Internasjonalt sertifiseringsprogram i skjematerapi!

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Modul 9! GRUPPESKJEMATERAPI FOR PERSONLIGHETSFORSTYRRELSE, KOMPLEKSE TRAUMER OG UTFORDRENDE PASIENTPOPULASJONER! V/ JOAN FARRELL & IDA SHAW! Torsdag 15.10.15, fredag 16.10.15 og lørdag 17.10.15!

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Skjematerapi er en innovativ og integrativ terapeutisk modell utviklet fra tradisjonell kognitiv atferdsterapi. Terapiretningen ble utviklet av Jeffrey Young på midten av 1980 tallet. Skjematerapi bygger på elementer fra kognitiv atferdsterapi, emosjonsfokusert terapi, tilknytningsteori og psykodynamisk psykoterapi (Young 2003). Terapiformen er spesielt godt egnet for behandling av langvarige, personlighetsrelaterte problemer som har sine røtter i tidlige relasjoner fra ens barndom og oppvekst.!

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Innhold! 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).! This three 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.!

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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.!

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Sted! Oslo teatersenter! Hovinveien 1! Oslo!

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Kostnader! 5 000 kroner (inkluderer lunsj alle dager)!

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Påmeldingsfrist! 15.09.15!

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Påmelding gjøres på nettsiden til Norsk forening for kognitiv terapi, se under fagnettverk. For ytterligere spørsmål kontakt Erlend Aschehoug på [email protected]!

THREE DAY INTENSIVE TRAINING IN GROUP SCHEMA THERAPY: A MASTER CLASS WITH JOAN FARRELL, Ph.D & IDA SHAW, M.A. Authors of Group Schema Therapy for Borderline Personality Disorder: A Step-bystep Treatment Manual with Patient Workbook, Wiley-Blackwell, 2012 The Schema Therapy Clinician’s Guide: A Complete Resource for Building and Delivering Individual and Group Integrated Mode Treatment Programs, WileyBlackwell, 2013 (with Reiss) and the DVD Set: Group Schema Therapy: An innovative approach to treating patients with personality disorder, IVAH-Hamburg, 2011 This 3 day Master Class gives you an opportunity to learn Group Schema Therapy from its developers (Farrell & Shaw (1994, 2012). It completes the training component of the Standard level international certification in Group ST approved by International Society of Schema Therapy. The unique 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 an innovative 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. 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, Lieb, Arntz, Shaw & Farrell, 2013). 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 in collaboration with Dr. Arnoud Arntz. Outcome studies to evaluate the effectiveness of GST for Substance abuse disorders in the US, Cluster C Personality disorders, social phobia and mixed groups of Clusters B & C are in development in the Netherlands and Switzerland, which they are supervising. GST was developed with BPD patients but like individual ST it is trans-diagnostic and adaptable to other personality disorders, complex trauma and other challenging populations as well as entrenched maladaptive schema and mode effects in any patients. The mode approach is an advantage of ST in the uncertain diagnostic time of DSMV. This three day training presents the GST model and its core interventions. 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 rather than by disorder. Demonstrations by trainers ask participants to play their own patients thus providing examples of using GST interventions for the presenting modes of various diagnostic groups. Core GST 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 considered crucial for maintaining the essence of limited reparenting with the more severe disorders. These interventions can also be used in individual schema therapy and individual use is discussed based upon the interests of participants. 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 interventions with coaching and feedback. The first two days are primarily didactic with numerous demonstrations of interventions with participants playing the patient group. Day three includes practice and day four is focused on practice of interventions in small self-therapy groups (experiencing being in a ST group as oneself). The training follows the curriculum of the ISST approved training program in Group Schema Therapy offered by the Schema Therapy Institute Midwest – Indianapolis. It is offered in collaboration with your host institute. It provides the 24 hours required for Standard level ISST certification. You will receive a certificate of attendance upon completion that can be used for certification documentation. Dr. Farrell is the ISST Executive Board Representative for Training and Certification 2012-2016. Those who complete this training will be given priority in receiving the supervision requirement of certification from the trainers. A quote from the founder of Schema Therapy, Jeffrey Young PhD, who attended a Farrell-Shaw Workshop: “Group Schema Therapy has the potential to deliver the powerful treatment strategies of the schema approach in a more cost effective manner than has been possible with individual schema therapy -with equivalent or perhaps superior results. The experience that the authors have gained over 30 years is evident throughout. The approach Joan and Ida have developed is truly unique, exciting and promising. Joan Farrell is an outstanding schema therapist who serves as the “stable base”, emotional center, and “educator” for the group as a whole – a role I can imagine myself learning to fill, given enough time and experience. What truly amazed me – perhaps because her style is so different from mine and Joan’s -- was the remarkable group work of Ida Shaw. It is hard to convey the level of originality, creativity, and spontaneity she brings to the group experience. She is able to blend elements of gestalt, psychodrama, role-playing, and her own infectious style of play into an approach that perfectly fits the intensive demands of schema mode work, cajoling patients to change in profound ways.” Jeffrey Young Ph.D. Schema Therapy Institute of New York Columbia University, Department of Psychiatry

SAMPLE TRAINING SCHEDULE DAY ONE: 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 group o Group Therapy, not individual therapy in a group o Therapeutic factors that impact maladaptive schemas o 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 flexibility o Limited Reparenting o Adaptation of interventions LIMITED RE-PARENTING FOR GROUP: o The need to balance focus on group and focus on individuals o 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 group o Mode dialogues and role-plays adapted to group o Vicarious learning as a powerful tool for Avoidant Coping modes COGNITIVE WORK o Cognitive work in group ST goes beyond the didactic BEHAVIORAL PATTERN BREAKING o Behavioral pattern breaking uses the group – in vivo practice o Group as microcosm of life o Peer feedback can be more powerful than therapist’s – ‘more real’ 4. VIDEO OF GST WITH BPD PATIENTS & DISCUSSION 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: 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 AFTERNOON SESSION 10. VULNERABLE CHILD MODE • GROUP IMAGERY RESCRIPTING o Introduction: the group re-scripts a therapist memory o Group as a whole imagery o Begin with individual, bring in the group o Move from childhood image to current o Connecting Vulnerable Child with patient’s Good Parent, bridge to Healthy Adult 11. ANGRY CHILD WORK

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Balancing conflicting modes and needs in the group

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Expressive work Empathic confrontation

12. IMPULSIVE/UNDISCIPLINED CHILD WORK

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Limit setting Mode flashcards

DAY THREE 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 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 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 • Questions & discussion

ABOUT THE TRAINERS !!!!!!!!!!! Joan Farrell, Ph.D. and Ida Shaw, M.A. are advanced level Schema Therapists and Trainer/Supervisors who co-direct the Indianapolis Center of the Schema Therapy Institute Midwest, approved by the International Society Schema Therapy (ISST). The Indianapolis Center specializes in Group Schema therapy. Joan holds faculty appointments in Psychology at Purdue University (IUPUI) and the University of Indianapolis and was a clinical professor at Indiana University School of Medicine (IUSM), in Psychiatry for 25 years. She teaches a graduate course on Schema therapy and supervises the practice of clinical psychology graduate students. She is the elected Executive Board Member, Coordinator for Training & Certification of the International Society for Schema Therapy. She is Research and Training director of the IUSM/Midtown CMHC Center for Borderline Personality Disorder Treatment & Research. Ida is the main trainer and supervisor of Group Schema therapy at the BPD Center. She holds the same position for the five country international trial with 12 clinical sites testing GST for BPD and the trial in the Netherlands adapting GST for Avoidant PD and social phobia. Joan is co-PI with Arnoud Arntz, Ph.D for the BPD trial. Ida is an ISST Certified Child & Adolescent Schema Therapy supervisor/trainer and a member of the ISST Work Group on Child and Adolescent Schema Therapy that defined certification standards for that area. In their work they have integrated their complementary cognitive and experiential treatment approaches with social learning and developmental psychology theory to develop a group treatment model for Schema Therapy (ST). Influenced by their 30+ years of clinical experience and by the work of Jeff Young, they adapted ST interventions and limited reparenting to a group model and developed uniquely group interventions to accomplish ST goals (Farrell & Shaw, 1994, 2012). They first established the group model for outpatients in a specialty clinic for BPD at the IUSM outpatient clinic. This program was awarded an Indiana Governor’s Showcase Award in Mental Health and a NIMH grant. They went on to develop an inpatient ST program that combines individual and group modalities and directed a dedicated BPD unit for ten years at a university affiliated psychiatric hospital in Indianapolis. They evaluated their model of Group Schema Therapy in a randomized controlled trial for outpatients (Farrell, Shaw & Webber, 2009- with a grant award from the US National Institute of Mental Health) and in two inpatient pilot study (Reiss, Lieb, Arntz, Shaw & Farrell, 2013). Both studies demonstrated strong positive effects on BPD symptoms and global function as well as high recovery rates. Their book Group Schema Therapy for Borderline Personality Disorder: A Step-by-step Treatment Manual with Patient Workbook, was published by Wiley-Blackwell, 2012. It has been published in German and Italian and is being translated into Japanese, Turkish and Polish. A three DVD Set: Group Schema Therapy: Innovative Treatment for Personality Disorders developed by Joan Farrell & Ida Shaw is also available, [email protected] in the US. A second book with their colleague Neele Reiss, PhD that applies Group ST to other challenging disorders will be released this Spring by Wiley - The Schema Therapy Clinician’s Guide: A Complete Resource for Building and Delivering Individual and Group Integrated Mode Treatment Programs. Chapters on their work appear in Advances in ST (2010) and the Wiley-Blackwell Handbook of ST, Wiley 2012. They are working with colleagues in ISST on applying the GST model to other patient populations and as self-therapy for schema therapists. Joan & Ida have given keynotes, symposia and Master Clinician workshops on GST internationally for over 20 years for psychologists, psychiatrists, social workers, psychiatric nurses, experiential therapists and graduate students in these disciplines. They receive outstanding evaluations

for their enthusiastic and collaborative teaching style that includes demonstrations and group role play experiences for participants. References ion Group Schema Therapy by the trainers in addition to the books previously listed: 1. Farrell, J.M. & Shaw, I.A. (1994) Emotional Awareness Training: a prerequisite to effective cognitive-behavioral treatment of borderline personality disorder. Cognitive and Behavioral Practice, 1, #1,71-91. 2. Farrell, J.M., Shaw, I.A. & Webber, M. A. (2009) A schema-focused approach to group psychotherapy for outpatients with borderline personality disorder: A randomized controlled trial, Journal of Behavior Therapy & Experimental Psychiatry, Jun;40(2):317-28. 3. Farrell, J.M. & Shaw, I.A. (2010) “Schema Therapy Groups for Borderline Personality Disorder Patients: the Best of Both Worlds of Group Psychotherapy” in E. Roediger & G. Jacobs (Eds.) Fortschritte der Schematherapie. (Advances in Schema Therapy). Göttingen: Hogrefe 4. Farrell, J.M., Shaw, I.A. & Reiss,N (2011) “Group Schema Therapy for Borderline Personality Disorder” in M. van Vreeswijk, M. Nadort & J. Broersen (Eds) Handbook of Schema Therapy. Wiley-Blackwell. 5. Farrell, J.M., Fretwell, H. & Reiss, N. (2011). Group Schema Therapy. In N. Seel (Ed.), Encyclopedia of Learning Sciences. Berlin: Springer. 6. Farrell, J.M., Fretwell, H. & Reiss, N. (2011). Schema Therapy. In N. Seel (Ed.) Encyclopedia of Learning Sciences. Berlin: Springer. 7. Reiß, N, Lieb, K, Arntz,A, Shaw, I & Farrell, JM (2013) Responding to the treatment challenge of patients with severe BPD: results of three pilot studies of inpatient schema therapy. Cognitive & Behavioral Psychotherapy, 8. Reiß, N, Jacob, G & Farrell, J M (2011) Inpatient Schema Therapy for Patients with Borderline Personality Disorder - a case study. In Handbook of Schematherapy: Theory, Research and Practice. NY: Wiley-Blackwell, op cit. 9. Lockwood, G & Shaw, I.A. (2011) Schema Therapy and the Role of Joy and Play. In Handbook of Schema Therapy. Wiley-Blackwell, op cit.

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