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Schema therapy for borderline personality disorder.

Scott H Kellogg1, Jeffrey E Young

  • 1The Rockefeller University, NY, USA. scott.kellogg@nyu.edu

Journal of Clinical Psychology
|February 14, 2006
PubMed
Summary

Schema Therapy, a treatment for borderline personality disorder, reorganizes inner self-aspects using four change mechanisms across three phases. This approach aims to improve emotional regulation and autonomy.

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Area of Science:

  • Psychology
  • Psychotherapy
  • Clinical Psychology

Background:

  • Borderline personality disorder (BPD) is a complex mental health condition.
  • Existing treatments often require diverse therapeutic modalities.
  • Schema Therapy offers an integrated approach to BPD treatment.

Purpose of the Study:

  • To present the Schema Therapy model for treating borderline personality disorder.
  • To outline the theoretical underpinnings and core mechanisms of Schema Therapy for BPD.
  • To describe the phased structure of Schema Therapy for BPD.

Main Methods:

  • Schema Therapy integrates cognitive-behavioral, attachment, psychodynamic, and emotion-focused theories.
  • It conceptualizes BPD through five self-mode aspects.
  • Four core change mechanisms are employed: limited reparenting, experiential imagery/dialogue, cognitive restructuring/education, and behavioral pattern breaking.

Main Results:

  • The therapy focuses on reorganizing the patient's inner structure.
  • Interventions are applied across three distinct treatment phases: bonding/emotional regulation, schema mode change, and autonomy development.
  • This structured approach aims to address the core deficits in BPD.

Conclusions:

  • Schema Therapy provides a comprehensive framework for addressing borderline personality disorder.
  • The model's integration of diverse theoretical traditions offers a unique therapeutic pathway.
  • The phased treatment structure guides clinicians in managing BPD effectively.

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