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Conference Day 1: Friday Morning Selections 10:45 - 12:15

"schema therapy constructs add theoretical understanding to the dsm-5 section iii pathological traits system" 

 hot topic by bo bach


The DSM-5 Section III comprises a dimensional model of personality pathology, which can be used as alternative to the standard approach in Section II. This model includes 25 atheoretical traits (DSM-5 traits), which are potentially applicable to various treatment models. Since it is often theory that guides us in our clinical work, the current study sought to investigate whether schemas and modes add theoretical understanding to the Section III model by capturing relevant DSM-5 traits. This was examined using the Personality Inventory for DSM-5 (PID-5), the Young Schema Questionnaire 3 Short Form (YSQ-S3), and the Schema Mode Inventory (SMI) in a sample of 662 adults, including 312 clinical participants. Associations between schemas and modes, and DSM-5 traits were investigated in terms of factor loadings and regression coefficients in relation to five domains, followed by specific correlations among all constructs (Bach, Lee, Mortensen, & Simonsen, 2015). 

Results indicate that the majority of DSM-5 traits were substantially associated with conceptually coherent schemas and modes, except the SelfSacrifice schema. Overall, this suggests that schema therapy constructs add meaningful theoretical understanding to the majority of the DSM-5 traits. In general, the schema therapy constructs provide more information about pathological agreeableness (e.g. Self-Sacrifice and Compliant Surrenderer), whereas the DSM-5 traits provide more information about Psychoticism (e.g. Eccentricity) and Antagonism (e.g. Deceitfulness). Thus, a future revision of the DSM-5 Section III model should consider emphasizing features of Self-Sacrifice and Compliant Surrenderer, wheres the schema mode system may benefit from adding more antagonistic features (e.g. Manipulator). 

Why Schema Therapy?

Schema therapy has been extensively researched to effectively treat a wide variety of typically treatment resistant conditions, including Borderline Personality Disorder and Narcissistic Personality Disorder. Read our summary of the latest research comparing the dramatic results of schema therapy compared to other standard models of psychotherapy.

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