Defectiveness

Help clients understand and address the defectiveness schema through this insightful handout.

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Professional version

Offers theory, guidance, and prompts for mental health professionals. Downloads are in Fillable PDF format where appropriate.

Client version

Includes client-friendly guidance. Downloads are in Fillable PDF format where appropriate.

Overview

People with a defectiveness schema see themselves as fundamentally flawed: too bad, ugly, inferior, or worthless to be loved and accepted. This can lead to intense shame, self-criticism, and sensitivity to rejection. This Defectiveness information handout is part of the Psychology Tools Schema series, aimed at assisting therapists and clients with early maladaptive schemas (EMS).

Why Use This Resource?

The Defectiveness handout is designed to:

  • Introduce clients to common schemas.
  • Clarify how people experience the defectiveness schema and where it comes from.
  • Explain what healing this schema is likely to entail.
  • Assist with schema assessment, case conceptualization, and treatment planning.

Key Benefits

Understanding

Offers a detailed exploration of the defectiveness schema.

Insight

Helps clients recognize how this schema manifests in their lives.

Healing

Describes ways that this schema can be addressed.

Who is this for?

Depression

Pervasive feelings of worthlessness or inadequacy impacting mood.

Personality Disorders

Particularly those involving chronic feelings of badness or inferiority.

Eating Disorders

Where a fundamental sense of defectiveness drives disordered eating.

Integrating it into your practice

01

Educate

Begin with psychoeducation about EMS and their origins in unmet emotional needs in childhood.

02

Identify

Work with clients to recognize their defectiveness schema and its triggers.

03

Monitor

Use self-monitoring techniques like schema diaries to recognize schema activation.

04

Heal

Address defectiveness using schema-focused techniques such as imagery rescripting.

Theoretical Background & Therapist Guidance

Schema therapy is an integrative therapy initially developed for treating complex, longstanding, and diffuse psychological difficulties. Schema therapy expands on cognitive behavioral therapy (CBT) by emphasizing the developmental origins of psychological problems, incorporating relational and experiential interventions, and targeting the maladaptive coping styles that perpetuate these difficulties.

Early maladaptive schemas (EMS) are pervasive themes or patterns regarding oneself and one’s relationship with others that are dysfunctional and self-defeating. Interactions between a child’s temperament, parenting, sociocultural context, and significant life experiences (e.g., traumatic events) can give rise to unmet emotional needs, which form the basis of EMS.

Individuals with defectiveness experience a pervasive sense of inadequacy and inferiority. They see themselves as fundamentally flawed and defective, leading to deep-seated shame and unworthiness. Research suggests that it is one of the most pronounced EMS across psychological disorders (Thimm & Chang, 2022) and readily transmitted between parents and their children (Mącik et al., 2016).

What's inside

  • An comprehensive overview of schema theory with a specific focus on defectiveness.
  • Guidelines for identifying and exploring the defectiveness schema with clients.
  • Insights into the childhood experiences and unmet needs associated with defectiveness.
  • Descriptions of schemas that often co-occur with defectiveness.
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FAQs

The defectiveness schema is an early maladaptive schema characterized by a pervasive belief of being fundamentally flawed, unworthy of love, and inferior to others.
Yes, research suggests defectiveness can be a part of addiction, depression, eating disorders, and some personality disorders.
Yes, schemas often co-occur. For example, defectiveness might be linked to an abandonment schema (the client believes that other people will abandon them if they discover their flaws) or an approval-/admiration-seeking schema (recognition and admiration helps the client feel more worthwhile).

How This Resource Improves Clinical Outcomes

This resource aids therapists and clients by:

  • Providing insight into the nature and origins of common schemas, such as defectiveness.
  • Increasing client insight and awareness.
  • Supporting the process of schema-focused assessment, formulation, and treatment planning.

References And Further Reading

  • Abedi, A., Sepahvandi, M. A., & Mirderikvand, F. (2018). Investigating the role of early maladaptive schemas in body image disturbance. Journal of Advanced Pharmacy Education and Research, 8, 51-57.
  • Arntz, A., Rijkeboer, M., Chan, E., Fassbinder, E., Berstein, D., Musteata, S., & van Assendelft, T. (2021). Towards a reformulated theory underlying schema therapy: Position paper of an international workgroup. Cognitive Therapy and Research, 45(6), 1025-1040. https://doi.org/10.1007/s10608-021-10221-2
  • Bach, B., Lockwood, G., & Young, J. E. (2018). A new look at the schema therapy model: Organization and role of early maladaptive schemas. Cognitive Behaviour Therapy, 47(4), 328-349. https://doi.org/10.1080/16506073.2017.1410566
  • Beck, A. T., Freeman, A., & Davis, D. D. (2004). Cognitive therapy of personality disorders (2nd ed.). Guilford Press.
  • Bowlby, J. (1977). The making and breaking of affectional bonds. British Journal of Psychiatry, 130(3), 201-210. https://doi.org/10.1192/bjp.130.3.201
  • Calvete, E., Orue, I., & Gámez-Guadix, M. (2016). Cyberbullying victimization and depression in adolescents: The mediating role of early maladaptive schemas. Journal of Adolescence, 50, 60-68. https://doi.org/10.1016/j.adolescence.2016.04.003
  • Kim, J. E., Lee, S. W., & Lee, S. J. (2014). Relationship between early maladaptive schemas and symptom dimensions in patients with obsessive-compulsive disorder. Psychiatry Research, 215(1), 134-140. https://doi.org/10.1016/j.psychres.2013.10.015
  • Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema therapy: A practitioner's guide. Guilford Press.