Psychology 2310A/B Lecture Notes - Therapeutic Relationship

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Cognitive-behavioural theory of personality disorders (jeffrey young schema theory) Early maladaptive schemas (ems: unconditional beliefs about self, others, eg, defectiveness, incompetence, entitlement, etc, develop early in life parental relations, self-perpetuating, resistant to change, schema is activated by environmental events, produce strong emotional reactions, maladaptive behaviours. Development of ems"s: ems"s develop when specific core childhood needs are not met, core childhood needs, love, nurturing, attention, acceptance, praise, stable base, predictability, and safety, empathy, guidance, protection, limit-setting, validation of feelings and needs, etc. Parenting and ems"s: overly critical defectiveness, overprotection dependency, cold, unloving emotional deprivation, controlling subjugation, over-indulgent entitlement, neglect, rejection abandonment, loss, overly demanding unrelenting standards. Psychotherapy for personality disorders: differences from therapy for axis i problems, patients more resistant to change rigid, less co-operative, less motivated (e. g. , self-monitoring, homework, cognitions less conscious, accessible, more focus needed on the therapeutic relationship, early experience.

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