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Schema Therapy for Avoidant Personality Disorder: Working with Dysfunctional Coping Modes.

Tavleen Kaur Kohli1, Munivenkatappa Manjula1, Arnoud Arntz2

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Summary

Schema Therapy (ST) effectively addresses Avoidant Personality Disorder (AvPD) by healing Early Maladaptive Schemas (EMS). This case study shows ST interventions help clients access vulnerable child modes by managing dysfunctional coping modes.

Keywords:
Schema therapyavoidant personality disorderdysfunctional coping modespsychotherapy process

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Area of Science:

  • Psychotherapy
  • Clinical Psychology
  • Mental Health Treatment

Background:

  • Avoidant Personality Disorder (AvPD) is often treated with Schema Therapy (ST).
  • ST focuses on identifying and healing Early Maladaptive Schemas (EMS) and schema modes.
  • Schema modes represent emotional and behavioral states linked to EMS, including coping modes used to manage distress.

Purpose of the Study:

  • To illustrate the Schema Therapy (ST) process for a client with Avoidant Personality Disorder (AvPD) and Depression.
  • To highlight challenges in treating dysfunctional coping modes, specifically detached and avoidant protector modes.
  • To demonstrate how therapeutic interventions facilitate access to vulnerable child modes.

Main Methods:

  • A single-case study design was employed.
  • Schema Therapy (ST) interventions, including limited reparenting and empathic confrontation, were utilized.
  • The therapeutic relationship was central to addressing the client's coping strategies.

Main Results:

  • Dysfunctional coping modes were addressed through ST interventions.
  • Access to the client's vulnerable child modes was facilitated.
  • Challenges related to detached and avoidant protector modes were encountered and managed.

Conclusions:

  • Schema Therapy (ST) is a viable approach for treating Avoidant Personality Disorder (AvPD) by targeting Early Maladaptive Schemas (EMS) and schema modes.
  • Addressing dysfunctional coping modes is crucial for accessing vulnerable states in AvPD treatment.
  • The therapeutic relationship is vital for managing coping strategies in psychotherapy.