Integrating Object-Relations and Schema Models to Treat Complex Trauma: A Case Study of Splitting and Integrating Traumatic Experiences - 08/05/24
, Suzanna A. Bono bThis article has been published in an issue click here to access
Highlights |
• | Based on the object-relations and schema models, there seems to be a sequence in the therapeutic process of treating traumatic experiences, in which splitting should be achieved sufficiently first, followed by the process of integrating the ‘split’. |
• | A case study with multiple long-term interpersonal traumas is presented to illustrate the application of this splitting-and-integrating sequence. |
• | Through 24 sessions of therapy, her PTSD symptoms, EMS and schema modes have significantly reduced. |
Abstract |
The schema model's therapeutic process focuses on understanding, expressing and processing different sides of traumatic experiences to achieve a sense of order in the chaotic experiences. The object-relations model supported this and named this process as the ‘splitting’. Nevertheless, the object-relations model also emphasizes that after achieving a sufficient ‘split’, the next step would be to integrate the traumatic experiences to achieve a healthy and coherent self. When viewing both models together, there seems to be a sequence in the therapeutic process of treating traumatic experiences, in which splitting should be achieved sufficiently first, followed by the process of integrating the ‘split’. A case study of a young Malaysian female adult who suffered from multiple long-term interpersonal traumas is presented to illustrate the application of this splitting-and-integrating sequence. She suffered from developmental and sexual traumas in her past, and the COVID-19 pandemic has retriggered her traumatic memories, resulting in elevated levels of Post-Traumatic Stress Disorder (PTSD) symptoms. Through 24 sessions of therapy, her PTSD symptoms, Early Maladaptive Schemas (EMS) and schema modes have significantly reduced. In addition, she has demonstrated a more integrated personality.
El texto completo de este artículo está disponible en PDF.Keywords : Schema Therapy, Object-Relations Therapy, Psychotherapeutic Integration, Complex Trauma, Geolocation information: Malaysia
Esquema
| Dr Amos En Zhe Lian is a practising clinician in the schema and psychoanalytic approaches. He is the programme director and lecturer at the Psychology department of Raffles University Malaysia and he is also an adjunct professor at the Columbia International University. He studied for his PhD in Counselling at the Universiti Sains Malaysia and his MSc in Integrative Psychotherapy at the Manchester Metropolitan University. He was also trained and supervised in Object-Relations Psychoanalysis and Schema Therapy under the Object Relations Institute (ORI) and the International Society of Schema Therapy (ISST). |
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| Dr Suzanna Bono is a social psychologist and her research interests are in emotions, personality, decision-making behaviours, mental health and psychological well-being. She is also a senior lecturer at Universiti Sains Malaysia. She is a member of the Malaysian Psychology Association (PSIMA) and the American Psychological Association (APA). She obtained her PhD in Psychology from Cardiff University and her MRes in Psychology from the University of York. |
Bienvenido a EM-consulte, la referencia de los profesionales de la salud.
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