Cunningham Alice, Reid Marie, Sayan Stephanie, Hammersley Richard
School of Psychology and Social Work, University of Hull, Hull.
School of Psychology and Neuroscience, University of Glasgow, Glasgow, United Kingdom.
Qual Res Med Healthc. 2024 Sep 12;8(2):11376. doi: 10.4081/qrmh.2024.11376. eCollection 2024 Jul 4.
Schema therapy expands traditional cognitive-behavioral models, weakening early maladaptive schemas and schema modes while strengthening adaptive modes. This study investigated participant experiences of schema therapy for eating disorders, focusing on schema modes and the eating disorder voice, how these maintained disordered eating, and how therapy helped. Semistructured online video interviews with clients receiving schema therapy for eating disorders (N=10) were analyzed using interpretative phenomenological analysis. Four group experiential themes were developed: (1) , typically in childhood and adolescence, (2) , especially with primary caregivers and the benefits of a good therapeutic relationship, (3) of schema modes and the eating disorder voice and their impact on participants' eating disorders, and (4) using schema concepts, including finding one's inner child, better self-management, and ambivalence about recovering. Overall, schema therapy was perceived as beneficial, specifically regarding participants' awareness of their inner child, development of their eating disorder, and awareness of their eating disorder voice. Participants expressed a growing positive sense of agency, connecting with their inner child's needs and developing a connection to their healthy adult mode. They also felt that schema therapy had equipped them with the tools to strengthen their healthy adult mode, while simultaneously weakening their maladaptive modes.
图式疗法扩展了传统的认知行为模型，削弱早期适应不良图式和图式模式，同时强化适应模式。本研究调查了饮食失调患者接受图式疗法的体验，重点关注图式模式和饮食失调声音、它们如何维持饮食紊乱以及疗法如何发挥作用。对接受饮食失调图式疗法的客户（N = 10）进行的半结构化在线视频访谈采用解释现象学分析进行分析。形成了四个群体体验主题：（1） ，通常在童年和青少年时期，（2） ，尤其是与主要照顾者以及良好治疗关系的益处，（3） 图式模式和饮食失调声音及其对参与者饮食失调的影响，以及（4） 使用图式概念，包括找到内心的小孩、更好的自我管理以及对康复的矛盾心理。总体而言，图式疗法被认为是有益的，特别是在参与者对内心小孩的认知、饮食失调的发展以及对饮食失调声音的认知方面。参与者表达了一种日益增强的积极能动感，与内心小孩的需求建立联系并与健康成人模式建立联系。他们还觉得图式疗法为他们提供了强化健康成人模式的工具，同时削弱了他们的适应不良模式。
