💪🧩 Quick Overview
This chapter covers Motivational Interviewing (MI), Schema Therapy, and Therapeutic Communities (TCs).
💪 Motivational Interviewing (MI)
Client-centered, directive approach to enhance motivation for change. Particularly useful with resistant clients.
OARS - Core Principles:
- Open questions - Encouraging elaboration
- Affirmations - Acknowledging strengths
- Reflective listening - Demonstrating understanding
- Summarizing - Pulling together key points
Spirit of MI:
Partnership, Acceptance, Compassion, Evocation (drawing out client's own motivations)
🧩 Schema Therapy
Developed by Jeffrey Young for personality disorders. Schemas are deep cognitive/emotional patterns formed in childhood through unmet needs.
Examples of Early Maladaptive Schemas:
- Abandonment, Mistrust/Abuse, Emotional Deprivation
- Defectiveness, Social Isolation, Dependence
- Entitlement, Insufficient Self-Control
Schema Modes:
Vulnerable Child, Angry Child, Detached Protector, Punitive Parent, Healthy Adult
🏠 Therapeutic Communities (TCs)
Residential treatment where the community itself is the treatment.
Core Principles:
- Democracy - Shared decision-making
- Communalism - Living and working together
- Reality confrontation - Honest peer feedback
- Permissiveness - Allowing behavior to emerge for examination