Schema Therapy and ACT in Developmental Age
Claudio Paloscia, Elena Serena Marotta
The rise in psychopathological disorders in developmental age has prompted clinical research to develop new psychotherapeutic approaches specifically dedicated to this age group. In particular, two evidence-based interventions for the treatment of adults have been adapted for developmental age: Schema Therapy for Children and Adolescents, and Acceptance and Commitment Therapy in its reformulation involving the use of ACT Kidflex. This article proposes a model for the synergistic integration of ST-BA and ACT. ST-BA provides the theoretical framework for case formulation, analysing the interaction between temperament, early experiences, Early Maladaptive Schemas (EMS), and Coping Modes (Overcompensation, Surrender, Avoidance). ACT, conversely, offers concrete strategies to enhance psychological flexibility and values-based committed action, elements that can directly address dysfunctional Modes. Specifically, ACT (through Defusion, Acceptance, and Self-as-Context) helps both children and caregivers reduce emotional activation and cognitive fusion with dysfunctional Modes, facilitating a conscious response rather than an automatic reaction. This integration allows for enriching ST-BA techniques (such as Imagery with Rescripting and Chairwork) with mindful self-observation and values work, which are essential for identity exploration in adolescents and for promoting values-based parenting.
Keywords
Schema Therapy, Acceptance and Commitment Therapy, Coping, Early Maladaptive Schemas.