Schema therapists’ perceptions of the influence of their early maladaptive schemas on therapy

Journal article


Pilkington, Pamela D., Spicer, Liam and Wilson, Meghan. (2022). Schema therapists’ perceptions of the influence of their early maladaptive schemas on therapy. Psychotherapy Research. 32(7), pp. 833-846. https://doi.org/10.1080/10503307.2022.2038804
AuthorsPilkington, Pamela D., Spicer, Liam and Wilson, Meghan
Abstract

Objective:
This qualitative survey aimed to explore schema therapists’ perceptions of how their early maladaptive schemas are activated in their therapeutic work, and how they manage their reactions.

Method:
An online qualitative survey was conducted with 22 schema therapists. Following brief demographic questions, participants were asked three open-ended questions about their schema activation and associated reactions. An inductive-deductive hybrid thematic analysis of the qualitative responses identified four superordinate themes and 12 subthemes.

Results:
Participants described several negative impacts on their therapeutic work, including avoiding limit setting, becoming argumentative or aggressive, detaching or avoiding, and over-functioning. An array of strategies for managing schema and countertransference reactions were identified, including refocusing on the client’s vulnerability, caring for one’s own vulnerability and connecting with one’s healthy adult self, and engaging in supervision, training, personal therapy, and self-care. Notably, several participants described how their internal reactions can be used advantageously to conceptualize and support clients, and to facilitate therapists’ personal development.

Conclusion:
The findings highlighted that although schema and associated countertransference experiences can be challenging, awareness and effective management of therapists’ reactions can benefit treatment and promote personal growth.

Keywordspsychotherapist training/supervision/development; cognitive behavior therapy; qualitative research methods; schema therapy; early maladaptive schemas
Year2022
JournalPsychotherapy Research
Journal citation32 (7), pp. 833-846
PublisherRoutledge
ISSN1050-3307
Digital Object Identifier (DOI)https://doi.org/10.1080/10503307.2022.2038804
PubMed ID35179087
Scopus EID2-s2.0-85125345117
Page range833-846
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online18 Feb 2022
Publication process dates
Accepted29 Jan 2022
Deposited31 Oct 2023
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