TY - JOUR
T1 - Integrating dream work into group schema therapy for individuals with borderline patients
AU - Prasko, Jan
AU - Visnovsky, Jozef
AU - Ociskova, Marie
AU - Kasal, Matej
AU - Mikula, Martin
AU - Jurisova, Erika
AU - Slepecky, Milos
AU - Ābeltiņa, Marija
AU - Bite, Ieva
AU - Krone, Ilona
AU - Gecaite-Stonciene, Julija
AU - Juskiene, Alicja
AU - Burkauskas, Julius
AU - Kasal, Matej
AU - Vanek, Jakub
N1 - Publisher Copyright:
© 2025 Neuroendocrinology Letters.
PY - 2025
Y1 - 2025
N2 - INTRODUCTION: Borderline personality disorder (BPD) is associated with signifi cant difficulties in emotional regulation and a higher prevalence of nightmares, which increase emotional instability and decrease quality of life. Dreams repre sent valuable therapeutic material that can reveal internal conflicts and support self-awareness. OBJECTIVE: This article explores dreamwork in group schema therapy (GST) aimed at the early maladaptive schemas (EMS) and modes. The ultimate goal of these approaches is to support the Healthy Adult mode in processing the emotional needs of patients with BPD. METHODS: TThe article presents the theoretical foundations and therapeutic techniques, including imagery, dream rescripting, chairwork, and amplification of dream images. Case vignettes illustrate how dreamwork can help recognise and process a patient's internal conflicts and thus aid the therapy process.RESULTS: Dreamwork in GST helps patients better understand their emotional needs and schemas. The increased awareness helps to modify dysfunctional behaviour and improve emotional stability. The group therapy format allows patients to share their experi ences and receive support from others, which increases the feeling of belonging and security. DISCUSSION: Dreamwork in GST creates a safe space for processing internal conflicts related to EMS and connections with real possibilities in the patient's life. Dreamwork also brings challenges, such as the risk of slipping into intellectualisation or being over whelmed by strong emotions and unable to resolve impactful dreams. Dedicated courses and research are needed to warrant effective implementation and elabo ration of these methods. CONCLUSION: Dreamwork in GST might be an effec tive tool for promoting self-awareness, processing emotional conflicts, and strengthening the Healthy Adult and Kind Parent modes.
AB - INTRODUCTION: Borderline personality disorder (BPD) is associated with signifi cant difficulties in emotional regulation and a higher prevalence of nightmares, which increase emotional instability and decrease quality of life. Dreams repre sent valuable therapeutic material that can reveal internal conflicts and support self-awareness. OBJECTIVE: This article explores dreamwork in group schema therapy (GST) aimed at the early maladaptive schemas (EMS) and modes. The ultimate goal of these approaches is to support the Healthy Adult mode in processing the emotional needs of patients with BPD. METHODS: TThe article presents the theoretical foundations and therapeutic techniques, including imagery, dream rescripting, chairwork, and amplification of dream images. Case vignettes illustrate how dreamwork can help recognise and process a patient's internal conflicts and thus aid the therapy process.RESULTS: Dreamwork in GST helps patients better understand their emotional needs and schemas. The increased awareness helps to modify dysfunctional behaviour and improve emotional stability. The group therapy format allows patients to share their experi ences and receive support from others, which increases the feeling of belonging and security. DISCUSSION: Dreamwork in GST creates a safe space for processing internal conflicts related to EMS and connections with real possibilities in the patient's life. Dreamwork also brings challenges, such as the risk of slipping into intellectualisation or being over whelmed by strong emotions and unable to resolve impactful dreams. Dedicated courses and research are needed to warrant effective implementation and elabo ration of these methods. CONCLUSION: Dreamwork in GST might be an effec tive tool for promoting self-awareness, processing emotional conflicts, and strengthening the Healthy Adult and Kind Parent modes.
KW - Borderline personality disorder
KW - Chairwork
KW - Dreams
KW - Emotional regulation
KW - Group therapy
KW - Healthy Adult mode
KW - Imagery rescripting
KW - Nightmares
KW - Schema therapy
UR - https://www.nel.edu/integrating-dream-work-into-group-schema-therapy-for-individuals-with-borderline-patients-3024/
UR - https://www.scopus.com/pages/publications/105024993141
M3 - Article
C2 - 41213143
AN - SCOPUS:105024993141
SN - 0172-780X
VL - 46
SP - 221
EP - 231
JO - Neuroendocrinology Letters
JF - Neuroendocrinology Letters
IS - 4
ER -