TrainingGROUP

SCHEMA THERAPY

Per il Progresso nella Praticae nella Ricerca in Psicoterapia

Dr Paul Kasyanik & Dr Elena RomanovaST.PETERSBURG SCHEMA THERAPY

INSTITUTE

Four-day intensive training group

SARONNO ITALY26-29 JANUARY 2017

Group Schema Therapy was developed by Farrell & Shaw (1994, 2012). The GST model integrates their original group work with Young’s individual Schema Therapy (ST)(2003)& the ST outcome research of Arntz (2009). GST strategically uses the therapeutic factors of the group modality to catalyze the work of schema mode change. GST is a unique approach to ST that goes far beyond traditional group therapy models; furthermore, it does not simply incorporate individual ST interventions into a group format, rather, has developed new adaptations of ST interventions for the group modality. The central idea behind GST is that the group members, with the guidance of the therapists, create their own “family” in which they add sibling socialization to the reparenting the therapists provide. As part of this group corrective emotional process patients do imagery and roleplaying exercises in which they take on the roles of each group member’s various modes (e.g., the Detached Protector, the Healthy Adult, Punitive Parent) and ultimately heal them.

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The experience of ST in a supportive, validating group can directly impact and heal key schemas such as, abandonment, defectiveness, emotional deprivation, social isolation and mistrust/abuse. Like individual ST, GST improves: stability of self, interpersonal relationships, social, family, and occupational functioning and quality of life. There is considerable research now supporting the effectiveness of the GST approach, including empirical validation from a randomized controlled trial (RCT) (Farrell & Shaw, 2009) and pilot studies conducted in the US, the Netherlands and in Germany (Reiss, et al, manuscript submitted). These studies demonstrated very large positive effects from even a short group treatment of thirty sessions. A large multisite international RCT of GST for Borderline Personality Disorder is

in progress. Outcome studies to evaluate the effectiveness of GST for Cluster C Personality disorders and mixed groups of Clusters B & C are in development in the Netherlands. GST was developed with BPD patients but like individual ST it is adaptable to other challenging populations as well as entrenched maladaptive schema and mode effects in any patients.

This four-day training presents the GST model and its core interventions, which are used depending upon the stage of the group and the mode profiles of the group members. Core interventions include: group limited reparenting, group imagery re-scripting, mode-specific group role-plays, experiential group

work and the distinctive two therapist model that is crucial for maintaining the essence of limited reparenting with the more severe disorders. The work of Farrell and Shaw with Borderline personality disorder patients is presented along with their adaptations for other patient groups. Group Schema therapy functions in the same way as individual ST – i.e. therapist limited reparenting and mode change interventions are determined by

the mode a patient is in. GST works by a patient’s mode and mode profile, rather than strictly by disorder.

For that reason, GST like ST, can be used with any patient population. Demonstrations by trainers with participants playing patients from their clinical population are used to demonstrate adapting GST interventions for the presenting modes of various diagnostic groups.The workshop incorporates: didactic sections with powerpoint and group discussion, demonstrations by trainers in which the workshop participants play patients, DVD segments of the trainers leading a group and opportunities for participants to practice group interventions with coaching and feedback.

This is the first workshop in an organized curriculum of training in Group Schema Therapy offered by the St. Petersburg Schema Therapy Institute in cooperation with Schema Therapy Institute Midwest–Indianapolis and ISC. It is eligible for 24 training hours credit in the International Society of Schema Therapy certification program.

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TIME TABLE

DAY ONE 9:30-12:30 MORNING SESSION

1. INTRODUCTION:THE GENERAL MODEL FOR GROUP SCHEMA THERAPY, Didactic BRIEF REVIEW OUTCOME RESEARCH

2. USING THE THERAPEUTIC FACTORS OF A GROUP TO CATALYZE AND AUGMENT SCHEMA THERAPY INTERVENTIONS• Going beyond the approaches of CBT, DBT, skills training and the psychodynamic

groupo Group Therapy, not individual therapy in a groupo Therapeutic factors that impact maladaptive schemaso How to “harness” the group’s power

- Creating emotional learning experiences- Building cohesiveness

3. OVERVIEW OF CONSTANTS & CHANGES: ST COMPARED TO GST• Theory, goals and major components are the same• What changes:

o Structure combined with flexibilityo Limited Reparenting o Adaptation of interventions

• LIMITED RE-PARENTING FOR GROUP:o The need to balance focus on group and focus on individualso The co-therapist team –one is always attending to connections o The importance of non-verbal therapist behavior

• EXPERIENTIAL WORK o Imagery work, imagery rescripting adapted to groupo Mode dialogues and role-plays adapted to groupo Vicarious learning as a powerful tool for Avoidant Coping modes

• COGNITIVE WORKo Cognitive work in group ST goes beyond the didactic

• BEHAVIORALPATTERNBREAKINGo Behavioral pattern breaking uses the group – in vivo practiceo Group as microcosm of lifeo Peer feedback can be more powerful than therapist’s – ‘more real’

4. VIDEO OF GST WITH BPD PATIENTS& DISCUSSION

1:30-4:30 AFTERNOON SESSION

5. BEGINNING THE GROUP: CONNECTION, SAFETY & COHESIVENESS• Experiential Focusing Exercise for participants• Facilitating group cohesiveness • Connection experiences• Managing early group conflict

6. WORKING AS A COTHERAPIST TEAM• Developing the Group Family• Connection exercise for therapists• Using signals

7. MALADAPTIVE COPING MODES: AVOIDANT COPING MODES• Experiential Focusing Exercise for participants• Mode role plays • Using connection to get through Detached Protector

Demonstrations

DAY TWO 9:30 – 12:30 MORNING SESSION

8. MALADAPTIVE COPING MODES: OVERCOMPENSATION AND SURRENDER MODES• EMPATHIC CONFRONTATION IN A GROUP• LIMIT SETTING FOR BULLY ATTACK MODE• INTERVENTIONS FOR COMPLIANT SURRENDER

9. VULNERABLE CHILD MODE • INTRODUCING IMAGERY: “Visit to the Ice Cream Store”• SAFETY IMAGES• GOOD PARENT IMAGES

Demonstration and practice opportunities

1:30- 4:30 AFTERNOON SESSION

10. VULNERABLE CHILD MODE • GROUP IMAGERY RESCRIPTING

o Introduction: the group re-scripts a therapist memoryo Group as a whole imageryo Begin with individual, bring in the group

o Move from childhood image to currento Connecting Vulnerable Child with patient’s Good Parent, bridge to Healthy Adult

11. ANGRY CHILD WORK• Balancing conflicting modes and needs in the group• Expressive work• Empathic confrontation

12. IMPULSIVE/UNDISCIPLINED CHILD WORK• Limit setting• Mode flashcards

DAY THREE 9:30-12:30 MORNING SESSION

13. EVOKING THE HAPPY CHILD FOR BALANCE THROUGH PLAY• Play examples with demonstration• Play for balance

14. PARENT MODE WORK • Making and using “Parent effigies”• Demonstration using effigies and mode role play work with Punitive Parent• GROUP MODE ROLE PLAYS (aka Chair Work in a group)

o VIDEO BPD group

Practice opportunities

1:30-4:30 AFTERNOON SESSION

15. PARENT MODE WORK CONTINUED – DEMANDING PARENT MODE

16. THE HEALTHY ADULT MODE• From therapists’ Good Parent to patient Good Parent• BPD patients and group identity work

Identity exercise for participants

DAY FOUR 9:30 – 12:30 MORNING SESSION

17. ADDRESSING THE MODES AND NEEDS OF VARIOUS PATIENT POPULATIONS • Brief didactic presentation on GST for various patients• Avoidant PD, Dependent PD• Narcissistic PD, Antisocial PD• PD features• Forensic groups• Inpatient and Day therapy groups• The ‘Mixed diagnosis” group• Axis I disorders: chronic depression, eating disorders, PTSD• Demonstration – trainers as therapists and participants playing a variety of

patients they work with.• Questions & discussion

1:30-4:30 AFTERNOON SESSION

18. PRACTICE OPPORTUNITIES: PARTICIPANT CHOICE OF INTERVENTION

19. DEMONSTRATIONS BY REQUEST

20. QUESTIONS AND DISCUSSION

21. WRAP-UP

22. EVALUATION

PAUL KASYANIK

ELENA ROMANOVA

Full Member of ISST

Advanced Certified Schema Therapist,

Certified Schema Supervisor/Trainer – Individual, Group and

Child-Adolescent ST

Director of ISST Certified International

Training Program - S-Petersburg Schema Therapy Institute,

Head of Psychology department at Peter the Great

St.Petersburg Polytechnic University

Full Member of ISST

Advanced Certified Schema Therapist

Certified Schema Supervisor/Trainer – Individual, Child-

Adolescent and Group ST

Training Director of S-Petersburg Schema Therapy Institute

Associate Professor of Developmental Psychology

department at St.Petersburg University.

PAUL KASYANIK&ELENA ROMANOVACONTACT INFORMATION

Skype: pkasyanikEmail: schemaspb@yandex.ru

LANGUAGE English

LOCATION Via Don Roberto Montoli 16, 21047, Saronno

FEE 500 euros (vat included)

REGISTRATIONe-mail us atisc@istitutodiscienzecognitive.it to get the application form and reg-ister to the Training. To register, please fill in the application form and send it back - together with a copy ofthe bank transfer receipt - to our e-mail address.Please find below all the necessary banking details for bank transfer to be made:Banca Nazionale del Lavoro – Grosseto / Beneficiario Istituto di Scienze Cognitive srlIBAN IT 90 L 01005 14300 000 000 000 584 / BIC/SWIFT BNLIITRRGRX

INFOInstitute of Cognitive Sciences Via Rolando, 16 - 07100 Sassari -Tel. +39 079/230449 - isc@istitutodiscienzecognitive.it

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