The Healthy Adult in Schema Therapy: Using the Octopus Metaphor

Abstract

This conceptual paper presents the Healthy Adult mode in Schema Therapy using the octopus metaphor. As a relatively new form of integrative psychotherapy, Schema Therapy has in recent times become increasingly popular among psychotherapists, as a preferred transdiagnostic treatment approach. Schema Therapy, however, is not free from theoretical criticisms and practical challenges. The aim of this article is twofold. First, to offer clients a simple, pictorial, creative, powerful, and memorable metaphor that they can use to develop and strengthen their Healthy Adult mode as a positive psychological intervention to achieve their goals. Second, to present a parsimonious, creative, and flexible model, aligned with the integrative psychotherapy tradition, for psychotherapists to blend into their own style and practice. Drawing on relevant theoretical and empirical findings, and taking a scientist-practitioner stance, this article unpacks the therapeutic factors and mechanisms of change embedded in the use of metaphor, and how they can be integrated into Schema Therapy. The article elucidates the psychological linkages between theory and practice, and highlights the corresponding outcomes and benefits for clients. Thereby, it contributes to the multiple nuances and versions of Schema Therapy and integrative psychotherapy.

Schema mode inventory in cases of aggressive behavior: A systematic review

“…Considering that "forensic schema modes" also appear in non-forensic environments, the existing bibliography on the use of SMI in cases of aggressive behavior is relevant not only for research purposes but also to assist clinical therapists who may face major problems because they do not know how to recognize or intervene with these modes (Bernstein & Navot, 2023). Such ignorance can also create obstacles to the therapeutic relationship, considered a primary agent of change in ST (Salicru, 2023).…”

“…Schema therapy (ST) is a relatively new, integrative approach that expands traditional cognitive-behavioral treatments and concepts (Salicru, 2023;Young et al, 2009). It integrates elements from different approaches, such as Gestalt therapy, attachment theory, and psychodynamic understanding (Koppers et al, 2021), and uses mental imagery techniques that stimulate a greater connection with emotions (Fiuza & de Godoy, 2021;Keulen-de Vos et al, 2017).…”