A new look at the schema therapy model: organization and role of early maladaptive schemas

This study reexamined the organization of Young’s 18 early maladaptive schemas and their hypothesized associations with experiences of need-thwarting parental experiences in childhood and the “vulnerable child” mode of emotional distress in adulthood. A large Danish sample (N = 1054) of 658 clinical- and 391 nonclinical adults completed measures of early maladaptive schemas, parenting styles, and the vulnerable child mode. We identified four higher-order schema domains as most appropriate in terms of interpretability and empirical indices (“Disconnection & Rejection”, “Impaired Autonomy & Performance”, “Excessive Responsibility & Standards”, and “Impaired Limits”). All four schema domains were differentially associated with conceptually relevant need-thwarting parental experiences. Apart from “Impaired Limits”, the schema domains meaningfully accounted for the association between need-thwarting parental experiences in childhood and emotional states of feeling like a “vulnerable child” in adulthood. We conclude that four domains of early maladaptive schemas are empirically and conceptually consistent with Young’s schema therapy model of personality pathology and longstanding emotional disorders. Findings warrant replication using different populations and if possible a prospective multi-method design. A scoring key for computing the four schema domains is provided.     

Early maladaptive schemas in Finnish adult chronic pain patients and a control sample

Engel (1959) suggested that negative physical or emotional experiences in childhood predispose to the development of chronic pain. Studies have shown that physical and sexual abuse in early life is connected with chronic pain. Emotional adversities are much less studied causes contributing to the development of chronic pain and disability. Early emotional abuse, neglect, maltreatment and other adversities are deleterious childhood experiences which, according to Young's schema theory (1990), produce early maladaptive schemas (EMSs). The primary goal of this study was to examine whether early adversities were more common in chronic pain patients than in a control group. A total of 271 (53% women) first-visit chronic pain patients and 331 (86% women) control participants took part in the study. Their socio-demographic data, pain variables and pain disability were measured. To estimate EMSs the Young Schema Questionnaire was used. Chronic pain patients scored higher EMSs reflecting incapacity to perform independently, catastrophic beliefs and pessimism. The most severely disabled chronic pain patients showed an increase in all the EMSs in the Disconnection and Rejection schema domain, namely Abandonment/Instability, Mistrust/Abuse, Emotional Deprivation, Defectiveness/Shame and Social Isolation/Alienation EMSs. The results of the study suggested that chronic pain patients had suffered early emotional maltreatment.     

Early maladaptive schema and social and occupational functioning: The mediating role of psychiatric symptomatology

Early Maladaptive Schemas (EMS) are described as long‐held core beliefs which are dysfunctional to a significant degree. However, the supposition that schemas are dysfunctional by nature, while not isomorphic with psychiatric syndromes, is yet to be subjected to empirical review. The current study seeks to investigate the relationship between the Young Schema Questionnaire and the concept of ‘dysfunction’ in a community sample to determine the indirect effects of psychiatric symptomatology and validate current scoring guidelines with a convergent measure of dysfunction. A total of 464 people completed a survey online comprising of the YSQ‐Short Form, the Depression, Anxiety and Stress Scales‐21, the Social and Occupational Functioning Assessment Scales, and the World Health Organization Quality of Life Scale. Multiple regression analyses revealed a moderate relationship between EMS categories and measures of dysfunction, however only six of eighteen EMS categories were significant predictors in this model. Mediation analyses further suggest that the relationship between EMS and dysfunction is partially mediated by psychiatric symptomatology. The current dichotomous clinical scoring guidelines were found to be invalid when measures of functioning were used as convergent measures for twelve of the EMS categories. These findings suggest the YSQ is best conceptualised as a general measure of schema as opposed to a measure of EMS categories.     

Assessing the role of aggression,empathy, and self‐serving cognitive distortions in trait emotional manipulation

This study extended the examination of the predictors of emotional manipulation. Participants (N = 243) completed measures of trait emotional manipulation, emotional intelligence, social skills, psychopathy, aggression, empathy, and self‐serving cognitive distortions in a cross‐sectional correlational design. For males, higher levels of emotional intelligence, social information processing, indirect aggression, and self‐serving cognitive distortions significantly predicted emotional manipulation. For females, being younger, higher levels of emotional intelligence, indirect aggression, primary psychopathic traits, and lower levels of social awareness significantly predicted emotional manipulation. However for females, emotional intelligence acted as a suppressor. These findings support previous indications that the mechanisms behind emotional manipulation differ as a function of gender. Future research could include ability, rather than trait measures of emotional manipulation, as well as the role of context (such as intimate relationships or workplace environments), thereby allowing additional examination of the nomological network of emotional manipulation.     

Evaluating the heat‐aggression hypothesis: The role of temporal and social factors in predicting baseball related aggression

We examined the role that season progression and social threats play in the heat‐aggression hypothesis within Major League Baseball put forward by Reifman, Larrick, and Fein (1991). Box score data from 38,870 Major League Baseball games between the years of 2000 and 2015 was used to test the heat‐aggression relationship, while accounting for temporal and social factors that may be simultaneously exerting influence on player behavior. Controlling for a number of other variables, we observed that the effect of temperature on aggressive behavior is partially contingent on the point of the season in which the game took place. Aggressive behavior was also more likely to occur when teams played divisional (compared to league and inter‐league) rivals, however this relationship was contingent on season progression. We provide potential boundary conditions relating to the heat‐aggression relationship, indicating this may not be a ubiquitous phenomenon.

     

Counting blessings and sharing gratitude in a Chinese prisoner sample: Effects of gratitude-based interventions on subjective well-being and aggression

Abstract

Gratitude-based interventions are effective for increasing individuals’ subjective well-being (SWB); however, they have not been validated among prisoners, especially for negative states (i.e. aggression). Furthermore, as a social emotion, gratitude might be nurtured via practice within a social group. Therefore, we developed a weekly group-based sharing gratitude exercise, and examined its effect along with that of daily blessing-counting among prisoners in China. Ninety-six male violent prisoners were assigned randomly to three conditions (gratitude-sharing, blessing-counting, and control). Interventions took place over five weeks. Both interventions improved SWB and decreased aggression compared to controls. Additionally, the improvement in gratitude mediated the relationship between the two forms of intervention and SWB. These findings indicate that gratitude-based interventions can be implemented among male prisoners to help further the psychological corrective function of prisons in China.     

The role of early maladaptive schemas in predicting exposure and response prevention outcome for obsessive-compulsive disorder

This is the first study that explores whether early maladaptive schemas are related to treatment outcome for patients with obsessive-compulsive disorder (OCD). The sample consisted of 88 outpatients with a diagnosis of OCD who completed exposure and response prevention treatment. The Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), the Beck Depression Inventory and Young Schema Questionnaire – Short Form were administered before and after treatment. Regression analyses using post-treatment Y-BOCS as the dependent variable indicated that higher scores on the abandonment schema at pre-treatment were related to poor outcome and explained 7% of the variance in symptoms at post-treatment. Higher scores on the self-sacrifice schema at pre-treatment were related to good outcome and explained 6% of the variance in obsessive-compulsive symptoms at post-treatment. During treatment, only changes in the failure schema were significantly related to good outcome and explained 18% of the variance in symptoms at post-treatment.     

Instigation to aggress and escalation of aggression examined from a personological perspective: The role of irritability and of emotional susceptibility

Two studies were conducted using Buss hostility machine paradigm to investigate the role of individual differences in irritability and emotional susceptibility on the instigation to aggress by a self-esteem lowering manipulation and on the hypothesized escalation of aggression over trials. The role of sex was also examined. In the first study, 60 highly irritable and 60 low irritable subjects were given the opportunity to deliver electric shocks to an experimental confederate, half after being provoked by a negative judgement on their performance in a learning task, half without such an experience. Each group of subjects was divided equally between males and females. It was found that highly irritable subjects, both males and females, delivered higher shocks after provocation than low irritable subjects under similar circumstances. An upward drift of shock level over trials was found only in provoked males and only in highly irritable females. In the second study, 60 highly emotionally susceptible and 60 low emotionally susceptible males and females were given the opportunity to deliver electric shocks to an experimental confederate, half after experiencing provocation, half without such an experience. It was found that provoked subjects delivered higher shocks than unprovoked subjects and that highly emotionally susceptible subjects delivered higher shocks than low emotionally susceptible subjects. Whereas an upward drift of shock levels over trials was found only in provoked males, the same effect was found in females, whether provoked or not. These findings are discussed in terms of the importance of stable personality characteristics that may mediate aggressive response.     

The role of fantasies and dreams in the TV viewing—aggression relationship

The TV viewing habits of 391 8-year-old and 10-year-old Finnish children were related to their aggression, their aggressive and fear fantasies, and their dreams and fantasies about TV. Two measurements of aggression were made: peer-nominated aggression and self-rated aggression. TV viewing habits were measured by the amount of TV seen during a week and violence viewing, that is, how regularly violent TV serials were watched. Hypothetically, in addition to a direct relationship between TV viewing and aggression, there could also be an indirect relationship; for example, fantasizing might provide a link in the TV viewing-aggression relationship. There were significant positive correlations for the boys between TV viewing variables and aggression. There were also significant positive correlations between the amount of TV and televised violence viewing and fear and aggressive fantasies in general and with dreams and fantasies about actual TV programs seen. The correlations were less frequent for the girls. The same tendencies were evident for age groups and education. More frequent positive correlations were found with older children and regular classes than with younger children and music classes. The use of fantasy was also correlated positively with both peer-nominated and self-rated aggression. The results of the present study support the information-processing theory, which suggests that the more a child watches TV the more he or she has fantasies about the programs and rehearses the scenes viewed which, in turn, results in explicit aggressive behavior.     

Reduction of appeasement‐related affect as a concomitant of diazepam‐induced aggression: evidence for a link between aggression and the expression of self‐conscious emotions

Aggressive responding following benzodiazepine ingestion has been recorded in both experimental and client populations, however, the mechanism responsible for this outcome is unclear. The goal of this study was to identify an affective concomitant linked to diazepam‐induced aggression that might be responsible for this relationship. Thirty males (15 diazepam and 15 placebo) participated in the Taylor Aggression Paradigm while covertly being videotaped. The videotapes were analyzed using the Facial Action Coding System with the goal of identifying facial expression differences between the two groups. Relative to placebo participants, diazepam participants selected significantly higher shock settings for their opponents, consistent with past findings using this paradigm. Diazepam participants also engaged in significantly fewer appeasement expressions (associated with the self‐conscious emotions) during the task, although there were no group differences for other emotion expressions or for movements in general. Aggr. Behav. 35:203–212, 2009. © 2008 Wiley‐Liss, Inc.     

Genetic and environmental sources of continuity and change in teacher‐rated aggression during early adolescence

Genetic and environmental sources of continuity and change in aggression were studied in a sample of 1,041 twin pairs (364 monozygotic; 348 same‐sex dizygotic; and 329 opposite‐sex dizygotic) as part of an ongoing, population‐based Finnish twin‐family study. At ages 12 and 14, the twins' aggression was assessed by their classroom teachers, using a rating form of the Multidimensional Peer Nomination Inventory. Genetic and environmental sources of continuity and change were studied by fitting a longitudinal bivariate Cholesky decomposition model. Longitudinal model‐fitting results indicated that both genetic and environmental factors influenced continuity in aggression during this 2‐year period, but the age‐to‐age correlation of these factors differed by sex. Continuity in boys' aggression was mediated by genes and common environmental factors; in girls, in contrast, continuity was due primarily to common environmental, and to a lesser degree, unique environmental factors. Genes and unique environments contributed to change in aggression in both sexes. Aggr. Behav. 31:1–13, 2006. © 2006 Wiley‐Liss, Inc.     

Continuity of aggression from childhood to early adulthood as a predictor of life outcomes: implications for the adolescent‐limited and life‐course‐persistent models

Using data from the Columbia County Longitudinal Study, a 40‐year longitudinal study following an entire county's population of third‐grade students from age 8 to 48, we examine questions about the long‐term consequences of aggressive and antisocial behavior in childhood, adolescence, and young adulthood. We found moderate levels of continuity of aggression from age 8 to 48 both for males and for females. Contrary to what some have proposed, we found that continuity of aggressiveness is owing to not only the high‐aggressive participants staying high but also owing to the low‐aggressive participants staying low. Compared with life‐course‐persistent low aggressives, we found that life‐course‐persistent high aggressives had consistently poorer outcomes across domains of life success, criminal behavior, and psychosocial functioning at age 48 (e.g., arrests, traffic violations, aggression toward spouse and divorces, depression, health, occupational and educational attainment). In contrast, adolescent‐limited and child‐limited aggressives did not differ from life‐course‐persistent low aggressives on the age 48 outcomes. Finally, the outcomes for late‐onset (early adulthood) aggressives were also problematic in some domains though not as problematic as those for life‐course‐persistent aggressives. Aggr. Behav. 35:136–149, 2009. © 2009 Wiley‐Liss, Inc.