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Emotion Regulation In CBT: An emotional schema therapy approach

Format Training Course
Presenters Robert Leahy, Ph.D.
Description Emotion Regulation has been implicated in eating disorders, borderline personality, generalised anxiety disorder, rumination, PTSD, self-injury, substance abuse, the ascent into mania and other disorders. Difficulty or inability to cope with experience or to process emotions - emotion dysregulation - is therefore viewed as a transdiagnostic vulnerability.

Emotional Schema Theory proposes that individuals differ in their theories about their emotions and those of others. These schemas include beliefs about the causes of emotion, differentiation, durability, universality, guilt, loss of control, danger, comprehensibility, the need to be 'rational', and legitimacy of emotion. Individuals also have beliefs about the need to suppress, control, avoid, accept, or tolerate 'confusing' or difficult emotions, which give rise to maladaptive strategies of coping, such as rumination, eating disorders, substance abuse, rumination and worry. Moreover, problematic beliefs about the emotions of intimate partners and strategies to 'handle' these emotions give rise to conflict in intimate relationships.

Issues and Therapeutic Roadblocks.

Emotion Regulation has direct implications for interpersonal coping. Some individuals become dysregulated due to insecure or ambivalent attachment styles and problematic strategies used to elicit support. We will consider and review interventions that can assist these clients to develop a model of reciprocal validation and support, interpersonal effectiveness, realistic expectations about relationships, and enhance a sense of personal empowerment.

Clients can engage in self-invalidation, viewing needs as weakness. Compassion focused approaches can be employed to empower a self-validating inner voice and assist clients to develop a 'Bill of Rights' about legitimate needs. Problematic emotions such as jealousy, envy, anger, and resentment will be 'deconstructed' from an emotional schema perspective and cognitive behavioural strategies proposed.

Therapists who do not address impasses in the therapeutic relationship have higher premature drop-out rates, lower compliance, and less effective treatment outcomes. Clients and therapists bring to the therapeutic relationship their own conceptualisation of what an effective relationship will be, and how emotions are to be handled. Client schemas may focus on threats of abandonment, humiliation, or loss of autonomy, while therapists may have schemas that reflect demanding standards, need for control, and approval seeking. Clients and therapists may have 'emotional schemas' where emotions may be viewed as threatening, overwhelming, in need of 'regulation', or incomprehensible. These 'schema mismatches' may lead the therapist to view emotions as a waste of time, 'complaining', or a sign of 'rumination' and make it difficult for the therapy to elicit emotionally significant material or to allow for important experiential exposure. We will identify and modify mutually self-fulfilling 'interpersonal strategies' where personal and emotional schemas are confirmed continually (or never disconfirmed) in the therapeutic relationship. Rather than viewing therapy as a set of 'simple techniques', we will see how CBT can provide for meaningful and deeper change. Participants will be encouraged to engage in role-plays that represent problematic impasses in CBT, and will help to identify core beliefs, assumptions and dysfunctional strategies (held by either client or therapist) that can be reversed through the use of conceptualisations and models of schematic-mismatch. Resistance and non-compliance can be viewed as a window into the past, present and future interpersonal world of the client and a variety of cognitive, behavioural and experiential strategies can be used to overcome these roadblocks. Finally, the therapist's own dysfunctional beliefs and strategies are amendable to cognitive and behavioural techniques that can be used on an on-going basis to enhance therapeutic effectiveness and reduce the risk of burnout.
About the presenter(s) ROBERT L. LEAHY, Ph.D. is the Director of the American Institute for Cognitive Therapy in New York, and Clinical Professor of Psychology at Weill Cornell Medical College in New York.

He is the author or editor of 22 books on cognitive therapy and psychological processes, including the professional books Cognitive Therapy Techniques (2003), Overcoming Resistance in Cognitive Therapy (2003), Contemporary Cognitive Therapy (2004), Psychological Treatment of Bipolar Disorder (2005), Roadblocks in Cognitive- Behavioral Therapy(2006), The Therapeutic Relationship in the Cognitive Behavioral Psychotherapies (2009), Emotion Regulation in Psychotherapy (2011), Treatment Plans and Interventions for Depression and Anxiety Disorders (2nd Ed. 2011), Treatment Plans and Interventions for Bulimia and Binge-Eating (2012), and the popular books, The Worry Cure (2006), Anxiety Free (2010), Beat the Blues Before They Beat You (2011), and Keeping Your Head after Losing Your Job (2013).

Dr. Leahy is Past President of the Association for Behavioural and Cognitive Therapies, the International Association for Cognitive Psychotherapy, and the Academy of Cognitive Therapy. He is a recipient of the Aaron T. Beck Award for Sustained and Enduring Contributions to Cognitive Therapy. He has given workshops worldwide and has appeared frequently in the popular media.
Location NSW Metro, Australia
Venue Vibe Hotel North Sydney
88 Alfred Street, Milsons Point

Please contact the event organiser to confirm if this venue is wheelchair accessible
Start/End Date 25 Feb 2013 to 26 Feb 2013
Time 9.00am - 5.00pm
Cost EARLY BIRD (by 21/12/2012) Individual subscriber to 'Psychotherapy in Australia' journal $475. EARLY BIRD (by 21/12/2012) Non-Subscriber $495. REGULAR (after 21/12/2012) Individual subscriber to 'Psychotherapy in Australia' journal $505. REGULAR (after 21/12/2012) Non-Subscriber $525.
Notes 14 HOURS OF PROFESSIONAL DEVELOPMENT. PsychOz Publications offers high quality professional training events with a clear focus on psychotherapy and counselling for a range of clinicians in the field. The trainers selected for these events are highly qualified senior Australian and International members of the psychology and psychotherapy community. On this basis, formal professional association endorsement is not necessary. A Certificate of Attendance detailing 14 hours of professional training is available for collection IN PERSON on the final day of training.
Organiser PsychOz Publications
Contact Name Events Manager
Telephone 03 9855 2220
Fax 03 9855 2225