Emotional Inhibition

The emotional inhibition schema involves difficulty expressing emotions due to fear of criticism, embarrassment, or loss of control, impacting vulnerability, affection, and spontaneity.

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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

The Emotional Inhibition information handout is part of the Psychology Tools Schema series, developed to assist clients and therapists in navigating early maladaptive schemas (EMS). This resource offers insights into the origins and impact of emotional inhibition in clients' lives.
 

Why Use This Resource?

Schema therapy identifies EMS as central in longstanding psychological difficulties. The Emotional Inhibition handout provides:

  • An overview of how this schema is experienced.
  • Insight into the development and perpetuation of emotional inhibition.
  • Suggestions for addressing this schema.

Key Benefits

Insight

Offers a deep understanding of schema development and their impact on emotional expression.

Awareness

Helps clients recognize coping responses tied to emotional inhibition.

Guidance

Describes what addressing this schema might entail.

Who is this for?

Anxiety Disorders

Including social anxiety, where emotional expression is often impacted.

Personality Disorders

Schema activation affecting emotional expression and regulation.

Relationship Difficulties

Emotional inhibition impacts how clients interact and relate to others.

Integrating it into your practice

01

Orientation

Begin with educating clients about schemas and their origins.

02

Psychoeducation

Explore how the client might experience emotional inhibition.

03

Monitoring

Use the resource and schema diaries to track schema activation.

04

Schema Healing

Implement schema-focused interventions to address the schema.

Theoretical Background & Therapist Guidance

Schema therapy integrates various psychological approaches and interventions to address EMS that stem from unmet core emotional needs during childhood. Addressing EMS requires experiential and relational interventions, including a 'need-meeting' therapeutic style.

Clients are guided to identify, recognize, and heal their schemas, as well as changing unhelpful coping styles that perpetuate schemas. This resource supports clinicians by detailing the origins and structural components of the emotional inhibition schema.

What's inside

  •  Comprehensive information on schema theory.
  • Insights into the manifestations, experience, and origins of emotional inhibition.
  • Detailed descriptions of coping styles linked to this schema.
  • Step-by-step guidance for exploring this schema with clients.
Get access to this resource

FAQs

Emotional inhibition refers to the suppression of emotional expression due to fear of criticism or loss of control.
Emotional inhibition often develops from early unmet emotional needs, such as emotional acceptance and validation in childhood, or social influences that might discourage emotional expressiveness.
Therapists can employ schema-focused interventions that encourage emotional expression and address the early experiences that contributed to this schema.
Yes, it is associated with various disorders such as depression, anxiety, personality disorders, and trauma-related issues.

How This Resource Improves Clinical Outcomes

Using this resource, clinicians can:

  • Introduce key schema-related concepts.
  • Identify schemas that are relevant to the client.
  • Use this information to develop schema case conceptualizations.
  • Facilitate meaningful therapeutic engagement in therapy.
  • Describe how emotional inhibition is addressed.

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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.
  • Ak, M., Lapsekili, N., Haciomeroglu, B., Sutcigil, L., & Turkcapar, H. (2012). Early maladaptive schemas in bipolar disorder. Psychology and Psychotherapy: Theory, Research and Practice, 85, 260–267. https://doi.org/10.1111/j.2044-8341.2011.02037.x
  • 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.
  • 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, 328–349. https://doi.org/10.1080/16506073.2017.1410566
  • 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
  • Beck, A. T., Freeman, A., & Davis, D. D. (2004). Cognitive therapy of personality disorders. Guilford Press.
  • Belsky, J. (2013). Differential susceptibility to environmental influences. International Journal of Child Care and Education Policy, 7, 15–31. https://doi.org/10.1007/2288-6729-7-2-15
  • Bishop, A., Younan, R., Low, J., & Pilkington, P. D. (2022). Early maladaptive schemas and depression in adulthood: A systematic review and meta‐analysis. Clinical Psychology and Psychotherapy, 29, 111–130. https://doi.org/10.1002/cpp.2630
  • Bowlby, J. (1977). The making and breaking of affectional bonds: I. Aetiology and psychopathology in the light of attachment theory. British Journal of Psychiatry, 130, 201–210. https://doi.org/10.1192/bjp.130.3.201
  • 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.
  • Bricker, D. C., Young, J. E., & Yalcin, O. (2023). An introductory guide to schema therapy: Adapted for use with the YSQ-R. https://doi.org/10.13140/RG.2.2.18302.46408
  • Brockman, R. N., Simpson, S., Hayes, C., Wijingaart, R. V. D., & Smout, M. (2023). Cambridge guide to schema therapy. Cambridge University Press.
  • Can, Y., Anli, I., Evren, C., & Yilmaz, D. (2019). Alcohol use disorder and emotional abuse: The mediating role of early maladaptive schemas. Anatolian Journal of Psychiatry, 20, 125–132.
  • Cockram, D. M., Drummond, P. D., & Lee, C. W. (2010). Role and treatment of early maladaptive schemas in Vietnam veterans with PTSD. Clinical Psychology and Psychotherapy, 17, 165–182. https://doi.org/10.1002/cpp.690
  • 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.
  • Da Luz, F. Q., Sainsbury, A., Hay, P., Roekenes, J. A., Swinbourne, J., Da Silva, D. C., & da S. Oliveira, M. (2017). Early maladaptive schemas and cognitive distortions in adults with morbid obesity: Relationships with mental health status. Behavioral Sciences, 7, 1–11. https://doi.org/10.3390/bs7010010
  • Drummond, P. D., & Gatt, S. J. (2018). Early maladaptive schemas in people with a fear of blushing. Clinical Psychologist, 22, 203–210. https://doi.org/10.1111/cp.12114
  • 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’s 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.
  • Flanagan, C. (2010). The case for needs in psychotherapy. Journal of Psychotherapy Integration, 20, 1–36. https://doi.org/10.1037/a0018815  
    - Greenwald, M., & Young, J. (1998). Schema-focused therapy: An integrative approach to psychotherapy supervision. Journal of Cognitive Psychotherapy, 12, 109–126.
  • 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
  • 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
  • Kiff, C. J., Lengua, L. J., & Zalewski, M. (2011). Nature and nurturing: Parenting in the context of child temperament. Clinical Child and Family Psychology Review, 14, 251–301. https://doi.org/10.1007/s10567-011-0093-4
  • 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
  • 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
  • Lawrence, K. A., Allen, J. S., & Chanen, A. M. (2011). A study of maladaptive schemas and borderline personality disorder in young people. Cognitive Therapy and Research, 35, 30–39. https://doi.org/10.1007/s10608-009-9292-4
  • Lawson, R., Emanuelli, F., Sines, J., & Waller, G. (2008). Emotional awareness and core beliefs among women with eating disorders. European Eating Disorders Review, 16, 155–159. https://doi.org/10.1002/erv.848
  • Lewis, S. P., Lumley, M. N., & Grunberg, P. H. (2015). Early maladaptive schemas and non-suicidal self-injury among young adults: A preliminary investigation. Counselling Psychology Quarterly, 28, 386–402. https://doi.org/10.1080/09515070.2015.1074887
  • Lockwood, G., & Perris, P. (2012). A new look at core emotional needs. In: M. van Vreeswijk, J. Broersen, & M. Nadort (Eds.), The Wiley-Blackwell handbook of schema therapy: Theory, research, and practice (pp. 41–66). John Wiley and Sons.
  • Lockwood, G., & Samson, R. (2020). Understanding and meeting core emotional needs. In: G. Heath & H. Startup (Eds.), Creative methods in schema therapy: Advances and innovations in practice (pp. 76–90). Routledge.
  • Loose, C., Graaf, P., Zarbock, G., & Holt, R. A. (2020). Schema therapy for children and adolescents (ST-CA): A practitioner’s guide. Pavilion.
  • Louis, J. P., Wood, A. M., Lockwood, G., Ho, M.-H. R., & Ferguson, E. (2018). Positive clinical psychology and Schema Therapy (ST): The development of the Young Positive Schema Questionnaire (YPSQ) to complement the Young Schema Questionnaire 3 Short Form (YSQ-S3). Psychological Assessment, 30, 1199–1213. https://doi.org/10.1037/pas0000567
  • Lumley, M. N., & Harkness, K. L. (2007). Specificity in the relations among childhood adversity, early maladaptive schemas, and symptom profiles in adolescent depression. Cognitive Therapy and Research, 31, 639–657. https://doi.org/10.1007/s10608-006-9100-3
  • Lunding, S. H., & Hoffart, A. (2016). Perceived parental bonding, early maladaptive schemas and outcome in schema therapy of cluster C personality problems. Clinical Psychology and Psychotherapy, 23, 107–117. https://doi.org/10.1002/cpp.1938
  • 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
  • McRae, K., Rhee, S. H., Gatt, J. M., Godinez, D., Williams, L. M., & Gross, J. J. (2017). Genetic and environmental influences on emotional regulation: A twin study on cognitive reappraisal and expressive suppression. Emotion, 17, 772–777. https://doi.org/10.1037/emo00003000
  • 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.
  • 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.
  • 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 & 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
  • Porter, R. E., & Samovar, L. A. (1996). Cultural influences on emotional expression: Implications for intercultural communication. In P. A. Andersen & L. K. Guerrero (Eds.), Handbook of communication and emotion: Research, theory, applications, and contexts (pp. 451–472). Academic Press.
  • 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.
  • Roediger, E., Stevens, B. A., & Brockman, R. (2018). Contextual schema therapy: An integrative approach to personality disorders, emotional dysregulation, and interpersonal functioning. New Harbinger.
  • 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.
  • 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, 1
  • Simeone-DiFrancesco, C., Roediger, E., & Stevens, B. A. (2015). Schema therapy with couples: A practitioner’s guide to healing. John Wiley and Sons.
  • Simpson, S., Simionato, G., Smout, M., van Vreeswijk, M. F., Hayes, C., Sougleris, C., & Reid, C. (2019). Burnout amongst clinical and counselling psychologist: The role of early maladaptive schemas and coping modes as vulnerability factors. Clinical Psychology and Psychotherapy, 26, 35–46. https://doi.org/10.1002/cpp.2328
  • 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
  • Thiel, N., Tuschen-Caffier, B., Herbst, N., Külz, A. K., Nissen, C., Hertenstein, E., Gross, E., & Voderholzer, U. (2014). The prediction of treatment outcomes by early maladaptive schemas and schema modes in obsessive-compulsive disorder. BMC Psychiatry, 14, 1–13. https://doi.org/10.1186/s12888-014-0362-0
  • 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.
  • Waller, G., Ohanian, V., Meyer, C., & Osman, S. (2000). Cognitive content among bulimic women: The role of core beliefs. International Journal of Eating Disorders, 28, 235–241. https://doi.org/10.1002/1098-108X(200009)28:2<235::AID-EAT15>3.0.CO;2-1
  • 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., Lee, C., & Correia, H. (2020). Factor structure of the Young schema questionnaire (long Form‐3). Australian Psychologist, 55, 546–558. https://doi.org/10.1111/ap.12458
  • Yalcin, O., Marais, I., Lee, C., & Correia, H. (2022). Revisions to the Young Schema Questionnaire using Rasch analysis: the YSQ-R. Australian Psychologist, 57, 8–20. https://doi.org/10.1080/00050067.2021.1979885
  • 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

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