Schema Therapy for Problem Gamblers
The schema mode approach (SMA) is a recent development in schema therapy that may offer a viable adjunct to CBT for PG, particularly for treatment-resistant PGs with characterological problems. SMA is a more flexible approach than Schema Therapy that examines the dysfunctional processes arising from key developmental gaps in the fulfilment of a patient’s basic needs. Schema modes are defined as a set of currently active schemas or schema operations that can be adaptive or maladaptive. Further exploration of SMA treatment for PG is encouraged due to the intuitive case conceptualisation process, the effectiveness of emotion focused, imagery and chair work techniques in isolating and treating problematic behaviour common to PG and the incorporation of the therapeutic alliance as an interventional tool is helpful in supporting vulnerable PG clients. A discussion of SMA and its relevance for PG together with a treatment case study is provided below.
KeywordsSchema therapy Problem gambling treatment Imagery rescripting Chair work Affect bridge Limited reparenting
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