Deliberate practice exercises provide trainees and students opportunities to build competence in essential schema therapy skills and hone their own personal therapeutic style. These exercises present role-playing scenarios in which two trainees act as a client and a clinician, switching back and forth under the guidance of a supervisor. The clinician improvises appropriate and authentic responses to client statements organized into three difficulty levels-beginner, intermediate, and advanced-that reflect common client questions and concerns. Each of the first 12 exercises focuses on a single skill. Two comprehensive exercises follow in which trainees integrate these essential skills into a single schema therapy session. Step-by-step instructions guide participants through the exercises, identify criteria for mastering each skill, and explain how to monitor and adjust difficulty. Guidelines to help trainers and trainees get the most out of training are also provided.
Wendy T. Behary, MSW, LCSW, is the founder and director of The Cognitive Therapy Center of New Jersey and The Schema Therapy Institutes of NJ-NYC-DC. She was also the President of the International Society of Schema Therapy (ISST) from 2010-2014. She is the author of Disarming the Narcissist: Surviving and Thriving with the Self-Absorbed (New Harbinger Publications). She has been treating narcissist clients, their partners and associates, and couples experiencing relationship problems; training professionals; and supervising psychotherapists for over 20 years. She lectures internationally to professional and general audiences on schema therapy and on narcissism and relationships. Joan M. Farrell, PhD, is a clinical psychologist and Adjunct Professor of Psychology and Research Director of the Center for Borderline Personality Disorder Treatment and Research at Indiana University-Purdue University Indianapolis. She directs the Schema Therapy Institute Midwest--Indianapolis. She has been training psychologists and psychotherapists internationally for 40 years. She developed a group model of schema therapy with Ida Shaw, and they wrote two books on this model for borderline and other personality disorders (Wiley Blackwell). Their latest book is Experiencing Schema Therapy From the Inside-Out: A Self-Practice/Self-Reflection Workbook for Therapists (Guilford Press). Visit https: //www.schematherapy-training.com/. Alexandre Vaz, PhD, is cofounder and Chief Academic Officer of Sentio Institute. He provides deliberate practice workshops and clinical training and supervision around the world. Dr. Vaz is the author/coeditor of four books on deliberate practice and psychotherapy training and two book series: The Essentials of Deliberate Practice (APA Books) and Advanced Therapeutics, Clinical and Interpersonal Skills (Elsevier). He has held multiple committee roles for the Society for the Exploration of Psychotherapy Integration (SEPI) and the Society for Psychotherapy Research (SPR). Dr. Vaz is founder and host of "Psychotherapy Expert Talks," an acclaimed interview series with distinguished psychotherapists and researchers. Tony Rousmaniere, PsyD, is cofounder and Program Director of Sentio Institute. He provides workshops, webinars, and clinical training and supervision around the world. He is the author/coeditor of six books on deliberate practice and psychotherapy training and two book series: The Essentials of Deliberate Practice (APA Books) and Advanced Therapeutics, Clinical and Interpersonal Skills (Elsevier). In 2017, he published the widely cited article in The Atlantic Monthly, "What Your Therapist Doesn't Know." Dr. Rousmaniere supports the open-data movement and publishes clinical outcome data at https: //drtonyr.com/. He was awarded the Early Career Award by the Society for the Advancement of Psychotherapy.
Series Preface Tony Rousmaniere and Alexandre Vaz Acknowledgments Part I. Overview and Instructions Chapter 1. Introduction and Overview of Deliberate Practice and Schema Therapy Chapter 2. Instructions for the Schema Therapy Deliberate Practice Exercises Part II. Deliberate Practice Exercises for Schema Therapy Skills Exercises for Beginner Schema Therapy Skills Exercise 1: Understanding and Attunement Exercise 2: Schema Education Exercise 3: Linking Unmet Need, Schema, and Present Problem Exercise 4: Education About the Dysfunctional Schema Modes Exercises for Intermediate Schema Therapy Skills Exercise 5: Recognizing the Mode Shifts of the Maladaptive Coping Modes Exercise 6: Identifying the Presence of the Dysfunctional Critic Mode Exercise 7: Identifying the Presence of the Angry and Vulnerable Child Modes Exercise 8: Limited Reparenting Response for the Innate Child Modes Exercises for Advanced Schema Therapy Skills Exercise 9: Limited Reparenting Response for the Dysfunctional Critic Mode Exercise 10: Limited Reparenting Responses for the Maladaptive Coping Modes- Empathic Confrontation Exercise 11: Supporting and Strengthening the Healthy Adult Mode Exercise 12: Implementing Behavioral Pattern Breaking Comprehensive Exercises Exercise 13: Annotated Schema Therapy Practice Session Transcript Exercise 14: Mock Schema Therapy Sessions Part III: Strategies for Enhancing the Deliberate Practice Exercises Chapter 3: Additional Guidance for Trainers and Trainees: How to Get the Most Out of Deliberate Practice Appendix A. Difficulty Assessments and Adjustments Appendix B. Deliberate Practice Diary Form Appendix C. Sample Schema Therapy Syllabus With Embedded Deliberate Practice Exercises References About the Authors Index
