Emotional Deprivation

The Emotional Deprivation handout is designed to assist therapists and clients in identifying and addressing common early maladaptive schemas.

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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

Schema therapy integrates elements from various therapeutic approaches to address complex and longstanding psychological issues stemming from early maladaptive schemas (EMS). This resource focuses on the emotional deprivation schema - the belief that other people will not provide the normal level of support, understanding, and guidance they want and need. It forms part of the Psychology Tools Schema series, which designed to help clients and therapists to work more effectively with common early maladaptive schemas (EMS).

Why Use This Resource?

Emotional deprivation is a common schema that can significantly impact clients' mood, relationships, and well-being.

  • Provides a comprehensive understanding of the emotional deprivation schema.
  • Offers insights into the development and maintenance of this schema.
  • Supports clinicians with schema assessment, case conceptualization, and treatment planning.

Key Benefits

Awareness

Helps identify signs and symptoms of emotional deprivation.

Insight

Encourages understanding of the developmental origins of the schema.

Guidance

Offers practical strategies for healing this schema.

Support

Helps therapists recognize and meet the needs of clients who feel emotionally deprived.

Who is this for?

Depression

Clients who feel deeply lonely, misunderstood, or neglected by others.

Relationship Problems

Chronic patterns of feeling unsupported or uncared for.

Other Complex Difficulties

Emotional deprivation has been associated with many other issues, including personality disorders and eating disorders.

Integrating it into your practice

01

Educate

Provide psychoeducation about schemas and the specific characteristics of emotional deprivation.

02

Explore

Discuss whether the client relates the emotional deprivation schema.

03

Monitor

Track schema activation within and between sessions.

04

Address

Use schema-focused interventions such as imagery rescripting and limited reparenting to heal the schema.

Theoretical Background & Therapist Guidance

Emotional deprivation is one of the 18 schemas initially identified in schema therapy (Young et al., 2003). This schema involves expectations that one's emotional needs will not be met, leading to feelings of loneliness, emptiness, and dissatisfaction in relationships. Schema therapy integrates cognitive, behavioral, and experiential techniques to address these deep-seated patterns. Therapeutic interventions focus on meeting core emotional needs in healthy ways and developing healthier relational dynamics.

What's inside

  • Detailed explanation of schema theory.
  • Insight into the development and manifestations of the emotional deprivation schema.
  • Information on coping styles and other schemas associated with emotional deprivation.
  • Suggestions for meeting the needs of clients with this schema.
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FAQs

Emotional deprivation specifically involves the anticipation that one's emotional needs will not be met by others, leading to feelings of loneliness and emotional isolation.
Therapists can utilize self-monitoring, emotion-focused strategies like imagery rescripting, and relational interventions such as limited reparenting to heal this schema.
By providing empathy, validation, and consistent emotional support, therapists can provide clients with a corrective and therapeutic emotional experience within therapy.

How This Resource Improves Clinical Outcomes

By recognizing the emotional deprivation schema, therapists can help clients:

  • Become aware of their schema activation.
  • Address coping responses that maintain the emotional deprivation schema.
  • Identify and address the origins of this schema.

Therapists benefit from a clear and accessible resource that supports the delivery of schema therapy.

References And Further Reading

  • Alba, J., Calvete, E., Wante, L., Van Beveren, M. L., & Braet, C. (2018). Early maladaptive schemas as moderators of the association between bullying victimization and depressive symptoms in adolescents. Cognitive Therapy and Research, 42, 24-35. https://doi.org/10.1007/s10608-017-9874-5
  • Arntz, A., Rijkeboer, M., Chan, E., Fassbinder, E., Karaosmanoglu, A., Lee, C. W., & Panzeri, M. (2021). Towards a reformulated theory underlying schema therapy: Position paper of an international workgroup. Cognitive Therapy and Research, 45, 1007-1020. https://doi.org/10.1007/s10608-021-10209-5
  • Askari, A. (2021). New concepts of schema therapy: The six coping styles. Amir Askari.
  • Askari, I. (2019). Early maladaptive schemas and cognitive-behavioral aspect of anger: Schema model perspective. Journal of Rational-Emotive and Cognitive-Behavior Therapy, 37, 262-283. https://doi.org/10.1007/s10942-018-0311-9
  • Bamber, M., & McMahon, R. (2008). Danger-Early maladaptive schemas at work!: The role of early maladaptive schemas in career choice and the development of occupational stress in health workers. Clinical Psychology and Psychotherapy, 15, 96-112. https://doi.org/10.1002/cpp.564
  • Barazandeh, H., Kissane, D. W., Saeedi, N., & Gordon, M. (2016). A systematic review of the relationship between early maladaptive schemas and borderline personality disorder/traits. Personality and Individual Differences, 94, 130-139. https://doi.org/10.1016/j.paid.2016.01.021
  • Briedis, J., & Startup, H. (2020). Somatic perspective in schema therapy: The role of the body in the awareness and transformation of modes and schemas. In G. Heath & H. Startup (Eds.), Creative methods in schema therapy: Advances and innovations in practice (pp. 60-75). Routledge.
  • Brockman, R. N., Simpson, S., Hayes, C., Wijingaart, R. V. D., & Smout, M. (2023). Cambridge guide to schema therapy. Cambridge University Press.
  • Crowell, J. A., Keluskar, J., & Gorecki, A. (2019). Parenting behavior and the development of children with autism spectrum disorder. Comprehensive Psychiatry, 90, 21-29. https://doi.org/10.1016/j.comppsych.2018.11.007
  • Cutland Green, T., & Balfour, A. (2020). Assessment and formulation in schema therapy. In G. Heath & H. Startup (Eds.), Creative methods in schema therapy: Advances and innovation in clinical practice (pp. 19-47). Routledge.
  • Eisenberg, N., Fabes, R. A., Shepard, S. A., Guthrie, I. K., Murphy, B. C., & Reiser, M. (1999). Parental reactions to children's negative emotions: Longitudinal relations to quality of children' social functioning. Child Development, 70, 513-534. https://doi.org/10.1111/1467-8624.00037
  • Farrell, J. M., Reiss, N., & Shaw, I. (2014). The schema therapy clinician's guide: A complete resource for building and developing individual, group and integrated schema mode treatment programs. John Wiley and Sons.
  • Farrell, J. M., & Shaw, I. (2018). Experiencing schema therapy from the inside out: A self-practice/self-reflection workbook for therapists. Guilford Press.
  • Flanagan, C. (2010). The case for needs in psychotherapy. Journal of Psychotherapy Integration, 20, 1-36. https://doi.org/10.1037/a0018815
  • Hahn, J., & Oishi, S. (2006). Psychological needs and emotional well-being in older and younger Koreans and Americans. Personality and Individual Differences, 40, 689-698. https://doi.org/10.1016/j.paid.2005.09.001
  • Harding, H. G., Burns, E. E., & Jackson, J. L. (2012). Identification of child sexual abuse survivor subgroups based on early maladaptive schemas: Implications for understanding differences in post-traumatic stress disorder symptom severity. Cognitive Therapy and Research, 36, 560-575. https://doi.org/10.1007/s10608-011-9385-8
  • Hewitt, P. L., Flett, G. L., & Mikail, S. F. (2017). Perfectionism: A relational approach to conceptualization, assessment, and treatment. Guilford Press.
  • Janovsky, T., Rock, A. J., Thorsteinsson, E. B., Clark, G. I., & Murray, C. V. (2020). The relationship between early maladaptive schemas and interpersonal problems: A meta‐analytic review. Clinical Psychology and Psychotherapy, 27, 408-447. https://doi.org/10.1002/cpp.2439
  • Kizilagac, F., & Cerit, C. (2019). Assessment of early maladaptive schemas in patients with obsessive-compulsive disorder. Dusunen Adam: Journal of Psychiatry and Neurological Sciences, 32, 14-22. https://doi.org/10.14744/DAJPNS.2019.00003
  • Kunst, H., Lobbestael, J., Candel, I., & Batink, T. (2020). Early maladaptive schemas and their relation to personality disorders: A correlational examination in a clinical population. Clinical Psychology and Psychotherapy, 27, 837-846. https://doi.org/10.1002/cpp.2467
  • Kudryavtsev, V. T. (2011). The phenomenon of child creativity. International Journal of Early Years Education, 19, 45-53. https://doi.org/10.1080/09669760.2011.570999
  • Loose, C., Graaf, P., Zarbock, G., & Holt, R. A. (2020). Schema therapy for children and adolescents (ST-CA): A practitioner's guide. Pavilion.
  • Maher, A., Cason, L., Huckstepp, T., Stallman, H., Kannis‐Dymand, L., Millear, P., Mason, J., Wood, A., & Allen, A. (2022). Early maladaptive schemas in eating disorders: A systematic review. European Eating Disorders Review, 30, 3-22. https://doi.org/10.1002/erv.2866
  • May, T., Younan, R., & Pilkington, P. D. (2022). Adolescent maladaptive schemas and childhood abuse and neglect: A systematic review and meta‐analysis. Clinical Psychology and Psychotherapy, 29, 1159-1171. https://doi.org/10.1002/cpp.2712
  • Molina, M. F., & Musich, F. M. (2016). Perception of parenting style by children with ADHD and its relation with inattention, hyperactivity/impulsivity and externalizing symptoms. Journal of Child and Family Studies, 25, 1656-1671. https://doi.org/10.1007/s10826-015-0316-2
  • Nia, M. K., & Sovani, A. (2014). Cross cultural comparison role of early maladaptive schemas and coping styles between women with depressive symptoms in Iran and India. Journal of Applied Environmental and Biological Sciences, 4, 57-65.
  • Nicol, A., Mak, A. S., Murray, K., Walker, I., & Buckmaster, D. (2020). The relationships between early maladaptive schemas and youth mental health: A systematic review. Cognitive Therapy and Research, 44, 715-751. https://doi.org/10.1007/s10608-020-10092-6
  • Noor, R., & Dildar, S. (2021). Childhood traumatic experiences, early maladaptive schemas and personality dysfunctions in shelter home residents. Pakistan Journal of Applied Psychology, 1, 10-23.
  • Nordahl, H. M., Holthe, H., & Haugum, J. A. (2005). Early maladaptive schemas in patients with or without personality disorders: Does schema modification predict symptomatic relief? Clinical Psychology and Psychotherapy, 12, 142-149. https://doi.org/10.1002/cpp.430
  • O'Sheedy, B. (2021). Is connectedness to nature a core human need? Schema Therapy Bulletin, 23, 10-14.
  • Oshima, F., Iwasa, K., Nishinaka, H., & Shimizu, E. (2015). Early maladaptive schemas and autism spectrum disorder in adults. Journal of Evidence-Based Psychotherapies, 15, 191-205.
  • Pekdoğan, S., & Kanak, M. (2022). Child temperament as a predictor of parents' potential for emotional abuse. The Journal of Nervous and Mental Disease, 210, 330-334. https://doi.org/10.1097/NMD.0000000000001449
  • Philipsen, A., Lam, A. P., Breit, S., Lücke, C., Müller, H. H., & Matthies, S. (2017). Early maladaptive schemas in adult patients with attention deficit hyperactivity disorder. ADHD Attention Deficit and Hyperactivity Disorders, 9, 101-111. https://doi.org/10.1007/s12402-016-0211-8
  • Pilkington, P. D., Bishop, A., & Younan, R. (2021a). Adverse childhood experiences and early maladaptive schemas in adulthood: A systematic review and meta‐analysis. Clinical Psychology and Psychotherapy, 28, 569-584. https://doi.org/10.1002/cpp.2533
  • Pilkington, P., Younan, R., & Bishop, A. (2021b). Early maladaptive schemas, suicidal ideation, and self-harm: A meta- analytic review. Journal of Affective Disorders Reports, 3, 100051. https://doi.org/10.1016/j.jadr.2020.100051
  • Pinto-Gouveia, J., Castilho, P., Galhardo, A., & Cunha, M. (2006). Early maladaptive schemas and social phobia. Cognitive Therapy and Research, 30, 571-584. https://doi.org/10.1007/s10608-006-9027-8
  • Rafaeli, E., Berstein, D. P., & Young, J. E. (2011). Schema therapy: Distinctive features. Routledge.
  • Rafaeli, E., Maurer, O., Lazarus, G., & Thoma, N. C. (2016). The self in schema therapy. In M. Kyrios, R. Moulding, G. Doron, S. S. Bhar, M. Nedeljkovic, & M. Mikulincer (Eds.), The self in understanding and treating psychological disorders (pp. 59-70). Cambridge University Press.
  • Sheffield, A., Waller, G., Emanuelli, F., Murray, J., & Meyer, C. (2005). Links between parenting and core beliefs: Preliminary psychometric validation of the Young Parenting Inventory. Cognitive Therapy and Research, 29, 787-802. https://doi.org/10.1007/s10608-005-4291-6
  • Shorey, R. C., Anderson, S., & Stuart, G. L. (2011). Early maladaptive schemas in substance use patients and their intimate partners: A preliminary investigation. Addictive Disorders and Their Treatment, 10, 169-179. https://doi.org/10.1097/ADT.0b013e318214cd11
  • Simeone-DiFrancesco, C., Roediger, E., & Stevens, B. A. (2015). Schema therapy with couples: A practitioner's guide to healing. John Wiley and Sons.
  • Storebø¸, O. J., Rasmussen, P. D., & Simonsen, E. (2016). Association between insecure attachment and ADHD: Environmental mediating factors. Journal of Attention Disorders, 20, 187-196.https://doi.org/10.1177/1087054713501079
  • Sundag, J., Zens, C., Ascone, L., Thome, S., & Lincoln, T. M. (2018). Are schemas passed on? A study on the association between early maladaptive schemas in parents and their offspring and the putative translating mechanisms. Behavioural and Cognitive Psychotherapy, 46, 738-753. https://doi.org/10.1017/S1352465818000073
  • Teague, S. J., Gray, K. M., Tonge, B. J., & Newman, L. K. (2017). Attachment in children with autism spectrum disorder: A systematic review. Research in Autism Spectrum Disorders, 35, 35-50. https://doi.org/10.1016/j.rasd.2016.12.002
  • Thimm, J. C., & Chang, M. (2022). Early maladaptive schemas and mental disorders in adulthood: A systematic review and meta-analysis. International Journal of Cognitive Therapy, 1-43. https://doi.org/10.1007/s41811-022-00149-7
  • Van Genderen, H., Rijkeboer, M., & Arntz, A. (2012). Theoretical model: Schemas, coping styles, and modes. In M. van Vreeswijk, J. Broersen, & M. Nadort (Eds.), The Wiley-Blackwell handbook of schema therapy: Theory, research, and practice (pp. 27-40). John Wiley and Sons.
  • Van Vreeswijk, M., Broersen, J., & Schurink, G. (2014). Mindfulness and schema therapy: A practical guide. John Wiley and Sons.
  • Voderholzer, U., Schwartz, C., Thiel, N., Kuelz, A. K., Hartmann, A., Scheidt, C. E., Schlegl, S., & Zeeck, A. (2014). A comparison of schemas, schema modes and childhood traumas in obsessive-compulsive disorder, chronic pain disorder, and eating disorders. Psychopathology, 47, 24-31. https://doi.org/10.1159/000348484
  • Webb, J. (2013). Running on empty: Overcome your childhood emotional neglect. Morgan James Publishing.
  • Wells, A., & Hackmann, A. (1993). Imagery and core beliefs in health anxiety: Content and origins. Behavioural and Cognitive Psychotherapy, 21, 265-273. https://doi.org/10.1017/S1352465800010511
  • Yalcin, O., Marais, I., Lee, C. W., & Correia, H. (2023). The YSQ-R: Predictive validity and comparison to the short and long form Young Schema Questionnaire. International Journal of Environmental Research and Public Health, 20, 1-14. https://doi.org/10.3390/ijerph20031778
  • Yorke, I., White, P., Weston, A., Rafla, M., Charman, T., & Simonoff, E. (2018). The association between emotional and behavioral problems in children with autism spectrum disorder and psychological distress in their parents: A systematic review and meta-analysis. Journal of Autism and Developmental Disorders, 48, 3393-3415. https://doi.org/10.1007/s10803-018-3605-y
  • Young, J. E. (1990). Cognitive therapy for personality disorders: A schema-focused approach. Practitioner's Resource Exchange.
  • Young, J. E. (1999). Cognitive therapy for personality disorders: A schema-focused approach (3rd ed.). Professional Resource Press.
  • Young, J. E. (2014). Early maladaptive schemas. Schema Therapy Institute, New York.
  • Young, J. E., & Klosko, J. S. (1994). Reinventing your life: The breakthrough program to end negative behavior and feel great again. Plume.
  • Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema therapy: A practitioner's guide. Guilford Press.
  • Young, J. E., Zangwill, W. M., & Behary, W. E. (2002). Combining EMDR and schema-focused therapy: The whole may be greater than the sum of the parts. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (pp. 181-208). American Psychological Association.
  • Zentner, M., & Bates, J. E. (2008). Child temperament: An integrative review of concepts, research programs, and measures. European Journal of Developmental Science, 2, 7-37.