Schema Therapy for Borderline Personality Disorder

This is the second edition of the book that sparked the current wave of interest in schema therapy. Although schema therapy was originally developed by Jeff Young in the USA, it was not until unprecedented outcome data was published from pioneering Dutch clinical trials with BPD patients that the clinical CBT community took serious notice. Schema therapy has now become one of the most popular forms of contemporary CBT. It has parallels to the ‘third wave’ of contextual behavioural science in that it develops traditional CBT in new directions, but while contextual behavioural science priorities behavioural techniques based on acceptance and mindfulness, schema therapy is more cognitive and draws on elements of experiential learning, object relations and psychodynamic therapy in addition to traditional CBT. The first edition of this book has sold more than 3,000 copies at a steady rate of around 500 units per year since 2009.

Arnoud Arntz, PhD, is Professor of Clinical Psychology at the University of Amsterdam, the Netherlands. His research and clinical activities are directed at personality disorders and trauma-related mental health problems. He is well-known for his test of Schema Therapy as a treatment for Borderline and other Personality Disorders, and for his contributions to the development of the theory and the application of Schema Therapy.

Hannie van Genderen, MSc, is psychotherapist/clinical psychologist and supervisor and trainer in Schema Therapy. She was involved with the introduction of Schema Therapy for personality disorders in the Netherlands from the very beginning in 1996. She was involved with the foundation of the International Society of Schema Therapy and was member of the board as coordinator for Training and Certification from 2010-2012. From 2012-2016 she was chair of the Dutch Schema Therapy Association. Since 1990 she was involved as a senior consultant and clinical psychologist in the treatment and research of personality disorders in general and borderline personality disorder (BPS) in particular. In 2000 she became director of a Schema Therapy Institute, where so far about 4000 schema therapists were trained.

About the Authors xi

Preface xiii

Acknowledgements xv

Introduction 1

1. Borderline Personality Disorder 3

2. Schema Therapy for Borderline Personality Disorder 7

3. Treatment 21

4. The Therapeutic Relationship 31

5. Experiential Techniques 49

6. Cognitive Techniques 93

7. Behavioural Techniques 109

8. Specific Methods and Techniques 115

9. Methods per Mode 125

10. Schema Therapy in Other Settings and Modalities

11. Final Phase of Therapy 145

12. Conclusion 147

Appendix A Brochure for Patients: Schema Therapy for People with Borderline Personality Disorder 149

Appendix B Cognitive Logbook for Modes 155

Appendix C Positive Logbook 157

Appendix D Historical Testing 159

Appendix E Experiments 161

Appendix F Homework Form 165

Appendix G Problem Solving 167

Appendix H Changing Behavioural Patterns 169

Appendix I Eighteen Schemas (Young et al., 2003) 171

Appendix J Coping Strategies 179

Appendix K Historical Role Play

References 181

Index 191

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