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About the Video:
In Schema Therapy, Dr. Jeffrey Young demonstrates his unique approach to working with clients with personality disorders or those who are resistant to treatment. Schema therapy is an innovative, integrated therapeutic approach, originally developed as an expansion of traditional cognitive–behavioral treatments. In comparison to cognitive–behavioral therapy, schema therapy emphasizes lifelong patterns, affective change techniques, and the therapeutic relationship, integrating all of these strategies as opposed to focusing on just one of them.
In this session, Dr. Young works with a woman who suffers from deeply negative self-talk stemming in part from abuse she suffered as a child. Dr. Young helps the client to start to challenge her feelings of guilt and self-blame.
About the Approach:
The schema approach draws equally from cognitive–behavioral therapy, attachment theory, psychodynamic concepts, and emotion-focused therapies. In comparison to cognitive–behavioral therapy, schema therapy emphasizes lifelong patterns, affective change techniques, and the therapeutic relationship, with special emphasis on limited reparenting.
Schema therapy is particularly well-suited for difficult, resistant clients with entrenched, chronic psychological disorders, including personality disorders (including borderline personality disorder and narcissism) and eating disorders, intractable couples problems, and criminal offenders. It has also been found to be effective for relapse prevention in depression, anxiety, and substance abuse.
The initial results of a major comparative outcome study have shown schema therapy to be effective with a high percentage of outpatients with borderline personality disorder, with a low dropout rate. Clients who have spent years gaining valuable insight with psychodynamic treatments, but who are frustrated by their lack of progress, often respond well to the active, systematic, flexible, and depth-oriented schema approach.
About the Therapist:
Jeffrey E. Young, PhD, serves on the faculty of the Department of Psychiatry at Columbia University. He is director of the Cognitive Therapy Center of New York as well as the Schema Therapy Institute. Dr. Young founded schema therapy, and is a founding fellow of the Academy of Cognitive Therapy. Dr. Young has lectured and presented workshops on cognitive and schema therapies for the past 25 years and consistently receives outstanding evaluations internationally for his teaching skills. He has published extensively, including two major books, Schema Therapy: A Practitioner's Guide, for mental health professionals, and Reinventing Your Life, a best-selling self-help book.
Dr. Young is coauthor of a psychotherapy outcome study evaluating the effectiveness of cognitive therapy in comparison to antidepressant medication. He has also served as consultant on many cognitive and schema therapy research grants, including the NIMH Collaborative Study of Depression, and on the editorial boards of journals including Cognitive Therapy and Research and Cognitive & Behavioral Practice. For his exceptional teaching skills, Dr. Young was awarded the prestigious NEEI Mental Health Educator of the Year award in 2003.