Tuesday, February 7, 2012

Group schema therapy for borderline personality disorder

Group schema therapy for borderline personality disorder [ Back to EurekAlert! ] Public release date: 6-Feb-2012
[ | E-mail | Share Share ]

Contact: Joan Farrell, Ph.D.
STIM-Indpls@sbcglobal.net
371-283-3623
International Society of Schema Therapy

Treatment manual and patient workbook

Therapists, patients and families dealing with Borderline Personality Disorder now have an unprecedented guide to a way out of the misery and chaos in the form of the soon to be release book "Group Schema Therapy for Borderline Personality Disorder: Treatment Manual and Patient Workbook". In a series of recent studies ( Giesen-Bloo et al., 2006; Nadort et al., 2009; Farrell, Shaw and Webber, 2009), Schema Therapy (both individual and group forms) has been shown to lead to full recovery across the complete range of symptoms for many patients suffering from Borderline Personality Disorder. Through these studies, Schema Therapy was shown to be more than twice as effective in bringing about full recovery as a widely-practiced traditional treatment (Transference Focused Psychotherapy). Schema Therapy was also found to be more cost-effective and to have a much lower dropout rate. When Group Schema Therapy was added to individual psychotherapy, it was found to lead to even stronger outcomes over a briefer period with a 0% drop out rate and a recovery rate of 94% over a span of 8 months. These promising results have lead to the initiation of a large multi-site international study involving 14 treatment sites spanning 6 countries. Preliminary data from this investigation suggest similarly strong outcomes.

Group Schema Therapy for Borderline Personality Disorder is an outgrowth of training therapists to participate in the multi-site international study and a new window into this powerful approach. It is a total package for practitioners, interested patients and family members in its combination of theoretical, conceptual, empirical and highly practical information. This includes "Therapist tips" for the application of techniques and patient workbook materials accessed on the Wiley website. The principle authors of this book, Joan Farrell, Ph.D. and Ida Shaw, M.A. developed the original Group Schema Therapy model over a period of 25 years and conducted the first randomized controlled trial to test its effectiveness. They are recognized internationally as the primary trainers and supervisors of Group Schema Therapy. While this book is focused on the treatment of Borderline Personality Disorder (BPD) and the all BPD group,like individual ST, Group ST can be adapted to other personality disorders and entrenched interpersonal problems frequently seen in patients suffering from anxiety and depression who present in practice for longer term psychotherapy. Research is underway to test adaptations of this model for Inpatient and Day therapy treatment of BPD, use with other personality disorder patients, mixed groups and the forensic population.

Both individual and Group Schema Therapy are integrative approaches, founded on the principles of cognitive-behavioral therapy, then expanded to include techniques and concepts from other effective psychotherapies. Schema therapists help patients to change their entrenched, self-defeating life patterns or schemas -- using cognitive, behavioral, emotion-focused, and interpersonal techniques. The treatment focuses on the relationship with the therapist, daily life outside of therapy, and the traumatic childhood experiences that are common in this disorder. Dr. Young, the originator of Schema Therapy, believes its greater effectiveness arises in part from its use of "limited reparenting," which is not part of other approaches to BPD. In individual Schema Therapy it involves the therapist serving as a transitional parental figure who, within the bounds of a professional relationship, works to directly meet core needs in a way that allows the patient to internalize these "healthy adult" capacities and eventually meet his/her own needs. Group Schema Therapy adds to this transitional parental figure a transitional healthy family. The combination of a healthy parent and family seems to augment the effects that each has on their own.

According to Dr. Young: "Other treatments for BPD, such as Dialectical Behavior Therapy, have also led to more effective coping skills and a significant reduction in self-harm. With Schema Therapy patients are, in addition, breaking free of lives of pain, self-hatred, and emptiness, making deeper personality changes, and significantly improving the quality of their lives."

Schema Therapists are hoping that the addition of a group format will make this approach even more cost effective and allow it to be made widely available, allowing clinicians to bring love and fulfillment into the lives of many more patients currently stuck in a miserable existence. There is also hope that the repeated validations of the effectiveness of Schema Therapy will lead to more research studies, encourage more clinicians to learn Schema Therapy and convince healthcare insurers to reimburse the costs of effective longer-term psychotherapy for painful and costly illnesses such as BPD.

"Group Schema Therapy for Borderline Personality Disorder: Treatment Manual and Patient Workbook" is being published by Wiley-Blackwell with a release date of April 2012. Training in Group Schema Therapy is available in Europe, Australia and the United States. See www.BPD-Home-Base.org for information on workshops.

The principle authors of this book, Dr. Joan Farrell and Ida Shaw, M.A., along with other leading Schema Therapy practitioners and researchers from around the world, will be sharing their latest breakthroughs and insights in the first U.S. based World Schema Therapy Conference in May, 2012. The focus of the congress will be on attachment, re-parenting, and the therapy relationship. It will be held at the New York Academy of Sciences from May 17th through May 19th

###

Articles:

Farrell, J.; Shaw, I.; and Webber, M. A schema-focused approach to group psychotherapy for outpatients with borderline personality disorder: A randomized controlled trial. Journal of Behavior Therapy and Experimental Psychiatry Volume 40, Issue 2, June 2009, Pages 317-328.

Farrell, J.M. & Shaw, I.A. (2010). Schematherapie-Gruppen fr Patienten mit Borderline-Persnlichkeitsstrung: Das Beste aus zwei Welten der Gruppen-Psychotherapie. Reiss, N. & Vogel, F. (2010). Stationre Schematherapie bei Borderline-Persnlichkeitsstrung. Both chapters are in: E. Roediger & G. Jacob (Eds.), Fortschritte der Schematherapie. Konzepte und Anwendungen, pp. 217-226. Gttingen: Hogrefe.Josephine Giesen-Bloo, MSc; Richard van Dyck, MD, PhD; Philip Spinhoven PhD; Willem van Tilburg MD, PhD; Carmen Dirksen, PhD; Thea van Asselt, Msc; Ismay Kremers, PhD; Marjon Nadort, MSc; and Arnoud Arntz, PhD. Outpatient Psychotherapy for Borderline Personality Disorder: a randomized trial of Schema focused therapy versus Transference focused therapy. Archives of General Psychiatry, 2006 , Vol. 63, No. 6, pp. 649-658.

Nadort, M.; Arntz, A.; Smit, J.; Giesen-Bloo, J.; Eikelenbooma, M.; Spinhoven,P.; vanAsselt, T.; Wensing, M.; vanDyck, R.; Implementation of out patient schema therapy for borderline personality Disorder with versus without crisis support by the therapist outside of?ce hours: A randomized trial Behaviour Research and Therapy xxx (2009 )1-13

For further information about Schema Therapy (or Schema Focused Therapy), contact Jeffrey Young, Ph.D., at the Cognitive Therapy Center of New York: 212-221-0700 or e-mail at: office@schematherapy.com; or George Lockwood, Ph.D., at the Schema Therapy Institute Midwest: 269-345-8100, or e-mail at: institute@schematherapymidwest.com

For information about Group Schema Therapy contact Joan Farrell, Ph.D at Schema Therapy Institute Midwest Indianapolis Center 317-2833623 or email STIM-Indpls@sbcglobal.net .

For further information about the research studies, contact Arnoud Arntz, tel. +31 43 388 1228, e-mail arnoud.arntz@mp.unimaas.nl, Joan Farrell, tel. 317-283-3623, e-mail STIM-Indpls@sbcglobal.net , Josephine Giesen-Bloo, tel. +31 478 635 200, e-mail j.giesen@lavori.nl, or Marjon Nadort, e-mail m.nadort@ggzingeest.nl


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AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.


Group schema therapy for borderline personality disorder [ Back to EurekAlert! ] Public release date: 6-Feb-2012
[ | E-mail | Share Share ]

Contact: Joan Farrell, Ph.D.
STIM-Indpls@sbcglobal.net
371-283-3623
International Society of Schema Therapy

Treatment manual and patient workbook

Therapists, patients and families dealing with Borderline Personality Disorder now have an unprecedented guide to a way out of the misery and chaos in the form of the soon to be release book "Group Schema Therapy for Borderline Personality Disorder: Treatment Manual and Patient Workbook". In a series of recent studies ( Giesen-Bloo et al., 2006; Nadort et al., 2009; Farrell, Shaw and Webber, 2009), Schema Therapy (both individual and group forms) has been shown to lead to full recovery across the complete range of symptoms for many patients suffering from Borderline Personality Disorder. Through these studies, Schema Therapy was shown to be more than twice as effective in bringing about full recovery as a widely-practiced traditional treatment (Transference Focused Psychotherapy). Schema Therapy was also found to be more cost-effective and to have a much lower dropout rate. When Group Schema Therapy was added to individual psychotherapy, it was found to lead to even stronger outcomes over a briefer period with a 0% drop out rate and a recovery rate of 94% over a span of 8 months. These promising results have lead to the initiation of a large multi-site international study involving 14 treatment sites spanning 6 countries. Preliminary data from this investigation suggest similarly strong outcomes.

Group Schema Therapy for Borderline Personality Disorder is an outgrowth of training therapists to participate in the multi-site international study and a new window into this powerful approach. It is a total package for practitioners, interested patients and family members in its combination of theoretical, conceptual, empirical and highly practical information. This includes "Therapist tips" for the application of techniques and patient workbook materials accessed on the Wiley website. The principle authors of this book, Joan Farrell, Ph.D. and Ida Shaw, M.A. developed the original Group Schema Therapy model over a period of 25 years and conducted the first randomized controlled trial to test its effectiveness. They are recognized internationally as the primary trainers and supervisors of Group Schema Therapy. While this book is focused on the treatment of Borderline Personality Disorder (BPD) and the all BPD group,like individual ST, Group ST can be adapted to other personality disorders and entrenched interpersonal problems frequently seen in patients suffering from anxiety and depression who present in practice for longer term psychotherapy. Research is underway to test adaptations of this model for Inpatient and Day therapy treatment of BPD, use with other personality disorder patients, mixed groups and the forensic population.

Both individual and Group Schema Therapy are integrative approaches, founded on the principles of cognitive-behavioral therapy, then expanded to include techniques and concepts from other effective psychotherapies. Schema therapists help patients to change their entrenched, self-defeating life patterns or schemas -- using cognitive, behavioral, emotion-focused, and interpersonal techniques. The treatment focuses on the relationship with the therapist, daily life outside of therapy, and the traumatic childhood experiences that are common in this disorder. Dr. Young, the originator of Schema Therapy, believes its greater effectiveness arises in part from its use of "limited reparenting," which is not part of other approaches to BPD. In individual Schema Therapy it involves the therapist serving as a transitional parental figure who, within the bounds of a professional relationship, works to directly meet core needs in a way that allows the patient to internalize these "healthy adult" capacities and eventually meet his/her own needs. Group Schema Therapy adds to this transitional parental figure a transitional healthy family. The combination of a healthy parent and family seems to augment the effects that each has on their own.

According to Dr. Young: "Other treatments for BPD, such as Dialectical Behavior Therapy, have also led to more effective coping skills and a significant reduction in self-harm. With Schema Therapy patients are, in addition, breaking free of lives of pain, self-hatred, and emptiness, making deeper personality changes, and significantly improving the quality of their lives."

Schema Therapists are hoping that the addition of a group format will make this approach even more cost effective and allow it to be made widely available, allowing clinicians to bring love and fulfillment into the lives of many more patients currently stuck in a miserable existence. There is also hope that the repeated validations of the effectiveness of Schema Therapy will lead to more research studies, encourage more clinicians to learn Schema Therapy and convince healthcare insurers to reimburse the costs of effective longer-term psychotherapy for painful and costly illnesses such as BPD.

"Group Schema Therapy for Borderline Personality Disorder: Treatment Manual and Patient Workbook" is being published by Wiley-Blackwell with a release date of April 2012. Training in Group Schema Therapy is available in Europe, Australia and the United States. See www.BPD-Home-Base.org for information on workshops.

The principle authors of this book, Dr. Joan Farrell and Ida Shaw, M.A., along with other leading Schema Therapy practitioners and researchers from around the world, will be sharing their latest breakthroughs and insights in the first U.S. based World Schema Therapy Conference in May, 2012. The focus of the congress will be on attachment, re-parenting, and the therapy relationship. It will be held at the New York Academy of Sciences from May 17th through May 19th

###

Articles:

Farrell, J.; Shaw, I.; and Webber, M. A schema-focused approach to group psychotherapy for outpatients with borderline personality disorder: A randomized controlled trial. Journal of Behavior Therapy and Experimental Psychiatry Volume 40, Issue 2, June 2009, Pages 317-328.

Farrell, J.M. & Shaw, I.A. (2010). Schematherapie-Gruppen fr Patienten mit Borderline-Persnlichkeitsstrung: Das Beste aus zwei Welten der Gruppen-Psychotherapie. Reiss, N. & Vogel, F. (2010). Stationre Schematherapie bei Borderline-Persnlichkeitsstrung. Both chapters are in: E. Roediger & G. Jacob (Eds.), Fortschritte der Schematherapie. Konzepte und Anwendungen, pp. 217-226. Gttingen: Hogrefe.Josephine Giesen-Bloo, MSc; Richard van Dyck, MD, PhD; Philip Spinhoven PhD; Willem van Tilburg MD, PhD; Carmen Dirksen, PhD; Thea van Asselt, Msc; Ismay Kremers, PhD; Marjon Nadort, MSc; and Arnoud Arntz, PhD. Outpatient Psychotherapy for Borderline Personality Disorder: a randomized trial of Schema focused therapy versus Transference focused therapy. Archives of General Psychiatry, 2006 , Vol. 63, No. 6, pp. 649-658.

Nadort, M.; Arntz, A.; Smit, J.; Giesen-Bloo, J.; Eikelenbooma, M.; Spinhoven,P.; vanAsselt, T.; Wensing, M.; vanDyck, R.; Implementation of out patient schema therapy for borderline personality Disorder with versus without crisis support by the therapist outside of?ce hours: A randomized trial Behaviour Research and Therapy xxx (2009 )1-13

For further information about Schema Therapy (or Schema Focused Therapy), contact Jeffrey Young, Ph.D., at the Cognitive Therapy Center of New York: 212-221-0700 or e-mail at: office@schematherapy.com; or George Lockwood, Ph.D., at the Schema Therapy Institute Midwest: 269-345-8100, or e-mail at: institute@schematherapymidwest.com

For information about Group Schema Therapy contact Joan Farrell, Ph.D at Schema Therapy Institute Midwest Indianapolis Center 317-2833623 or email STIM-Indpls@sbcglobal.net .

For further information about the research studies, contact Arnoud Arntz, tel. +31 43 388 1228, e-mail arnoud.arntz@mp.unimaas.nl, Joan Farrell, tel. 317-283-3623, e-mail STIM-Indpls@sbcglobal.net , Josephine Giesen-Bloo, tel. +31 478 635 200, e-mail j.giesen@lavori.nl, or Marjon Nadort, e-mail m.nadort@ggzingeest.nl


[ Back to EurekAlert! ] [ | E-mail | Share Share ]

?


AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.


Source: http://www.eurekalert.org/pub_releases/2012-02/isos-gst020612.php

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