Schemas and the Therapeutic Reconsolidation Process–Conditions Required for Schema Transformation

This chapter delves into the powerful integration of Coherence Therapy (CT) with Schema Therapy (ST), spotlighting the Therapeutic Reconsolidation Process (TRP) that transforms deeply ingrained schemas. At its core, this process requires precision, made possible with tools like the Schema Map and the Resources/Threats Matrix. In CT, schemas are organized around predictions of “worse suffering,” intense emotional pain. Five key schemas (e.g., Abandonment, Mistrust/Abuse) predict this suffering. We call them “schemas linked to existential problems.” They prompt individuals to create coping strategies to avoid re-experiencing these painful feelings. Meanwhile, nine other schemas are linked to solutions (e.g., Unrelenting Standards, Approval-Seeking), which, while offering some relief, come with a cost (called “lesser suffering”) and often become dysfunctional over time. The chapter also identifies four unique schemas: Defectiveness and Failure, Vulnerability and Negativity/Pessimism, which either forecast worse suffering or act as protective means, or are the costs of these. The goal of this process is to refine Schema Therapy by incorporating the reconsolidation of schemas through precise identification of emotional predictions. By doing so, the approach enhances the therapeutic process, aiming for lasting transformation in individuals’ schemas and behaviors.