Schema Therapy

This chapter describes the Schema therapy (ST) model, recent developments of the model, clinical applications, and the growing research base that supports its use in patients with characterological problems. ST is an integrative treatment model that incorporates aspects of cognitive-behavioral therapy (CBT), experiential techniques from Gestalt and drama therapy, attachment theory for understanding of developmental history, and the specific characters of the therapeutic relationship. ST is a relatively young psychotherapeutic treatment for patients with personality disorders. There is, however, a growing body of evidence to support its use also for chronic psychopathological problems and complex comorbidities accompanying personality disorders. In addition to significant symptom reduction and increases in quality of life and feelings of happiness, ST is characterized by high acceptance from patients and correspondingly low dropout rates. Because of the integrated nature of ST training and the variety of possible techniques, it is important to train the case conceptualization of patients and to supervise novice therapists in the use of these techniques.