DOCSLIB.ORG

(Dbt) and Schema Therapy (St) on Reducing Mood Activity and Suicidal Thoughts in Patients with Borderline Personality Disorder

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
(Dbt) and Schema Therapy (St) on Reducing Mood Activity and Suicidal Thoughts in Patients with Borderline Personality Disorder Acta Medica Mediterranea, 2017, 33: 1025 COMPARING OF THE EFFECT OF DIALECTICAL BEHAVIOR THERAPY (DBT) AND SCHEMA THERAPY (ST) ON REDUCING MOOD ACTIVITY AND SUICIDAL THOUGHTS IN PATIENTS WITH BORDERLINE PERSONALITY DISORDER LADAN MOHAMADIZADEH1, BEHNAM MAKVANDI2*, REZA PASHA2, SAEID BAKHTIARPOUR2, FARIBA HAFEZI2 1Psychology PhD Candidate, Department of Psychology, Khuzestan Science and Research Branch, Islamic Azad University, Ahvaz, Iran - 2Assistant Professor, Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran ABSTRACT Introduction: Borderline personality disorder is known as the most common personality disorder in the field of psychiatry. The aim of this study was to compare the effect of dialectical behavior therapy and schema therapy on mood activity and suicidal thou- ghts in patients with borderline personality disorder in the city of Qazvin. Materials and methods: This study in terms of purpose is an applied one and in terms of the method of data collection, can be regarded as pre-experimental and post-experimental semi-experimental study with the control group. The study population included all patients with borderline personality disorder and mood activity and suicidal thoughts who referred to Bou-Ali Hospital in the city of Ghazvin. The sample consisted of 36 students, who were selected by convenience sampling. Of these, 24 patients were randomly divided into two groups, two experimental group including12 people, and a control group consisting 12 patients. In this study, The Millon Clinical Multiaxial Inventory, The beck Depression Inventory and Scale suicide imagination Mach (SSIM) were used. Patients with the borderline personality disorder who belonged to the experimental group were under intervention for 16 section which takes long 90 minutes sessions in eight consecutive weeks under the controls. Research data was analyzed using multivariate and single factor analysis of covariance, and T-experimental was analyzed for the independent groups. Results: The results showed that there was a significant difference between dialectical behavior therapy and schema therapy with regard to their effect on mood activity and suicidal thoughts at (0.05> P). The results of the Independent t-experimental also showed that there was no significant difference between dialectical behavior therapy and schema therapy in patients with the border- line personality disorder in terms of the Suicidal thoughts variable at (0.05> P), but there was a significant difference between sche- ma therapy and dialectical behavior therapy in patients with the borderline personality disorder in terms of the mood activity varia- ble at (0.01> P). Discussion and conclusion: So, we could conclude that dialectical behavior therapy and schema therapy should be effective in reducing mood activity and suicidal thoughts in patients with borderline personality disorder. Keywords: dialectical behavior therapy, schema therapy, mood activity, suicidal thoughts, borderline personality disorder. DOI: 10.19193/0393-6384_2017_6_162 Received December 30, 2016; Accepted June 20, 2017 Introduction der in this way; it is a pervasive pattern in relation with instability in interpersonal relationships, self- Borderline personality disorder which is image, and impulsivity mood. It starts in the early known as one of the personality disorders, is the adulthood and emerges in different situations. most common one in psychiatric settings. The term According to the previous studies, the prevalence of border is a psychoanalytic term first used for a borderline personality disorder has been growing in group of patients who were on the border of neurot- the population from1 to 2%, and the rate of suicide ic and discrete mental groups(1). The psychiatric in people suffering from it is about 10%. The num- Association of America(2) has described this disor- ber of women with borderline personality disorder 1026 Ladan Mohamadizadeh, Behnam Makvandi et Al is two times more than that of men with this disor- reducing anger before it happens, as well as ders(3). reduced self-harm(9). The main characteristic of borderline personal- Schema therapy is another psychological treat- ity is emotional instability. Some important features ment that can have a positive effect on the symp- of patients with this disorder are mood activity and toms of borderline personality disorder. Schema suicidal thoughts. These patients are known with therapy has been developed for the treatment of downward and upward emotions, instability and patients with chronic cognitive behavior problems; anger; they need to communicate and have variable these patients have not got enough help from the comments in relation to others. Patients with bor- classical cognitive-behavioral therapy. The treat- derline personality disorder even for a brief ment is a good choice for many patients with disor- moment when they are alone, experience empti- ders of Axis 1 and 2 who have long-term cognitive ness. Despite having romantic and strong relation- behavior problems related to the cognitive charac- ships, they are heartbroken most of the time. They ter. According to this model, the schemas are at the make efforts without reason, such as committing core of personality disorders, and behavioral pat- suicide to avoid losing. Suicidal behaviors are relat- terns in DSM are mainly responses to the central ed to a situation in which a person puts himself at scheme. The main goal of treatment in patients with the risk, but his suicide attempt is not complete cognitive behavior problems is to improve the (Like dropping over the bridge and putting the schema(10). tablets in the mouth but not swallowing them)(4). Taking into account the effectiveness of They suffer from the problems like mood schema therapy and dialectical behavior therapy in activity, unsatisfactory relationships with others, reducing the symptoms of borderline personality impulsive behavior and ambiguous identity. Despite disorder, the present research aimed to study and the fact that most patients with borderline personal- compart the effect of these treatments on people ity disorder are intelligent and creative, they rarely, who commit suicide. Physical therapists and crisis show progress in the development of their talents. intervention experts can make benefit from the The risk of self-injury in people is due to the high findings of the study. Therefore, the present study self-mutilation or drug abuse. 69 to 75% of people was set out to find out how and to what extent each with borderline personality disorder suffer from the of these schema therapy treatments and dialectical self-harm behaviors as well. 69% of them are at a behavior therapy could improve the mood activity high risk for suicide, and approximately 10% of and suicidal thoughts in borderline personality dis- deaths in this population are as a result of a suicide order. attempt(5). To reduce the borderline personality dis- order in patients with depression, various treat- Materials and methods ments have been suggested among which dialecti- cal behavior therapy (DBT) and Schema Therapy The research method was a quasi-experimental (ST) can be named(6). one. The experimental group was trained in two DBT is more complex than some other meth- groups in the field of dialectical behavior therapy ods, and its success in the treatment of personality and Schema Therapy, while the control group disorders, especially BPD(7) and its related traits(8), received no intervention. The population in this has been well proved. This method was invented in group included all patients with borderline person- 1993 by Marshall Linehan. The model was pro- ality disorder who lived in the city of Qazvin in posed by dialectical behavior therapy for borderline 2015. The sample included 36 cases of female personality disorder because people with borderline patients with borderline personality disorder who personality disorder suffered from poor emotional referred to Bou-Ali Hospital in Qazvin they were regulation in their interpersonal relationships. selected using the convenience sampling method. There are many maladaptive behaviors The patients were randomly divided into three (including many symptoms of borderline personali- 12-person groups; the first group received dialecti- ty disorder diagnosis), such as impulsive behavior, cal behavior therapy intervention, the second group that have been reinforced in these people. got schema therapy received Dialectical behavior According to the research, dialectical behavior ther- therapy intervention, and the control group received apy plays an important role in reducing suicide no intervention. Exclusion criteria in the samples attempts and depression, increasing control and were related to the patients who had committed sui- Comparing of the effect of dialectical Behavior therapy (DBT) and schema therapy (ST) on reducing mood activity ... 1027 cide, and re-suicide; people with perturbations such symptoms. The standardized cutoffs used differed as bipolar disorder, substance abuse, and personali- from the original: 0-13: minimal depression, 14-19: ty disorder treated with the drug, were initially mild depression, 20-28: moderate depression, 29- excluded. The use of any psychiatric medication 63: severe depression. during training, from the very first session of treat- The BDI-II is positively correlated with the ment, and the use of any type of psychological ser- Hamilton Depression Rating Scale with a Pearson r vices were abandoned. Also, variables such as
Load more

Recommended publications
  • The Application of Psychotherapeutic Approaches in Sport
    CORE Metadata, citation and similar papers at core.ac.uk Provided by Leeds Beckett Repository ONE CASE, FOUR APPROACHES 1 One case, four approaches: The application of psychotherapeutic approaches in sport psychology. Turner, M. J*a., Aspin, Gb., Didymus, F. Fc., Mack, Rd., Olusoga, Pe., Wood, A. Ga., and Bennett, R.f Submitted: 12th June, 2019 Resubmission: 9th August 2019 2nd resubmission: 11th September 2019 Accepted in The Sport Psychologist: 11th October a School of Life Science and Education, Staffordshire University b GCApsychology, Manchester c Carnegie School of Sport, Leeds Beckett University d Centre for Sport and Exercise Science; Sheffield Hallam University e Academy of Sport and Physical Activity, Sheffield Hallam University f School of Psychology, University of Birmingham *corresponding author: Sport and Exercise, School of Life Science and Education, Staffordshire University, Brindley Building, Leek Road, Stoke on Trent, ST4 2DF ONE CASE, FOUR APPROACHES 2 Abstract Sport and exercise psychology practitioners tasked with service provision within any environment can decide which framework(s) they draw upon to inform their applied work. However, the similarities and differences between psychotherapeutic approaches are under represented in current literature. Therefore, this paper brings together practitioners from four dominant psychotherapeutic approaches to address one specific hypothetical case. Four different cognitive behavioral approaches are outlined, namely rational emotive behavior therapy (REBT), cognitive therapy (CT), schema therapy (ST), and acceptance and commitment therapy (ACT). Each practitioner outlines their approach and proceeds to address the case by covering assessment, intervention and evaluation strategies that are specific to their approach. Similarities and differences across the approaches are discussed and implications for practice are put forth.
    [Show full text]
  • The Comparison of Effectiveness of Dialectical Behavioral Therapy (DBT) and Schema Therapy (ST) in Reducing the Severity of Clin
    ORIGINAL ARTICLE The Comparison of Effectiveness of Dialectical Behavioral Therapy (DBT) and Schema Therapy (ST) in Reducing the Severity of Clinical Symptoms (Disruptive Communication, Emotional Deregulation and Behavioral Deregulation) of Borderline Personality Disorder in Iran NAJMEH HAMID1, RASOUL REZAEI MOLAJEGH2, KIOMARS BASHLIDEH3, MANIJEH SHEHNIYAILAGH4 1Associate Professor of Clinical Psychology, ShahidChamran University of Ahvaz, Ahvaz, Iran 2Ph.D. Student ofPsychology,ShahidChamran University of Ahvaz, Ahvaz, Iran 3Professor of Clinical Psychology, ShahidChamran University of Ahvaz, Ahvaz, Iran 4Professor of Clinical Psychology, ShahidChamran University of Ahvaz, Ahvaz, Iran *CorrespondenceAuthor. E-mail: [email protected] ABSTRACT Borderline personality disorder is one of the complex mental disorders. It also features impulsivity and self – harming behaviors. The objective of this research was to investigate and compare the effectiveness of DBT with that of ST in reducing the severity of clinical symptoms (i.e., disruptive communication, emotional deregulation and behavioral deregulation) of borderline personality disorder patients.The sample consisted of 45 borderline personality disorder patients selected based on diagnostic and statistical manual of mental disorder-fifth edition(DSM-5), clinical interview and borderline personality disorder severity index(BPDSI).Moreover, they were matched concerning age, educational status, sex, not suffering from acute physical, mental disorder and other criterion considered in this research. Then, they were randomly divided into threegroups (i.e., 2 experimental groups and one control group). The instrumentswere included clinical interview and borderline personality disorder severity index (BPDSI). After pre testing, the first experimental group received12 sessions of DBT and the second experimental group (ST) was administered 12 sessions of (ST), but the control group did not receive any intervention,then, post - test was taken from both groups.
    [Show full text]
  • The Effectiveness of Schema Therapy on Reducing Symptoms of Emotional Breakdown
    Available online at www.ijmrhs.com Special Issue 9S: Medical Science and Healthcare: Current Scenario and Future Development International Journal of Medical Research & ISSN No: 2319-5886 Health Sciences, 2016, 5, 9S:1-11 The Effectiveness of Schema Therapy on Reducing Symptoms of Emotional Breakdown Razieh Mouchan 1, Bahman Bahmani 2* and Amir Askari 3 1MA, Department of Counseling, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran 2Assistant Professor, Department of Counseling, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran 3Board Member of Iranian Clinical Psychology Association, Tehran, Iran *Corresponding Email: [email protected] _____________________________________________________________________________________________ ABSTRACT Breakdown in emotional relationships increased the possibility of mental health problems for people. Love Trauma Syndrome is a painful experience that occurs after the collapse of a romantic relationship and disturbed individual’s performance in multiple areas. Schema Therapy is an integrated approach that can help reduce the symptoms of emotional breakdown in people. This study aimed to investigate the effectiveness of schema therapy on alleviates symptoms of emotional breakdown. This was a Single-subject study. The study subjects were three women of college students who studied in different universities in Tehran and refer to college counseling centers to release of their emotional breakdown symptoms. the samples were selected by Purposeful sampling method to take part in16 individual sessions of schema therapy. Variables measured at 3 main stages of experiment processincluding3 measures as baselines, four measures during therapy sessions and3measures as follow-up, by Dehghani’s Love Trauma Syndrome questionnaire (1389). In addition, in pretreatment stage the participants were completed love trauma Rossee questionnaire (1999) and millon -3questionnaire.
    [Show full text]
  • Dual Theory Approach to Working with BPD
    Minnesota State University Moorhead RED: a Repository of Digital Collections Dissertations, Theses, and Projects Graduate Studies Spring 5-17-2019 Dual Theory Approach to Working with BPD Alecsis Zimmer [email protected] Follow this and additional works at: https://red.mnstate.edu/thesis Recommended Citation Zimmer, Alecsis, "Dual Theory Approach to Working with BPD" (2019). Dissertations, Theses, and Projects. 159. https://red.mnstate.edu/thesis/159 This Project (696 or 796 registration) is brought to you for free and open access by the Graduate Studies at RED: a Repository of Digital Collections. It has been accepted for inclusion in Dissertations, Theses, and Projects by an authorized administrator of RED: a Repository of Digital Collections. For more information, please contact [email protected]. Dual Approach to Working with BPD A Project Presented to the Graduate Faculty of Minnesota State University Moorhead By Alecsis Makay Zimmer In Partial Fulfillment of the Requirements for the Degree of Master of Science in Clinical Mental Health Counseling April 2019 Moorhead, Minnesota DUAL THEORY APPROACH TO WORKING WITH BPD 2 Table of Contents 1. Abstract……………………………………………………………...………………Page 3 2. Introduction………………………………………………………………………….Page 4 3. Literature Review……………………………………………………………………Page 4 4. Group Overview……………………………………………………………………Page 12 5. Modules…………………………………………………………………………….Page 15 6. References………………………………………………………………………….Page 21 7. Appendix…………………………………………………………………………...Page 28 DUAL THEORY APPROACH TO WORKING WITH BPD 3 Abstract Manifested symptoms can cause agony within an individual with borderline personality disorder. However, by integrating dialectical behavioral therapy and schema focused therapy, these theories can help the individual feel more at ease. In this group manual, individuals diagnosed with borderline personality disorder will participate in an 12-week group therapy for 2 hours.
    [Show full text]
  • Schema Therapy? Experiences
    Contact details Devon Partnership If you want to talk to someone about this therapy, NHS Trust phone one of the numbers below and they will put you in touch with a therapist from your area. South Devon Sherborne House (2nd Floor), Kingsteignton Road Newton Abbot TQ12 2PF t: 01626 203510 Schema Exeter, East and Mid Devon Church Lane Heavitree EX2 5AD Therapy t: 01392 676376 North Devon Information for Riversvale Centre Your feedback Litchdon Street people who use Barnstaple EX32 8PJ If you would like to know more about us, need information in a different language or format or have our services t: 01271 312961 a concern, compliment or complaint, then please contact our PALS Team: PALS Team Devon Partnership NHS Trust Wonford House, Dryden Road Exeter EX2 5AF Freephone: 0800 0730741 Email: [email protected] You will also find useful information about our services and issues related to mental health and wellbeing on our website. Reference: 411/09/17 www.dpt.nhs.uk www.dpt.nhs.uk Once you start therapy, your therapist will help you What is Schema to explore and understand your moment-to-moment How might I benefit Therapy? emotional states and coping responses (known as ‘modes’) and connect these with your previous from Schema Therapy? experiences. Schema Therapy combines elements of Cognitive Schema Therapy might be helpful if you have any of Behaviour Therapy (CBT), Psychoanalytic Therapy As therapy progresses, you will be supported to the following difficulties: and Attachment Theory. It is designed for people identify when you are getting stuck in self-defeating with long-standing difficulties that originated in schema patterns and learn different ways of coping • Unhelpful patterns in your relationships childhood.
    [Show full text]
  • LEARNING ACT RESOURCE GUIDE the Complete Guide to Resources for Learning Acceptance & Commitment Therapy Jason Luoma, Ph.D
    LEARNING ACT RESOURCE GUIDE The complete guide to resources for learning Acceptance & Commitment Therapy Jason Luoma, Ph.D. Updated July 2020 LEARNING ACT RESOURCE GUIDE The complete guide to resources for learning Acceptance & Commitment Therapy Jason Luoma, Ph.D. 1 DEAR READER, I co-wrote Learning ACT (the 2nd Edition came out in 2017) because Many of these are located on the ACBS website, but it’s not easy to I wanted the book that would have helped me when I was first learn- navigate the website, and as a person who is new to ACT, it’s hard to ing ACT. There were books out there that taught me the basic tools, know where to start. This guide is meant to give people some ideas metaphors, techniques, and exercises of ACT. I also learned a lot of on how to get started and how to advance their skill and knowledge the basic techniques from participating in workshops, watching vid- of the therapy over time. It’ll connect you with resources, with ideas eos of sessions, and watching Steve Hayes supervise students. on how to practice and learn, and with strategies for skill develop- However, what I was wanting was a guide that would help me learn ment. I hope you find it valuable. how to sequence all the components into a coherent whole, that would help me adapt my interventions to client needs, and that would help me to provide a consistent message to my clients so that my focus wouldn’t slip. Learning ACT is meant to be that guide.
    [Show full text]
  • A Systematic Review of Potential Mechanisms of Change In
    logy ho & P yc s s y Forster et al., J Psychol Psychother 2014, 4:1 c P f h o o t DOI: 10.4172/2161-0487.1000133 l h a e n r r a u p o y J Journal of Psychology & Psychotherapy ISSN: 2161-0487 ReviewResearch Article Article OpenOpen Access Access A Systematic Review of Potential Mechanisms of Change in Psychotherapeutic Interventions for Personality Disorder Chloe Forster1*, Natasha Berthollier2 and David Rawlinson1 1Complex Needs Service, Berkshire Healthcare NHS Foundation Trust, Berkshire, UK 2ASSIST Service, Berkshire Healthcare NHS Foundation Trust, Berkshire, UK Abstract Purpose: Despite increased understanding about ‘what works’ for people with personality disorder, there remains a significant gap in knowledge about how these interventions work. This systematic review summarises and critiques the existing literature about mechanisms of change in psychotherapies for people with personality disorder. Method: Relevant literature was identified through systematic electronic searches of online databases and key journals. Results: Twenty one empirical papers were identified which indicated that the therapeutic alliance, rupture resolution, therapist interpretations, reflective functioning (mentalizing), skills use, emotion regulation, experiential avoidance, personality organisation, and cognitive change are possible mechanisms of change in individual psychotherapeutic interventions for people with personality disorder. Conclusions: There is greater evidence for the role of the therapeutic alliance and resolution of its rupture in change
    [Show full text]
  • Poor Narcissus by Darlene Lancer, LMFT
    Poor Narcissus By Darlene Lancer, LMFT The gods sentenced him to a life without human love. He fell in love with his own reflection in pool of water and died hungering for its response. Like Narcissus, narcissists only love themselves as reflected in the eyes of others. It’s a common misconception that they love themselves. They actually dislike themselves immensely. Their inflated self-flattery, perfectionism, and arrogance are merely covers for the self-loathing they don’t admit–usually even to themselves. Instead, it’s projected outwards in their disdain for and criticism of others. They’re too afraid to look at themselves, because they believe that the truth would be devastating. Actually, they don’t have much of a Self at all. Emotionally, they’re dead inside and they hunger to be filled and validated by others. Sadly, they’re unable to appreciate the love they do get and alienate those who give it. Diagnosis All personality traits, including narcissism, range from mild to severe. Narcissism can be viewed on a continuum from mature to archaic. Mature individuals are able to idealize romantic partners, express their talents and skills, and accomplish their goals, while employing only neurotic defenses; a middle group has unstable boundaries and employ borderline defenses; and those highly sensitive to wounding, employ destructive, psychotic defenses and have unstable relationships (Solomon, 1989). Narcissistic Personality Disorder (NPD), first categorized as a disorder by the American Psychiatric Association in 1987, occurs in 1 to 6.2 percent of the population; males exceed females at a ratio of 3:2 (Dhawan, 2010; McClean, 2007).
    [Show full text]
  • Research Paper: the Relationship Between Personality Characteristics and Early Maladaptive Schema with Suicide Ideation in Irani
    October 2017, Volume 5, Number 4 Research Paper: The Relationship Between Personality Characteristics and Early Maladaptive Schema With CrossMark Suicide Ideation in Iranian Late Adolescents Ahmad Valikhani1*, Abdolaziz Aflakseir1, Razieh Hashemi1, Majdoddin Fathi2, Hossein Momeni3, Zahra Abbasi4 1. Department of Clinical Psychology, School of Education and Psychology, Shiraz University, Shiraz, Iran. 2. Department of Psychiatry, Research Center for Psychiatry and Behavior Sciences, Shiraz University of Medical Sciences, Shiraz, Iran. 3. Department of General Psychology, Faculty of Literature and Humanity Sciences, Imam Khomeini International University, Qazvin, Iran. 4. Department of Psychology, Faculty of Humanities and Social Sciences, Science and Research Branch, Islamic Azad University, Tehran, Iran. Use your device to scan and read the article online Citation: Valikhani, A., Aflakseir, A., Hashemi, R., Fathi, M., Momeni, H., & Abbasi, Z. (2017). The Relationship Between Personality Characteristics and Early Maladaptive Schema With Suicide Ideation in Iranian Late Adolescents. Journal of Practice in Clinical Psychology, 5(4), 271-280. https://doi.org/10.29252/nirp.jpcp.5.4.271 : https://doi.org/10.29252/nirp.jpcp.5.4.271 Article info: A B S T R A C T Received: 23 Mar. 2017 Accepted: 10 Jul. 2017 Objective: The aim of this study was to investigate prediction of suicide ideation based on early maladaptive schemas and the Big-Five personality traits in a sample of Iranian late adolescents. Methods: 315 high school students (160 female, 155 male) were recruited by multi-stage cluster sampling method from Shiraz city. Participants completed NEO Five-Factor Inventory, Schema Questionnaire, and Beck Scale for Suicidal Ideation. Data were analyzed using hierarchical regression analysis.
    [Show full text]
  • FRIDAY JUNE 12 9 Am – 16:30 Schema Therapy for Axis I Disorders
    FRIDAY JUNE 12 9 am – 16:30 Schema Therapy for Axis I Disorders A workshop with Prof. Eshkol Rafaeli & Dr. Offer Maurer The schema mode model (Rafaeli, Bernstein, & Young, 2011; Young, Klosko and Weishaar, 2003), originally developed for the treatment of personality disorders, is gradually proving itself to be distinctly suited to address the vexing problems faced by individuals who suffer from various Axis-I disorders as well. Disorders such as depression, social anxiety, eating disorders, PTSD, and OCD are often highly comorbid with each other and with personality disorders, a fact which helps explain why even state-of-the-art methods for their treatment often have less-than- desirable effects. Indeed, the complexity of problems, the interpersonal dysfunction that often accompanies them, and the difficulty forming trusting and collaborative bonds with the therapist often leave individuals with primary Axis-I disorders in great distress. The schema therapy model, and particularly its recent developments which emphasize the role of modes, explicitly addresses schemas (and associated core beliefs), emotions, behaviors, and interpersonal difficulties, with the therapeutic relationship as the primary vehicle for change, make it highly suitable to target the entrenched belief systems and high levels of avoidance characteristic of both personality disorders and many axis-I disorders. The workshop will address the following issues: a) The problem of high comorbidity, which makes disorder-specific interventions less applicable (and which calls for the trans-diagnostic thinking characteristic of ST). b) Relatedly, the manner in which Axis-II pathology interferes with evidence-based techniques and protocols for addressing Axis-I problems - and the solutions that can be found in ST for such interference.
    [Show full text]
  • Acceptance and Commitment Therapy in the Treatment of Co-Occurring Disorders John Newman Winona State University
    Winona State University OpenRiver Counselor Education Capstones Counselor Education 4-29-2016 Acceptance and Commitment Therapy in the Treatment of Co-Occurring Disorders John Newman Winona State University Follow this and additional works at: https://openriver.winona.edu/counseloreducationcapstones Recommended Citation Newman, John, "Acceptance and Commitment Therapy in the Treatment of Co-Occurring Disorders" (2016). Counselor Education Capstones. 50. https://openriver.winona.edu/counseloreducationcapstones/50 This Capstone Paper is brought to you for free and open access by the Counselor Education at OpenRiver. It has been accepted for inclusion in Counselor Education Capstones by an authorized administrator of OpenRiver. For more information, please contact [email protected]. Running head: ACT AND CO-OCCURRING DISORDERS ACCEPTANCE & COMMITMENT THERAPY IN THE TREATMENT OF CO-OCCURRING DISORDERS John Newman, Jr. A Capstone Project submitted in partial fulfillment of the requirements for the Master of Science Degree in Counselor Education at Winona State University Spring 2016 ACT AND CO-OCCURRING DISORDERS 2 Winona State University College of Education Counselor of Education Department CERTIFICATE OF APPROVAL ___________________________________ CAPSTONE PROJECT ___________________________________ Acceptance & Commitment Therapy in The Treatment of Co-Occurring Disorders This is to certify that the Capstone Project of John Newman Has been approved by the faculty advisor and the CE 695 – Capstone Project Course Instructor in partial fulfillment of the requirements for the Master of Science Degree in Counselor Education Capstone Project Supervisor: Mitchell J. Moore, PhD Approval Date: 04-29-2016 ACT AND CO-OCCURRING DISORDERS 3 Abstract Acceptance & Commitment Therapy is an emerging, contextual approach to psychotherapy derived from Relational Frame Theory.
    [Show full text]
  • Recovery from Sexual Compulsivity
    Sexual Addiction & Compulsivity The Journal of Treatment & Prevention ISSN: 1072-0162 (Print) 1532-5318 (Online) Journal homepage: http://tandfonline.com/loi/usac20 Recovery from Sexual Compulsivity Mark F. Schwartz & Stephen Southern To cite this article: Mark F. Schwartz & Stephen Southern (2017) Recovery from Sexual Compulsivity, Sexual Addiction & Compulsivity, 24:3, 224-240, DOI: 10.1080/10720162.2017.1350229 To link to this article: http://dx.doi.org/10.1080/10720162.2017.1350229 Published online: 13 Sep 2017. Submit your article to this journal Article views: 34 View related articles View Crossmark data Citing articles: 1 View citing articles Full Terms & Conditions of access and use can be found at http://tandfonline.com/action/journalInformation?journalCode=usac20 Download by: [108.240.248.121] Date: 01 October 2017, At: 04:30 SEXUAL ADDICTION & COMPULSIVITY 2017, VOL. 24, NO. 3, 224–240 https://doi.org/10.1080/10720162.2017.1350229 Recovery from Sexual Compulsivity Mark F. Schwartz and Stephen Southern Harmony Place Monterey, Monterey, California ABSTRACT Sexual compulsivity is a developmental adaptation to neglect or abuse that leads to cognitive, behavioral, and emotional consequences as well as impairment in capacity for intimacy. Recovery from sexual compulsivity involves integration of various psychotherapy components needed to address underlying trauma, repetition compulsion, developmental roadblocks, compulsive behavioral reenactments, emotion dysregulation, and intimacy disorder. Effective treatment involves trauma work, symptom-specific treatment, and reconstruction of an erotic template or love map that reduces objectification, compulsion, and variance while affording opportunities for corrective emotional experience, skills development, and enhancement of choices for intimacy. A male client has obsessive sexual thoughts, spending hours looking at pornography on his computer, rather than spending the evening with his partner.
    [Show full text]