Uma análise comparativa entre a Terapia Cognitiva de Aaron Beck e a Terapia do Esquema de Jeffrey Young

Abstract

This study aims to work on the confluences and divergences between the theoretical Aaron Beck’ Cognitive Therapy and Jeffrey Young’ Schema Therapy. Over the past 30 years, there has been a broadening effort from cognitive therapies to assist patients with serious illnesses and personality disorders, because these cases ended up in not respond satisfactorily to the treatment of traditional cognitive therapy. Within this perspective, the different approaches are defined in "1st generation" and "2nd generation" cognitive therapies. The distinction between the two generations of adaptation occurs in three major issues: conceptual, structural and process. Currently, there is growth of integrative Cognitive Therapies, which, besides having the three characteristics of all three approaches, add to the concerns about cultural differences and spirituality. Schema Therapy emerged in 1990 to treat patients with personality disorders or those with more severe or entrenched disorders. Through this study, we sought to examine the similarities and differences between the hypothesis and concepts used in both theories: the concept of "scheme", the role of emotion, the prospective treatment for patients with personality disorder or with chronic disorders, the modal model, the therapeutic relationship and the scales. Analyzing the concept of schema in Schema Therapy, it is observed that the definition is significantly vague. Regarding the origin of dysfunctional schemas, Cognitive Therapy points to a failure in the information processing at the situations experienced in reality. Regarding the Theory of Schema, personal schemes reflect quite accurately your remote environment. About the therapeutic relationship, Young appropriates the idea of "corrective emotional experience" from Alexander and French to shape his construct called “limited parental repair”, whose goal is to reduce remote conflicts through the therapeutic relationship, caused by unmet emotional needs. Differently, the Beck Cognitive Therapy points to the important role of the therapeutic relationship, defending the role of counselor or therapist as model in cases of patients with personality disorder, not aiming at the resolution of remote emotional conflicts.