Schema therapy (ST) and dialectical behavior therapy (DBT) have both shown to be effective treatment methods especially for borderline personality disorder. Both, ST and DBT, have their roots in cognitive behavioral therapy and aim at helping patient to deal with emotional dysregulation. This article gives an overview of the major therapeutic techniques used in ST and DBT with respect to emotion regulation and systematically puts them in the context of James Gross’ process model of emotion regulation. Similarities and differences of the two methods are highlighted and illustrated with a case example. All DBT-modules (mindfulness, distress tolerance, emotion regulation, interpersonal effectiveness) are intended to improve emotion regulation skills and patients are encouraged to train these skills on a regular basis. In ST problems in emotion regulation are seen as a consequence of adverse early experiences that have led to unprocessed psychological traumas and fear of emotions which result in attempts to avoid emotions and dysfunctional meta-cognitive schemas about the meaning of emotions. ST assumes that when these underlying problems are addressed, emotion regulation improves. Major ST techniques for trauma processing, emotional avoidance and dysregulation are limited reparenting, empathic confrontation and experiential techniques like chair dialogs and imagery rescripting. Keywords: emotion regulation, emotional avoidance, Schema therapy, dialectical behavior therapy, experiential
This course is based on the reading-based online article, Emotion Regulation in Schema Therapy and Dialectical Behavior Therapy created by Eva Fassbinder, MD et al in 2016.
Publication Date
Frontiers in Psychology 2016
Course Material Authors
Course Material Authors authored the material only, and were not involved in creating this CE course. They are identified here for your own evaluation of the relevancy of the material this course is based on.
Eva Fassbinder, MD
Dr. Fassbinder is the Assistance Medical Director at the clinic for Psychiatry and Psychotherapy, University of Lubeck, Lubeck, Germany. Her work has been published in multiple peer reviewed journals.
Ulrich Schweiger, MD
Sr. Schweiger is a clinical psychiatrist and the director of Helios Hanseklinikum in Stralsund, Germany. He has published more than 150 articles in peer reviewed journals. His work has covered both assessment and process in psychotherapy.
Elizabeth Mosco, Ph.D. is a licensed psychologist in Reno, NV. She opened a private practice
after 10 years of conducting home-based assessment and therapy with the VA Sierra Nevada
Health Care System. Dr. Mosco’s clinical interests include maternal mental health, older adults,
and third wave cognitive behavioral therapies.
Recommended For
Counselors, marriage and family therapists, psychologists and social workers. This course is appropriate for all levels of knowledge.
Course Objectives:
After taking this course, you should be able to:
Identify the four skills modules in Dialectical Behavior Therapy (DBT) and the four modes of Schema Therapy (ST).
Describe Gross' modal model of emotion regulation.
List two similarities and two differences between DBT and ST.
Summarize the DBT and ST effectiveness research.
Availability
This course is available starting Apr 16th, 2019 and expires Dec 30th, 2024
Disclosure to Learners
Disclosure of Relevant Financial Relationships
CE Learning Systems adheres to the ACCME's Standards for Integrity and Independence in Accredited
Continuing Medical Education. Any individuals in a position to control the content of a CE activity –
including faculty, planners, reviewers, or others ― are required to disclose all relevant financial
relationships with ineligible entities (formerly known as commercial interests).
The following relevant financial relationships have been disclosed by this activity's planners, faculty, and
the reviewer:
Planners and Reviewers
The planners of this activity have reported that they have no relevant financial relationships.
Material Authors
Any relevant financial disclosures for course material authors can be found in the article.
Course Creator
Elizabeth Mosco, Ph.D., PMH-C, CPLC – No relevant financial relationships.
Commercial support
There is no commercial support for this distance-learning course.
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