perspectives are the foundation of Bernstein’s 16 qualities of the Healthy Adult portrayed in a set of illustrated iModes cards. More recently, the DSM-5 and ICD-11 diagnostic systems, in moving away from classifying personality disorders using a limited set of categories, have identified a range of dimensions of mature and healthy functioning which, taken together, offer a view of mature human functioning which is comprehensive, and evidence-based, and does justice to the complexity of human personality.
The eight categories for evaluating the Healthy Adult in the latest ISST case conceptualization form offer an attempt to synthesize these capacities into a manageable form for assessment of the Healthy Adult in clients along dimensions that are clinically relevant in that they directly impact case conceptualization and the effectiveness of therapy interventions.
On the basis of this, Poul Perris will describe a clinical tool for assessing these capacities: “My Healthy Adult Capacities in a specific Life Area/Relationship.” It is based on eight different statements relating to each of the eight categories from the case conceptualization form (64 in all). Based on a development process in which feedback was provided by clients and therapists, he will offer practical guidelines on how to implement this in clinical practice, both in the initial assessment process, and more generally, when conceptualizing the challenges presented by clients whose therapy does not proceed smoothly.
George Lockwood will draw on his experience in contributing to the development of the Positive Parenting Schema Inventory (PPSI) and the Young Positive Schema Questionnaire (YPSQ) and his clinical use of the PPSI, YPSQ and the International Personality Item Pool-NEO in the case conceptualization process to comment further on this discussion and to highlight the practical aspects of evaluating healthy adult functioning within the schema therapy process.
Tijana Mirovic will act as discussant, presenting her reaction to the material presented with a focus
Speaker
Professor David Edwards
Director
Schema Therapy Institute Of South Africa
Chair and Contributor
Biography
Professor David Edwards
http://www.schematherapysouthafrica.co.za/
David Edwards is an Emeritus Professor at Rhodes University in South Africa, where, for over 25 years, he taught cognitive-behavioural therapy (including schema therapy) to trainee clinical and counselling psychologists. He also taught group therapy and offered intensive workshops to students using expressive therapies including psychodrama, clay sculpture, drawing and dance. Since his retirement, at the end of 2009, he continues to work as a researcher and research supervisor.
He is a Clinical Psychologist in South Africa and the United Kingdom and has an active private practice offering psychotherapy. He trained in cognitive-behavioural, humanistic and transpersonal approaches to psychotherapy, and has a longstanding interest in psychotherapy integration. In the 1980s, he did a postdoctoral year with Aaron Beck in Philadelphia, where he first met Jeffrey Young and learned about his early ideas about schema therapy. He is certified as a Trainer and Supervisor by the International Society of Schema Therapy (ISST) both for individuals and couples.
Through the Schema Therapy Institute of South Africa, he presents basic and advanced training workshops and supervision in schema therapy locally and internationally. Within the ISST he served on the CCC (now the Ethics and Conflict Resolution) Committee, and is currently chair of the Case Conceptualization Committee. He was ISST President from 2016-2020.
He has over 100 academic publications in the form of journal articles and book chapters. In 2022 he published an article on the use of schema modes in case conceptualization (open access at https://www.frontiersin.org/articles/10.3389/fpsyg.2021.763670/full ). He has promoted the use of case studies as a research method in psychotherapy and has published several case studies, with many focusing on psychotherapy for trauma and complex trauma, and the application of schema therapy to complex cases. His most recent case study is open access at https://pcsp.nationalregister.org/index.php/pcsp/issue/view/317 .
George Lockwood, Ph.D. George Lockwood
Director
Schema Therapy Institute Midwest
Contributor
Biography
George Lockwood has been in full time private practice for the past 42 years, 30 of which have been focused on the practice of Schema Therapy. He has been one of the main collaborators with Jeffery Young in the development of Schema Therapy. He is an ISST certified Supervisor and Trainer and has provided training in Schema Therapy beginning in 1996 in California and from 2000 to the present through the Schema Therapy Institute Midwest, of which he is the director. He has continued to be active in clinical practice, research and publishing and has guided and participated in important theoretical and clinical expansions of the schema therapy model including the development of positive schemas.
dr Tijana Mirovic
Training Director
Schema Therapy Center Belgrade
Discussant
Biography
Tijana Mirović holds a PhD in clinical psychology and is accredited advanced level schema therapist, trainer, and supervisor, Systemic Family therapist and CBT/REBT therapist (Associate Fellow of Albert Ellis Institute). She was (until 2019) an associate professor at the University and has owned and managed a counselling centre (Mozaik) in Belgrade, Serbia since 2009. In 2016 Tijana founded Schema Therapy Center Belgrade (the first accredited training centre in the region) and subsequently held accredited trainings and supervisions in Serbia, Greece, Bulgaria, Slovenia, Croatia, Bosnia and Herzegovina, North Macedonia, Montenegro, and Egypt. Tijana is creator of “Trauma – our story” project, author and host of the series “Trauma Heroes” and “ZOOMing Trauma”, editor-in-chief of professional publications published by Mozaik and Schema Therapy Center Belgrade. She authored / co-authored “Schema Therapy Cards set”, three books, seven book chapters and numerous research papers related to schema therapy or (collective)trauma.
Mr Poul Perris
Md
Swedish Institute For CBT & Schema Therapy
Contributor
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.
