关键词: deductive thematic analysis healthy adult mode qualitative approach schema modes schema therapy

来  源:   DOI:10.3389/fpsyt.2023.1204177   PDF(Pubmed)

Abstract:
UNASSIGNED: Evidence in favor of schema therapy\'s effectiveness in treating personality disorders is growing. One of the central and recently popular concepts of schema therapy is schema modes [i.e., temporary emotional-cognitive-behavioral states resulting from the activation of early maladaptive schemas (EMSs)]. A key aspect herein is self-reparenting, i.e., a healing relationship between the healthy adult (HA, i.e., compassionate and healthy emotional states, and functional dealing with reality) and the child modes (i.e., representation of fragile and hurt feelings and dysfunctional coping). Through an in-depth qualitative analysis, we aimed to better understand the components of the HA that enable self-reparenting.
UNASSIGNED: Purposive sampling procedures were used to recruit eligible participants (n = 10) with relatively strong HA modes, as determined by high scores on positive affect and satisfaction with life measures and low scores on EMSs and psychopathological symptom measures. Semi-structured 45- to 60-min face-to-face interviews were conducted individually, in which individuals were asked to help the child modes reflected in the pictures. Interviews were then analyzed using deductive thematic analysis in MaxQDA.
UNASSIGNED: The analysis revealed three superordinate themes comprising of a total of 10 group themes: (1) bonding between HA and the vulnerable child modes (\"Bond\"); (2) balancing expression and inhibition of adult and child mode emotions (\"Balancing\"); and (3) opposing demanding and critical voices and maladaptive coping styles (\"Battle\"). Furthermore, a strong HA mode seems to have a reciprocal relationship with the child modes: the HA gives nurturance and protection to the child modes, and the child modes boost up the HA with spontaneity and happiness. In conclusion, emotional stability and resilience may be highest when HA-child mode interaction happens bidirectionally; when the child modes get reparented by the HA, and the HA is informed by the child modes.
摘要:
支持图式疗法治疗人格障碍的有效性的证据越来越多。图式疗法的核心和最近流行的概念之一是图式模式[即,早期适应不良模式(EMS)激活导致的暂时性情绪-认知-行为状态]。这里的一个关键方面是自我父母,即,健康成年人之间的愈合关系(HA,即,富有同情心和健康的情绪状态,和功能处理现实)和儿童模式(即,代表脆弱和受伤的感觉和功能失调的应对)。通过深入的定性分析,我们的目的是更好地了解HA的组成部分,使自我再育儿。
目的抽样程序用于招募具有相对较强HA模式的合格参与者(n=10),由积极情感和对生活措施的满意度得分高,EMS和精神病理症状措施得分低决定。半结构化的45至60分钟的面对面访谈是单独进行的,其中个人被要求帮助儿童模式反映在图片中。然后在MaxQDA中使用演绎主题分析对访谈进行分析。
分析揭示了三个上级主题,总共包括10个小组主题:(1)HA与脆弱的儿童模式之间的联系(“邦德”);(2)平衡成人和儿童模式情绪的表达和抑制(“平衡”);(3)反对苛刻和批评的声音以及适应不良的应对方式(“战斗”)。此外,强大的HA模式似乎与儿童模式有互惠关系:HA对儿童模式给予养育和保护,儿童模式以自发性和幸福感提高HA。总之,当HA与孩子模式双向互动时,情绪稳定性和弹性可能最高;当孩子模式被HA重新抚养时,和房委会由儿童模式通知。
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