Schema Focused Therapy in Forensic Settings: Theoretical Model and Recommendations for Best Clinical Practice

@article{Bernstein2007SchemaFT,
  title={Schema Focused Therapy in Forensic Settings: Theoretical Model and Recommendations for Best Clinical Practice},
  author={David P. Bernstein and Arnoud R Arntz and Marije Keulen-de Vos},
  journal={International Journal of Forensic Mental Health},
  year={2007},
  volume={6},
  pages={169 - 183}
}
Until recently few empirically supported treatments for patients with personality disorders were available. Schema Focused Therapy (SFT) has recently shown efficacy in (non-forensic) outpatients with Borderline Personality Disorder, raising the question if it may also be effective in forensic PD patients. For the past two years, we have been collaborating with Dutch forensic hospitals to adapt the SFT approach to meet the challenges posed by this population. In this article, we present our… 
View on Taylor & Francis
ijhssnet.com
147 Citations
Highly Influential Citations
6
Background Citations
36
Methods Citations
5
Results Citations
2

147 Citations

Schema Therapy for Aggressive Offenders with Personality Disorders

Schema therapy (ST) is increasingly used in personality-disordered (PD) patients. ST is an integrative psychotherapy that blends elements of cognitive-behavioral, psychodynamic and experiential…

Schema Therapy for Forensic Patients with Personality Disorders: Design and Preliminary Findings of a Multicenter Randomized Clinical Trial in the Netherlands

According to Dutch Law, patients committing severe crimes justifying imprisonment of four years or more who cannot be held (fully) accountable for these acts can be sentenced to compulsory…

Schema Therapy for Personality Disorders—A Review

Schema therapy (ST) with the schema mode approach is currently one of the major developments in CBT for personality disorders. The schema mode model includes both a general approach to treatment as…

Frozen child: schema therapy for a forensic patient in a service for men with a diagnosis of severe personality disorder

TLDR
It is suggested that there may be a further dissociative mode, the “frozen child” mode, which is active for some patients, particularly those that have experienced extreme childhood trauma, which may be one of the blocks therapists have previously encountered that has led to the view that people with severe personality disorder are “untreatable”.

Exploratory trial of schema-focussed therapy in a forensic personality disordered population

Abstract The management of needs and risks in personality disordered offender populations has become a focus for health and criminal justice services in the UK. Recent studies demonstrate the…

Patient versus informant reports of personality disorders in forensic patients

Forensic assessment of personality disorders (PDs) is often hampered by patients' invalid self-reports. A less frequently used alternative in forensic settings is basing PD diagnoses on information…

Treating the untreatable: a single case study of a psychopathic inpatient treated with schema therapy.

TLDR
This study challenges the view that psychopathic patients are untreatable by examining the process of individual ST, combined with movement therapy and milieu therapy by the nursing staff, with a forensic inpatient with psychopathic features.

Personality Disorders—A Review

Schema therapy (ST) with the schema mode approach is currently one of the major developments in CBT for personality disorders. The schema mode model includes both a general approach to treatment as…

Schema theory and practice : exploration and review of its use within female forensic mental health services

Within the field of psychology there has been growing interest in Schema Focused Therapy and the theoretical underpinning on which it is based. The overall aim of this thesis was to explore the…

Schema therapy for violent PD offenders: a randomized clinical trial.

TLDR
Findings contradict pessimistic views on the treatability of violent offenders with PDs, and support the effectiveness of long-term psychotherapy for rehabilitating these patients, facilitating their re-entry into the community.
...

References

SHOWING 1-10 OF 40 REFERENCES

Outpatient psychotherapy for borderline personality disorder: randomized trial of schema-focused therapy vs transference-focused psychotherapy.

TLDR
Three years of SFT or TFP proved to be effective in reducing borderline personality disorder-specific and general psychopathologic dysfunction and in improving quality of life; SFT is more effective than TFP for all measures.

The Effects of Cognitive-Behavioral Treatment for Forensic Inpatients

TLDR
Patients as a group showed significant improvements over time on psychopathological symptoms, personality traits, and coping, and only a minority of patients showed reliable change over time at the individual level.

Cognitive Therapy for Personality Disorders: A Schema-Focused Approach

Patients with borderline personality disorder (BPD) often receive mental health treatment. trial of schema-focused therapy vs transference-focused psychotherapy. the borderline personality disorder…

Personality disorders in a Dutch forensic psychiatric sample: convergence of interview and self-report measures.

TLDR
The PDQ-R is not suitable as a screening device in forensic populations, except for antisocial, histrionic, narcissistic, and sadistic personality disorder, andSemistructured interviews that make use of collateral information are recommended for diagnosing personality disorders in forensic subjects.

Cognitive Therapy for Personality Disorders: A Schema-Focused Approach

  • W. J. Lyddon
  • Psychology
    Journal of Cognitive Psychotherapy
  • 1992
Expanding the Boundaries of Cognitive Therapy Cognitive Therapy for Personality Disorders: A Schema-Focused Approach Young, Jeffrey E. Sarasota, FL: Professional Resource Exchange, Inc., 1990. (79…

Does treatment really make psychopaths worse? A review of the evidence.

TLDR
It is concluded that the commonly held belief of an inverse relationship between high-scores on the PCL-R and treatment response has not been established.

Continuity of axes I and II: toward a unified model of personality, personality disorders, and clinical disorders.

  • R. Krueger
  • Psychology
    Journal of personality disorders
  • 2005
TLDR
It is found that these constructs are more similar than distinct, and the need to work toward a more unified model of personality, PDs, and CDs in research and in future editions of the DSM.

PCL-R psychopathy and its relation to DSM-IV Axis I and II disorders in a sample of male forensic psychiatric patients in The Netherlands.

Mental disorders in a forensic sample of sexual offenders

The Prevalence and Comorbidity of Axis I and Axis II Pathology in a Group of Forensic Patients

In this study, the prevalence of a broad range of Diagnostic and Statistical Manual of Mental Disorders, third edition, revised (DSM-III-R) Axis I disorders (Composite International Disorder…