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THE GUILFORD PRESS
Emotional Schema Therapy
Also from Robert L. Leahy
The author has checked with sources believed to be reliable in his effort to
provide information that is complete and generally in accord with the standards
of practice that are accepted at the time of publication. However, in view of the
possibility of human error or changes in behavioral, mental health, or medical
sciences, neither the author, nor the publisher, nor any other party who has
been involved in the preparation or publication of this work warrants that the
information contained herein is in every respect accurate or complete, and they
are not responsible for any errors or omissions or the results obtained from the
use of such information. Readers are encouraged to confirm the information
contained in this book with other sources.
vii
Preface
T herapists from all approaches are concerned to some extent with the
emotional experience that patients bring to therapy. Those who use
cognitive restructuring hope that new ways of viewing things will change
how people feel, dialectical behavior therapy encourages patients to learn
how to regulate emotions that often seem chaotic and frightening, accep-
tance and commitment therapy encourages flexibility and tolerance of emo-
tion while pursuing a valued life, metacognitive therapy focuses on the role
of problematic reliance on worry and rumination to cope with difficulty,
and behavior activation stresses the importance of proactive and rewarding
behavior rather than passivity, isolation, and avoidance. And, in the psy-
choanalytic realm, mentalization therapy emphasizes the value of increased
awareness of and reflection on the mental or internal states of self and
others, while more traditional psychodynamic models attempt to access
emotions and memories that are associated with long-lasting difficulties.
Emotions are what lead people to seek out help, regardless of the theo-
retical orientation one takes, but little has been said about how the patient
thinks about and strategizes regulating those emotions.
Before I met Aaron Beck and pursued work in cognitive therapy, I was
actively involved in work on social cognition—that is, how people explain
the causes of behavior, their use of trait concepts in describing others, rec-
ognition of variability in others and in the self, and judgments of inten-
tionality and responsibility. Social cognition has relevance to cognitive-
behavioral therapy in that one’s emotions—and the strategies one uses to
regulate them—may be related to the “theory” one has about emotions.
ix
x Preface
The emotional schema model proposes that once emotions are activated we
often have interpretations of those emotions, and these interpretations are
related to strategies we use to cope with the emotions.
This book develops a model of how people think about their own
emotions and those of others. Throughout this book, I describe a num-
ber of feelings, desires, or experiences, and refer to them as “emotions”—
sadness, anxiety, anger, confusion, envy, jealousy, resentment, and sexual
feelings. I use the term “emotional schemas” to describe beliefs about the
causes, legitimacy, normality, duration, and tolerance of complexity of
emotion. Once an emotion arises—for example, anxiety—the individual
then assesses the nature of this emotion: “Is this emotion going to last
indefinitely?”, “Do other people feel the same way that I feel?”, “Should I
feel ashamed of my feelings?”, “Is it OK to have mixed feelings?”, “Can I
express my feelings?”, “Will other people validate me?”, “Do my feelings
make sense?”, and a range of other interpretations and evaluations of one’s
own emotional experience. Does the individual believe some emotions,
such as anger, are “legitimate,” whereas other emotions, such as anxiety,
are not? And, once an emotion arises, what strategies does the individual
activate to deal with these emotions? Does the individual seek out reassur-
ance, withdraw from others, ruminate, blame others, avoid, retreat into
passivity, abuse substances, interpret things differently, engage in problem
solving, activate useful behavior, seek distraction, self-mutilate, dissociate,
binge, accept the emotion, or engage in other responses?
Moreover, these emotional schemas are also related to how one thinks
about and responds to the emotions of others. For example, when one’s
intimate partner is upset, does one think one’s partner’s emotions make no
sense, does one pathologize these emotions and label them as “abnormal,”
does one believe these emotions will go on indefinitely, does one discourage
expression, or does one believe that emotions interfere with rationality and
solving the problem? And, based on these interpretations, does one criticize
and ridicule that person, tell one’s partner that he or she is complaining too
much, withdraw and stonewall, or try to convince one’s partner that he or
she should not have these feelings?
In this book, I describe a model of how people might theorize about
emotion and how these “theories” of emotion contribute to a wide range of
psychopathology. While recognizing the importance of theories about how
negative interpretations of reality can lead to sadness or anxiety or how
avoidance and passivity can contribute further to depression, the emotional
schema model attempts to extend our understanding further by proposing
that once an emotion arises, the individual’s implicit theory of emotion is
activated, and this leads to either helpful or unhelpful strategies of coping.
Quite simply, “Once you feel sad, what do you think about this sadness
and what do you do next?” For example, if I think my sadness will go on
indefinitely or escalate further, I might be desperate to find a “quick fix” by
Preface xi
xiii
xiv Acknowledgments
Part I
Emotional Schema Theory
P a r t II
Beginning Treatment
P a r t III
Specific Interventions for Emotional Schemas
xv
xvi Contents
Part IV
Social Emotions and Relationships
References 347
Index 370
Part I
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