The DOI matches its Crossref record; 53 of the 54 references it cites were found in a registry or an index.
A new look at the schema therapy model: organization and role of early maladaptive schemas
Abstract
Bo Bacha** http://orcid.org/0000-0002-5744-1769, George Lockwoodb & Jeffrey E. Youngca Center of Excellence on Personality Disorder, Psychiatric Research Unit, Region Zealand, Denmarkb Schema Therapy Institute Midwest, Kalamazoo Center, Kalamazoo, MI, USAc Department of Psychiatry, Columbia University, New York, NY, USA* Corresponding author. Emails: bbpn@regionsjaelland.dk** bobachsayad@gmail.com Center of Excellence on Personality Disorder, Psychiatric Research Unit, Slagelse Psychiatric Hospital, Fælledvej 6, Bygning 3, 4200 Slagelse, DenmarkAbstractThis study reexamined the organization of Young’s 18 early maladaptive schemas and their hypothesized associations with experiences of need-thwarting parental experiences in childhood and the “vulnerable child” mode of emotional distress in adulthood. A large Danish sample (N = 1054) of 658 clinical- and 391 nonclinical adults completed measures of early maladaptive schemas, parenting styles, and the vulnerable child mode. We identified four higher-order schema domains as most appropriate in terms of interpretability and empirical indices (“Disconnection & Rejection”, “Impaired Autonomy & Performance”, “Excessive Responsibility & Standards”, and “Impaired Limits”). All four schema domains were differentially associated with conceptually relevant need-thwarting parental experiences. Apart from “Impaired Limits”, the schema domains meaningfully accounted for the association between need-thwarting parental experiences in childhood and emotional states of feeling like a “vulnerable child” in adulthood. We conclude that four domains of early maladaptive schemas are empirically and conceptually consistent with Young’s schema therapy model of personality pathology and longstanding emotional disorders. Findings warrant replication using different populations and if possible a prospective multi-method design. A scoring key for computing the four schema domains is provided.
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“Because these underlying structures are recognized as contributing to psychological suffering, many therapeutic approaches target them to foster long-term change [10-13].”
From Schema-Informed Digital Mental Health Intervention for Maladaptive Cognitive-Emotional Patterns: Randomized Controlled Trial (2025) · cites this paper as [10]
In the citing paper
“Schema-linked difficulties, such as perfectionism, rejection sensitivity, social withdrawal, and anxious overcontrol, are well-known contributors to long-term distress and functional impairment if left unaddressed [10].”
From Schema-Informed Digital Mental Health Intervention for Maladaptive Cognitive-Emotional Patterns: Randomized Controlled Trial (2025) · cites this paper as [10]
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Parenting and schema domains as predictors of intuitive and dysregulated eating in emerging adults
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Effectiveness of Schema Therapy in Clinical Disorders: A Systematic Review
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Identity and Early Maladaptive Schemas: A Network-Analytical Approach
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Why do people watch pornography? The role of schema modes in problematic pornography use
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“According to the original conceptualization by Young et al. [37] and its subsequent adaptations [49, 50], it is related to beliefs of failure, thoughts of inability to manage daily responsibilities, exaggerated fear of catastrophe, and excessive emotional involvement.”
Early Maladaptive Schemas and Muscle Dysmorphic Symptoms in Adolescents
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FoMO and cyberstalking in adults: the mediating roles of early maladaptive schemas and phubbing
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“The abandonment schema encompasses the individual’s core beliefs that they will be abandoned by important people or left emotionally alone (Young et al., 2003; Bach et al., 2018).”
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“In particular, “Partners Cannot Change,” “Mindreading is Expected,” and “Disagreement is Destructive” correspond closely to schema-driven expectations of relational permanence, emotional deprivation, and defectiveness (22).”
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Metadata
- Authors
- Bach, B., Lockwood, G., & Young, J. E.
- Affiliations
- Region Zealand (DK)
- Schema Therapy Institute Midwest, Kalamazoo Center, Kalamazoo, MI, USA
- Columbia University (US)
- Corresponding author
- Bach, Bo
- ORCID
- Bach, Bo
- Venue
- Cognitive Behaviour Therapy
- Publisher
- Informa UK Limited
- Published
- 2017-12-19
- Volume
- 47
- Issue
- 4
- Pages
- 328-349
- ISSN
- 1650-6073 (ISSN-L)
- 1651-2316
- OpenAlex
- W2779355268
- Cited by
- 222
- References
- 54
- Citations by year
- 2026: 19 · 2025: 51 · 2024: 36 · 2023: 36 · 2022: 23 · 2021: 23 · 2020: 15 · 2019: 11 · 2018: 8
- FWCI
- 11.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Cognitive Behaviour Therapy (publishedVersion)
- PubMed (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- schema therapy, early maladaptive schemas, parental experiences, personality pathology, emotional distress, disconnection and rejection, impaired limits
- MeSH terms
- Adolescent, Adult, Aged, Anxiety, Denmark, Depression, Female, Humans, Male, Middle Aged, Parent-Child Relations, Parents, Personality Disorders, Surveys and Questionnaires, Stress, Psychological, Case-Control Studies, Parenting, Personal Autonomy, Young Adult
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