Forensic Schema Therapy: Theoretical Foundations

101

Abstract

The article discusses the theoretical model of schema therapy and provides an overview of research on its adaptation for individuals with convictions and those who have committed criminal acts under the influence of a mental illness. The main focus of this article is on research into the diagnostic and therapeutic potential of approaches. Based on the findings of foreign studies, forensic schema therapy has been shown to be effective. Current research directions are proposed, and the possibilities and limitations of the approach are discussed when applied to a sample of Russian-speaking convicts and psychiatric patients. The analysis suggests that forensic schema therapy may be a promising adaptation of the classic theoretical model of schema therapy for individuals who have committed criminal acts under the influence of a mental illness and have been involuntarily hospitalized in a psychiatric hospital. Based on a meta-analysis of the available data, forensic schema therapy has been shown to significantly reduce the risk of criminal recidivism in these populations. The presented review of research in the field of forensic schema therapy in Russian is published for the first time.

General Information

Keywords: schema therapy, forensic schema therapy, risk of violence, insanity defense, involuntary treatment

Journal rubric: Forensic and Clinical Psychology in Legal Context

Article type: scientific article

DOI: https://doi.org/10.17759/psylaw.2024140209

Funding. The reported study was funded by Russian Science Foundation (RSCF), project number 23-78-01263.

Received: 21.04.2024

Accepted:

For citation: Surgutskiy E.D., Vartanyan G.A. Forensic Schema Therapy: Theoretical Foundations [Elektronnyi resurs]. Psikhologiya i pravo = Psychology and Law, 2024. Vol. 14, no. 2, pp. 14–128. DOI: 10.17759/psylaw.2024140209. (In Russ., аbstr. in Engl.)

References

  1. Dannye sudebnoi statistiki. Osnovnye statisticheskie pokazateli sostoyaniya sudimosti v Rossii za 2003-2022 gody [Elektronnyi resurs]. Sudebnyi departament pri Verkhovnom Sude Rossiiskoi Federatsii = Judicial Department at the Supreme Court of the Russian Federation. URL: http://cdep.ru/index.php?id=79&item=2074 (Accessed 29.01.2024). (In Russ.).
  2. Zaitseva D.V., Pushkina T.P., Dorosheva E.A., Magdenko O.V. Issledovanie struktury lichnosti muzhchin, otbyvayushchikh srok nakazaniya za nasil’stvennye prestupleniya [The Research of Personality Structure of Male Prisoners Convicted for Violent Crimes] [Elektronnyi resurs]. Psikhologiya i pravo = Psychology and Law, 2022. Vol. 12, no. 2, pp. 55–68. doi:10.17759/psylaw.2022120205 (In Russ.).
  3. Kasyanik P.M., Romanova E.V. Diagnostika rannikh dezadaptivnykh skhem. Saint Petersburg: Izdatel’stvo Politekhnicheskogo universiteta, 2016. 152 p. (In Russ.).
  4. Konopleva I.N., Knyazeva S.O., Debolsky M.G., Krasnenkova S.A. Osobennosti samoregulyatsii u osuzhdennykh, sovershivshikh prestupleniya pri retsidive [Self-Regulation of Convicts Who Have Committed Repeated Crimes] [Elektronnyi resurs]. Psikhologiya i parvo = Psychology and Law, 2022. Vol. 12, no. 2, pp 27–41. doi:10.17759/psylaw.2022120203 (In Russ.).
  5. Otchet o pokazatelyakh prestupnosti v Rossii s yanvarya 2010 goda po dekabr’ 2022 goda. Statisticheskaya informatsiya [Elektronnyi resurs]. General’naya prokuratura Rossiiskoi Federatsii. Portal pravovoi statistiki. URL: http://crimestat.ru/offenses_chart (Accessed04.23). (In Russ.).
  6. Otchet o chisle privlechennykh k ugolovnoi otvetstvennosti i vidakh ugolovnogo nakazaniya [Elektronnyi resurs]. Sudebnyi departament pri Verkhovnom Sude Rossiiskoi Federatsii = Judicial Department at the Supreme Court of the Russian Federation. URL: http://cdep.ru/index.php?id=79&item=5669 (Accessed 20.01.2023). (In Russ.).
  7. Polubinskaya S.V. Pravovoe regulirovanie i organizatsiya ispolneniya prinuditel’nykh meditsinskikh mer, naznachaemykh litsam s psikhicheskimi rasstroistvami, sovershivshimi ugolovno nakazuemye deyaniya, v Anglii, Niderlandakh i Italii [Legal regulation and organization of execution of compulsory medical measures for mentally disordered offenders in England, the Netherlands and Italy] [Elektronnyi resurs]. Trudy Instituta gosudarstva i prava Rossiiskoi akademii nauk = Proceedings of the Institute of State and Law of the RAS, 2022. Vol. 17, no. 5, pp. 199–222. doi:10.35427/2073-4522-2022-17-5-polubinskya (In Russ.).
  8. Rafaeli E., Bernshtein D.Ph., Yang J. Skhematerapiya: otlichitel’nye osobennosti [Schema therapy: distinctive features]. Saint Petersburg: Dialektika, 2021. 192 p. (In Russ.).
  9. Reliz russkoyazychnoi versii obnovlennogo oprosnika skhem Yanga — YSQ-R [Elektron-nyi resurs]. Moskovskii institut skhema-terapii. URL: https://schema-therapy.ru/ysq_r (Accessed 15.03.2024). (In Russ.).
  10. Lingiardi V., McWilliams N. (Eds.). Rukovodstvo po psikhodinamicheskoi diagnostike. PDM-2: V 2 t. T. 1 [Psychodynamic Diagnostic Manual. PDM-2. Volume I]. Second Edition. Moscow: Nezavisimaya firma “Klass”, 2019. 792 p. (In Russ.).
  11. Spasennikov B.A. Kliniko-kriminologicheskii analiz rasstroistv lichnosti u osuzhdennykh [Clinical criminologic analysis of personality disorders of the convicted]. Kriminologicheskii zhurnal Baikal’skogo gosudarstvennogo universiteta ekonomiki i prava = Criminology Journal of Baikal National University of Economics and Law, 2014, no. 2, pp. 33–40. (In Russ.).
  12. Surgutskiy E.D., Vartanyan G.A. Vzaimosvyaz’ rannikh dezadaptivnykh skhem i disfunktsional’nykh rezhimov ikh funktsionirovaniya so stepen’yu obshchestvennoi opasnosti lits, priznannykh nevmenyaemymi [The Relationship of Early Maladaptive Schemas and Schema Modes with Violence Risk in Persons Acquitted by Reason of Insanity] [Elektronnyi resurs]. Vestnik Sankt-Peterburgskogo universiteta. Psikhologiya = Vestnik of Saint Petersburg University. Psychology, Vol. 13, no. 4, pp. 586–601. doi:10.21638/spbu16.2023.410 (In Russ.).
  13. Farrell J.M., Shaw I.A. Praktika skhema-terapii: vzglyad iznutri. Rabochaya tetrad’ dlya terapevtov s zadaniyami dlya samostoyatel’noi raboty i samorefleksii [Experiencing Schema Therapy from the Inside Out A Self-Practice/Self-Reflection Workbook for Therapists]. Saint Petersburg: Dialektika, 2020. 460 p. (In Russ.).
  14. Young J.E, Klosko J.S., Weishaar M.E. Skhema-terapiya. Prakticheskoe rukovodstvo [Schema Therapy. A Practitioner’s Guide]. Saint Petersburg: Dialektika, 2020. 446 p. (In Russ.).
  15. Arntz A., Rijkeboer M.N, Chan E., Fassbinder E., Karaosmanoglu A., Lee Ch.W., Panzeri M. Towards a reformulated theory underlying schema therapy: Position paper of an international workgroup. Cognitive Therapy and Research, 2021. Vol. 45, pp. 1007–1020. doi:10.1007/s10608-021-10209-5
  16. Bär A., Bär H.E., Rijkeboer M.M., Lobbestael J. Early Maladaptive Schemas and Schema Modes in clinical disorders: A systematic review. Psychology and Psychotherapy: Theory, Research and Practice, 2023. Vol. 96, no. 3, pp. 716–747. doi:10.1111/papt.12465
  17. Bernstein D.P., Arntz A., Vos M. de. Schema focused therapy in forensic settings: Theoretical model and recommendations for best clinical practice. International Journal of Forensic Mental Health, 2007. Vol. 6, no. 2, pp. 169–183. doi:10.1080/14999013.2007.10471261
  18. Bernstein D.P., Keulen-de Vos M., Clercx M., Vogel V. de, Kersten G.C.M., Lancel M., Jonkers Ph.P., Bogaerts S., Slaats M., Broers N.J., Deenen Th.A.M., Arntz A. Schema therapy for violent PD offenders: a randomized clinical trial. Psychological Medicine, 2023. Vol. 53, no. 1, pp. 88–102. doi:10.1017/S0033291721001161
  19. Bernstein D.P., Nijman H.L.I., Karos K., Keulen-de Vos, M., Vogel V. de, Lucker T.P. Schema Therapy for Forensic Patients with Personality Disorders: Design and Preliminary Findings of a Multicenter Randomized Clinical Trial in the Netherlands. International Journal of Forensic Mental Health, 2012. Vol. 11, no. 4, pp. 312–324. doi:10.1080/14999013.2012.746757
  20. Carvalho J., Nobre P.J. Early maladaptive schemas in convicted sexual offenders: Preliminary findings. International Journal of Law and Psychiatry, 2014. Vol. 37, no. 2, pp. 210–216. doi:10.1016/j.ijlp.2013.11.007
  21. Garofalo C., Sijtsema J.J. (Eds.). Clinical Forensic Psychology: Introductory perspectives on offending. Palgrave Macmillan Cham, 2022. 638 p. doi:10.1007/978-3-030-80882-2
  22. Heath G., Startup H. (Eds). Creative methods in Schema therapy: advances and innovation in clinical practice. Routledge, 2020. 360 p. doi:10.4324/9781351171847
  23. Dijk S.D.M. van, Veenstra M.S., Brink R.H.S. van den, Alphen S.P.J. van, Oude Voshaar R.C. A Systematic Review of the Heterogeneity of Schema Therapy. Journal of Personality Disorders, 2023. Vol. 37, no. 2, pp. 233–262. doi:10.1521/pedi.2023.37.2.262
  24. Giesen-Bloo J., Dyck R. van, Spinhoven Ph., Tilburg W. van, Dirksen C., Asselt Th. van, Kremers I., Nadort M., Arntz A. Outpatient psychotherapy for borderline personality disorder: randomized trial of schema-focused therapy vs transference-focused psychotherapy. Archives of General Psychiatry, 2006. Vol. 63, no. 6, pp. 649–658. doi:10.1001/archpsyc.63.6.649
  25. Herzog-Evans M., Keulen-de Vos M. Offence paralleling schema modes in institutional violence. International Journal of Offender Therapy and Comparative Criminology, 2023. doi:10.1177/0306624X231206516
  26. Keulen-de Vos M.E., Bernstein D.P., Clark L.A., Vogel V. de, Bogaerts S., Slaats M., Arntz A. Validation of the schema mode concept in personality disordered offenders. Legal and Criminological Psychology, 2017. Vol. 22, no. 2, pp. 420–441. doi:10.1111/lcrp.12109
  27. Keulen-de Vos M.E., Bernstein D.P., Vanstipelen S., Vogel V. de, Lucker T.P.C., Slaats M., Hartkoorn M., Arntz A. Schema modes in criminal and violent behaviour of forensic cluster B PD patients: A retrospective and prospective study. Legal and Criminological Psychology, 2016. Vol. 21, no. 1, pp. 56–76. doi:10.1111/lcrp.12047
  28. Lazarus G., Rafaeli E. Modes: Cohesive personality states and their interrelationships as organizing concepts in psychopathology. Journal of Psychopathology and Clinical Science, 2023. Vol. 132, no. 3, pp. 238–248. doi:10.1037/abn0000699
  29. Lewis D., Dunne A.L., Meyer D., Daffern M. Assessing Schema Modes Using Self- and Observer-Rated Instruments: Associations with Aggression. Journal of Interpersonal Violence, 2021. Vol. 36, no. 17-18, pp. NP9908–NP9929. doi:10.1177/0886260519860088
  30. Lobbestael J., Vreeswijk M. van, Arntz A. Shedding light on schema modes: a clarification of the mode concept and its current research status. Netherlands Journal of Psychology, 2007. Vol. 63, no. 3, pp. 69–78. doi:10.1007/BF03061068
  31. Louis J.P. Clinical Psychology: Development of Measures for Schema Therapy. A thesis submitted to the University of Stirling for the degree of Doctor of Philosophy. 250 p.
  32. Parhar K.K., Wormith J.S., Derkzen D., Beauregard A.M., Offender coercion in treatment: A meta-analysis of effectiveness. Criminal Justice and Behavior, 2008. Vol. 35, no. 9, pp. 1109–1135. doi:10.1177/0093854808320169
  33. Pilkington P.D., Bishop A., Younan R. Adverse childhood experiences and early maladaptive schemas in adulthood: A systematic review and meta‐analysis. Clinical Psychology & Psychotherapy, 2021. Vol. 28, no. 3, pp. 569–584. doi:10.1002/cpp.2533
  34. Soygüt G., Gülüm İ.V., Ersayan A.E., Lobbestael J., Bernstein D.P. A preliminary psychometric study of the Turkish Schema mode inventory-forensic (SMI-F). Current Psychology, 2023. Vol. 42, no. 14, pp. 11403–11414. doi:10.1007/s12144-021-02436-6
  35. Yalcin O., Marais I., Lee Ch.W., Correia H. The YSQ-R: predictive validity and comparison to the short and long form young schema questionnaire. International Journal of Environmental Research and Public Health, 2023. Vol. 20, no. 3. doi:10.3390/ijerph20031778

Information About the Authors

Evgeny D. Surgutskiy, Research Engineer, Saint-Petersburg State University, St.Petersburg, Russia, ORCID: https://orcid.org/0009-0002-2381-8537, e-mail: evgeniipsy@gmail.com

Gayane A. Vartanyan, PhD in Psychology, Senior Research Fellow, Associate Professor, Department of Psychology of Health and Deviant Behaviour, Faculty of Psychology, Saint Petersburg State University, St.Petersburg, Russia, ORCID: https://orcid.org/0000-0002-6266-4713, e-mail: g.vartanyan@spbu.ru

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