Professional Documents
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A Clinical Dissertation
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Presented to the Faculty of
In Partial Fulfillment
Doctor of Philosophy
By
October 2004
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UMI Number: 3160244
Copyright 2004 by
Stiles, Ona E.
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EARLY MALADAPTIVE SCHEMAS AND INTIMACY IN
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DOCTOR OF PHILOSOPHY
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Dissertation Committee:
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Chairperson
(hhMu-, /, w f
Date
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ABSTRACT
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San Francisco Bay Campus
This study examined the relations between Early Maladaptive Schemas and
Early Maladaptive Schemas and the association between maladaptive schema and
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intimacy were researched. Participants included 210 female and 69 male university
students between the ages of 18-24, who were currently in romantic relationships. Based
on a series of Multiple Regressions, findings indicated that only the Early Maladaptive
The schema of Defectiveness/ Shame was predictive of lower intimacy scores on the
Miller Social Intimacy Scale, while Unrelenting Standards was unexpectedly predictive of
higher intimacy scores on the Fischer Narus Closeness Scale. Abandonment and
Entitlement schemas were predictive of higher intimacy distance scores on the Fischer
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Narus Distance Scale. Next, a MANOVA determined that the only gender difference on
Early Maladaptive Schema scores was on the schema of Entitlement, with men scoring
were mixed and may add to both the literature on Early Maladaptive Schemas and help
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inform practitioners of Schema Focused Therapy.
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Acknowledgements
I am sincerely grateful to the many people who have helped me complete this
challenging project. At each different step in this process I was surrounded by professors,
family members, and friends who offered guidance or support. I am especially grateful to
my husband, Glen W. Stiles, D.D.S., for his unwavering encouragement and support and
members Christopher Tori, Ph.D. and Polly Lytle, Ph.D. Thank you all for your different
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areas of expertise and your generous contributions.
Finally, I offer special thanks to others who helped me along the way: Robert
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Bartee, Ph.D., Jeff Andreas Tan, and Dorrit Gordon.
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Table o f Contents
CHAPTER 1...............................................................................................................................1
Statement of Problem................................................................................................................ 1
Literature Review...................................................................................................................... 5
Intimacy.................................................................................................................................... 19
Gender...................................................................................................................................... 32
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Other Possible Moderating Variables................................................................................... 40
Methods....................................................................................................................................46
Power Analysis........................................................................................................................ 46
Participants.............................................................................................................................. 46
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Measures..................................................................................................................................50
Procedure.................................................................................................................................55
CHAPTER III.......................................................................................................................... 57
Results...................................................................................................................................... 57
Preliminary Analyses..............................................................................................................57
Hypothesis Testing..................................................................................................................61
Ancillary Analyses..................................................................................................................69
CHAPTER IV ......................................................................................................................... 73
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Discussion................................................................................................................................73
Summary of Findings..............................................................................................................73
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Limitations of the Current Study............................................................................................95
References..............................................................................................................................103
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List of Tables
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7. Hierarchical Regression Analysis for
Schemas Predicting Fischer Narus Distance Score.................................................66
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8. Correlations between Intimacy
Measures and Schemas for Men and Women.......................................................... 69
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CHAPTER I
Statement o f Problem
Many people seek therapy because of relationship problems (Pistole, 1993; West,
Sheldon, & Reiffer, 1989). In addition, many diagnosable mental disorders have
Marvin, 1990). Most of the relational difficulties people experience are influenced by the
ways they perceive themselves and others, which in cognitive behavioral therapy are
called a schema (Beck, 1967). The development of a schema can often be traced back to
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some people develop Early Maladaptive Schemas that affect the way they think, feel, and
behave in later intimate relationships as well as in other aspects of their lives. This study
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was designed to test the theorized relation between Early Maladaptive Schemas and
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Maladaptive Schemas and in the association between Early Maladaptive Schemas and
Focused Therapy. These maladaptive schemas are automatic, enduring, highly affectively
charged, generally negative views of the self, the world, and other people. They are
closely tied to a person’s self-concept and develop early in life through accumulated,
ongoing, negative experiences with family and peers. Although this model has been used
in therapy, there has been limited research on Early Maladaptive Schemas (Clifton, 1995;
Leung, Waller, & Thomas, 1999; Shah &Waller, 2000; Waller, Meyer, & Ohanian,
2001) and on the psychometric properties of the Young Schema Questionnaire (Lee,
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Taylor, & Dunn, 1999; Schmidt, Joiner, Young, & Telch, 1995; Waller et al., 2001) used
Although a theoretical connection has been made between nine specific Early
Maladaptive Schemas and relationship satisfaction (Young & Gluhoski, 1997), the link
between Early Maladaptive Schemas and certain aspects of relationships has not been
empirically explored. Thus, Young and Gluhoski (1997) hypothesized that satisfaction is
appropriately met. When needs are not fulfilled, specific Early Maladaptive Schemas
may result, and these are thought to have a direct impact on romantic relationships. One
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of the areas partners must successfully negotiate in order to achieve satisfaction in their
relationship is the connection spectrum (Young & Gluhoski, 1997), which refers to the
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ability of partners to either move towards intimacy or away from it (i.e. towards
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It has in fact been identified as a “core element” (Marcus & Swett, 2002, p. 574) of close
linked to romantic relationships, also will be related to intimacy. The present study
empirically tested the theorized connection between Early Maladaptive Schemas and
was chosen because it is the time when intimacy is considered the primary developmental
task (Erikson, 1968). It was hypothesized that the more maladaptive a schema, the less
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gender differences (e.g., Heller & Wood, 1998). The nature of the findings may be
related to the definition of intimacy used, with a typically feminine definition (e.g., self
gender similarities. The present study defined intimacy as a close and positive
relationship, as measured by the Fischer Narus Scales (Fischer & Narus, 1981), with felt
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love and affection, as measured by the Miller Social Intimacy Scale (Hook, Gerstein,
Early Maladaptive Schemas (Clifton, 1995; Schmidt et al., 1995), while another study
Schemas on the Young Schema Questionnaire (Bendo, 2001). The limited research
combined with the conflicting results, warranted further investigation of possible gender
differences in the relation between Early Maladaptive Schemas and intimacy were
researched because male and female socialization may differentially influence the
development of Early Maladaptive Schemas. Specifically, girls and boys may form
expectations by family, peer, or social influences. It was believed that these influences
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may not only impact which specific Early Maladaptive Schema was formed but, in turn,
may also result in gender differences in the relation between Early Maladaptive Schemas
and intimacy.
Schemas and intimacy has both theoretical and practical significance. Within cognitive
challenging clients, such as clients with personality disorders who were not responding
well to traditional, brief, cognitive behavioral therapy (Young, 1999). Support for the
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Schemas (Schmidt et al., 1995) have been reported. The present study contributed to this
Schema-Focused Therapy in their work with couples or people experiencing issues with
intimacy. With the identified link found between specific Early Maladaptive Schemas
and components of intimacy, psychologists now have a better idea that schema work (i.e.,
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gender differences in this relation between Early Maladaptive Schemas and intimacy.
Many clients have difficulty with intimacy, and this information has the potential to allow
better treatment of such clients by assisting in identifying schemas that influence intimacy
Further, based on the findings, mental health providers who administer the Young
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experience of intimacy based on the results on the questionnaire. For example, if a client
were to score high on certain specific Early Maladaptive Schema (a higher score meaning
the schema is more maladaptive), hypotheses regarding aspects of the client’s level of
Literature Review
conceived the general concept of schemas during the 1930s. They used the same term,
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Piaget was interested in how individuals accrued knowledge. He believed that they did so
Bartlett developed the theory that people remember things by mentally “organizing
material into meaningful wholes called schemas” (Goodwin, 1999, p. 401). Since then,
the term schema has been widely used throughout psychology, and many versions of
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schema theory exist in the literature. Specifically, schemas are one of the primary
concepts within cognitive psychology. They are described as developing after repeated
experiences and are reportedly present in all populations, regardless of pathology (Hollon
& Garber, 1988). In cognitive psychology, schemas have also been described as
heuristic processing strategies used to help process information, based on already existing
ideas held by the individual that may or may not be accurate (Klaczynski, 2001). With
(Hollon, 1998). Though generally similar to this cognitive psychology view of schemas,
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cognitive behavioral psychologists have their own view of schemas. This study will
considered the most important and deepest cognitive processes of the human mind. The
broad and commonly accepted definition of schemas in CBT holds that “schemata consist
of organized elements of past reactions and experiences that form a relatively cohesive
appraisals” (Segal, 1988, p. 147). Beck (1967) discussed the importance of schemas early
in his career, especially within the context of depression. Beck stated that:
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A schema is a structure for screening, coding and evaluating the stimuli that
Beck further hypothesized that schemas are consistent because they continually cause
people to interpret themselves, the world, and the future in the same biased way. They
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are considered the deepest cognitive level, deeper than automatic thoughts, cognitive
distortions, and underlying assumptions. “An important concept with relevance for
psychotherapy is the notion that schemas, many of which are formed early in life,
continue to be elaborated and then superimposed on later life experiences, even when
they are no longer applicable” (Young, Klosko, & Weishaar, 2003, p. 7).
In general, schemas can be either negative or positive and can be formed at any
time throughout life. People suffering from emotional problems can most frequently be
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ingrained from childhood. Thus, this cognitive lens through which they view others, the
world, and the self influences their affective and behavioral responses, which causes them
unhappiness and distress (Beck & Freeman, 1990; Young, 1999; Young et al., 2003).
Schemas are problematic if they cause persons to see themselves and the world in
a negatively biased way that causes them distress. Schemas that have become
maladaptive generally result in interpersonal behaviors that confirm and reinforce the
schemas leading to chronic life problems (Beck & Freeman, 1990). For example, there is
much evidence for the role of dysfunctional schemas in depression and anxiety disorders
(for a review, see Beck, 1991; Dozois & Dobson, 2001). Pretzer and Beck (1996) also
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asserted that people with Axis II personality issues are differentiated from mentally
healthy people by their dysfunctional cognitive and interpersonal patterns that are self-
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fulfilling, rigid, and extremely difficult to change.
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that would help clients who were experiencing distress and were not responding well to
traditional CBT. One such group was clients with personality disorders. Although
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Young developed Schema Focused Therapy primarily to treat clients with personality
disorders, he also stated that this therapy can be applied to a nonclinical population to
populations have not been the primary focus of published research studying Early
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styles” (Young et al., 2003, p. 5). It specifically adds the following five theoretical
constructs to Beck’s (1979) cognitive model: Early Maladaptive Schemas (the deepest
level of cognition), schema domains (five areas of primary developmental tasks children
undertake that can result in Early Maladaptive Schemas), schema maintenance (processes
that reinforce Early Maladaptive schemas), schema avoidance (processes that avoid the
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Young (1999) focused his efforts on further elaborating the cognitive behavioral
disorders, he began to observe and document the repetitive patterns of thoughts, feelings,
Maladaptive Schemas, which he described as “extremely stable and enduring themes that
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develop during childhood, are elaborated throughout an individual’s lifetime, and are
processing of later experiences” (p. 9). They can be defined as broad and pervasive
themes made up of memories, thoughts, feelings, and physical sensations. They involve
one’s view of self and one’s relationship with other people, and are significantly
elaborated upon throughout one’s life (Young et al., 2003). A 205 question (long
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unconditional beliefs and feelings that are taken as fact and used to relate to the world.
When an Early Maladaptive Schema is activated, the person tends to believe he or she
cannot change the inevitable, negative outcome defined by that schema. For example, an
activated Early Maladaptive Schema may make a person think, “Despite what I try to do,
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schemas very powerful determinants of behavior.
Second, the automatic and rigid nature of Early Maladaptive Schemas makes them
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very difficult to change. They stem from experiences early in life and often form the root
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of a person’s identity. They influence the way a person identifies him or herself and the
information that does not support their Early Maladaptive Schemas, reinforcing their self-
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be dysfunctional or cause distress. Young (1999, p. 10) stated that they can “lead directly
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fear of being rejected. This feeling may not have been present when the individual was
single because the Early Maladaptive Schema was not activated until an intimate
relationship began. Another example might be a person who has a particular schema that
woman might have the Early Maladaptive Schema of Unrelenting Standards. Knowing
her annual job evaluation is near, she may experience distorted thoughts such as, “I
should have worked harder; my boss is going to know I did not work hard enough; I am
going to look like an idiot; I am going to be fired.” Thus, the environmental situation of
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an annual job review activates her schema causing her distress.
Fifth, when activated, Early Maladaptive Schemas are often linked to strong
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affect. This emotional pain can be quite disruptive and can lead to self-defeating thoughts
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and behaviors and even acting-out, resulting in harm to others. This affective arousal can
also be witnessed when people first identify their deeply ingrained Early Maladaptive
Schemas through therapy. For example, a client’s discovery of his or her Early
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Maladaptive Schema can cause crying and uncontrollable shaking because schemas are so
experiences with parents and other family members or friends. They are not developed
because of isolated traumas but rather from continuous negative interactions that create
and then reinforce and perpetuate the schema. This pattern of environmental influences
likely combines with a child’s biological temperament. For example, children who have
a particularly anxious nature may have more difficulty establishing autonomy, which may
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domains, were identified. After further research, Young and Lindemann (2002) identified
(1999) hypothesized that the 16 Early Maladaptive Schemas, organized into six domains,
are tied to the different developmental needs of a child. He believed there are primary
developmental tasks that each child must navigate for healthy development. When one of
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these tasks is not accomplished, Young (1999) theorized, a child has difficulty with the
corresponding schema domain and develops one or more Early Maladaptive Schemas
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related to the problematic domain. The specific identified core needs and domains have
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not been empirically tested and are based primarily on clinical observations (Young et al.,
2003). For this reason, this study researched Early Maladaptive Schemas, rather than the
schema domains.
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and Impaired Limits. Looking at the specific domains, when people have an Early
Maladaptive Schema in the domain of Instability and Disconnection, the family of origin
domain have the expectation that one’s basic needs for safety, understanding, and stability
will not be met within intimate or family relationships (Young & Lindemann, 2002).
Children desire to be accepted by their parents, siblings, and peers in order to develop a
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sense of connection. If this task is not accomplished, perhaps because a child is abused,
disconnection, which may result in one or more of the following Early Maladaptive
Schemas:
1. Abandonment/ Instability: The expectation that other people are not stable or
reliable enough to offer consistent support to the individual. The belief that significant
people in one’s life will not remain there to provide emotional support or protection.
These people are also seen as unpredictable because they might abandon the individual by
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2. Mistrust/ Abuse: The belief that other people will intentionally “hurt, abuse,
humiliate, cheat, lie, manipulate, take advantage, or explode with violence or anger”
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(Young & Lindemann, 2002, p. 96). This belief often leaves the person feeling
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3. Emotional Deprivation: The belief that one’s normal need for emotional
support will not be met. This neglect can take the form of Deprivation of Nurturance (a
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when the family of origin is enmeshed, overprotective, and undermines the child’s sense
of judgment. This family dynamic results in an adult’s inability to separate from the
family and survive and function autonomously (Young & Lindemann, 2002). Children in
these families were frequently not allowed to function independently at home or at school
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and were not given any responsibilities or any power to make decisions (Young, 1999).
When autonomy is not accomplished, the Early Maladaptive Schemas that can result are
the following:
competently take care of one’s average daily responsibilities without excessive help from
others.
5. Vulnerability to Harm or Illness: The unrealistic and exaggerated fear that one
will be harmed unexpectedly or become ill and be unable to protect one’s self or regain
one’s health.
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6. Enmeshment/ Undeveloped Self: The over emotional involvement with
another person (or people), often parents, resulting in a lack of individuation or social
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development and the feeling that one individual could not survive or find happiness
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a family of origin and/or peer group that is highly critical or rejecting. This experience
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leaves the person feeling undesirable to others in the areas of physical appearance, social
standing, or interests (Young & Lindemann, 2002). For example, one of these schemas
may develop from excessive teasing or ridicule either by family members or peers. The
following Early Maladaptive Schemas may develop from the domain of Undesirability:
7. Defectiveness/ Shame: The belief that one is defective or flawed inside and
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feeling of shame about this perceived internal flaw and excessive self-criticism, self-
undesirable to other people. The person may feel ugly, sexually unattractive, boring, and
so on, leaving one feeling alone and alienated, different from others.
9. Failure to Achieve: The belief that one will ultimately fail or that one’s
achievements are inferior to one’s peers’ in the area of school, sports, or work. This
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by adults, and the child’s feelings are suppressed. The child learns to restrict excessively
or to suppress emotions and ignore feelings or general preferences in life (Young &
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Lindemann, 2002). The following Early Maladaptive Schemas may result from excessive
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self-restriction:
10. Subjugation: The feeling that one’s personal desires are invalid to other
people. People with this maladaptive schema excessively relinquish control over
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retaliation, anger, or abandonment. This schema can take the form of subjugation of
needs and/or emotions. This belief often leads to unexpressed anger at the person
11. Emotional Inhibition: The belief that expression of one’s feelings will lead to
difficulty expressing or talking about feelings, including happiness, sadness, anger, and so
on.
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