Happy Monday! Ok, maybe it’s more like, Monday! ::grumble grumble:: It is what it is I guess.
Back to the Schema of things. We’re getting into the final Domain: Over vigilance and Inhibition Domain. I think this one is my favorite. And by favorite I mean, the one that I have the most problems in.
Typical Presentation of the Schema
I think this boils down to one simple fact: I don’t trust myself. I don’t trust myself to make good decisions. I’ve made so many bad decisions that have lead to some really tragic results that I’m positive these things will happen again, and again.
I moved around when I was little, and lost all contact with my earliest friends. Then when we settled down and I reformed friendships they moved away, never to be seen from again. Or I would befriend people that were unpleasant and unreliable and be hurt because of it…. This happened a lot. And I mean A LOT. I absolutely expect people want something from me when they try to get close to me. I absolutely do not believe that people will have my best interest in mind. This I think couples with the Mistrust/Abuse schema a bit though. Just because I worry about it, doesn’t mean I’m not justified, right?
Cognitive techniques can help patients see that negative events in the past do not predict the occurrence of negative events in the future. < ------- Important to Remember
Alternatively, the schema might be an over compensation for the Emotional Deprivation schema. The patient complains in order to get attention or sympathy.
For some people, this may have a biological component and origin, perhaps related to obsessive-compulsive disorder or dysthymic disorder. These people might benefit from a trial of medication.
Goals of Treatment
It is not realistic to expect people to become carefree and optimistic; but at least they can move away from the extreme negative end toward a more moderate position. Some signs that people are recovering from this schema are they worry less frequently, have a more positive outlook, stop constantly predicting the worst outcome and obsessively ruminating about the future. They are no longer focused so obsessively on trying to avoid making mistakes. Rather, they make a reasonable effort to avoid mistakes, and focus more on fulfilling emotional needs and following their natural inclinations.
Strategies Emphasized in Treatment
I’ve had this suggested to me before.
Often people with this schema have lives oriented around survival rather than pleasure. Life is not about getting “good things” – it is about preventing “bad things”. It’s important to begin scheduling activities that are enjoyable, which will also help ease the amount of worrying done.
I feel like I spend my life seeking out “good things”, by which I mean good people and relationships, but at the same time, because I have no illusions that things can turn out badly I also want to prevent all the possible “bad things” at the same time. I want good things, but I’m afraid to let them in. Block.
Grieving is important. It’s something that I’m very bad at though. I bottle. I hold things in. I pretend things don’t bother me or affect me enough to have to grieve them.
|I still think I'm a Realist.|