Investigating the schema modes in individuals with traumatic experiences through the lens of object relations model: A narrative review

Amos En Zhe Lian, Shubashini Mathialagan
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Abstract

Background

Young et al. (2003) proposed a theoretical concept, known as the schema modes, which suggests that past trauma could form maladaptive emotional states and the behavioural coping responses that are triggered by the activation of traumatic memory (Johnston et al., 2009). Thus, the schema modes theory could be a suitable trauma theory for measuring the impacts of traumatic experiences on traumatised individuals. Currently, there are 14 types of schema modes.

Methods

This narrative review examined five studies that were published from 2003 to 2023, which investigated the types of schema modes in the population who has been traumatised. The review excluded any study that did not specify the types of schema modes or did not measure the traumatic experience based on the definition set up by DSM-5.

Results

The review identified four schema modes (a) Detached Protector, (b) Vulnerable Child, (c) Angry Child, and (d) Punitive Parent. Thus, these four schema modes are the common object-relations units that individuals developed after they experienced a traumatic event.

Conclusions

The current review employed the object-relations psychoanalytic model to analyse the identified schema modes and their relations to traumatic experiences. The study also provided some clinical guidance on working with these schema modes.

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从客体关系模型的角度研究有创伤经历的个体的模式:叙事回顾
背景Young 等人(2003 年)提出了一个理论概念,即 "图式模式"(schema modes),认为过去的创伤可能会形成不适应的情绪状态,以及由创伤记忆激活而引发的行为应对反应(Johnston 等人,2009 年)。因此,模式模式理论可以作为一种合适的创伤理论来衡量创伤经历对受创伤个体的影响。本叙事性综述研究了 2003 年至 2023 年间发表的五项研究,这些研究调查了创伤人群的图式模式类型。综述排除了任何未明确指出模式类型或未根据 DSM-5 所定义的创伤经历进行测量的研究。因此,这四种模式是个体在经历创伤事件后形成的共同客体关系单元。结论本综述采用客体关系精神分析模式,分析了已识别的模式及其与创伤经历的关系。研究还为如何处理这些模式提供了一些临床指导。
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来源期刊
CiteScore
2.40
自引率
4.80%
发文量
60
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