Schema Therapy Techniques: Image Rescripting and What to Expect
Schema therapy, developed by Dr. Jeffrey Young, is an integrative approach that combines elements of cognitive-behavioural therapy (CBT), attachment theory, and psychodynamic principles. It focuses on identifying and changing maladaptive schemas or beliefs that develop early in life and persist into adulthood, influencing how individuals perceive themselves and others. A core technique of schema therapy is imagery rescripting, designed to modify the emotional impact of traumatic or distressing memories.
Understanding Imagery Rescripting
Unlike traditional talk therapies, imagery rescripting harnesses the power of mental imagery to facilitate emotional change and ‘rescript’ the memory into a more desirable outcome. Research suggests that imagery rescripting can lead to reductions in symptoms of depression, anxiety, and post-traumatic stress disorder (PTSD). By connecting with the emotional and sensory components of memories, this technique facilitates emotional processing and fosters adaptive changes in how individuals perceive themselves and their experiences.
Imagine a scenario where a person recalls a distressing childhood memory, such as being criticised by a parent. Rather than discussing the memory in detail, a therapist will use imagery rescripting by guiding the individual to vividly reimagine the memory with a new, more empowering narrative.
This process involves several key steps:
Identifying the Schema: First, the therapist helps the individual identify the negative schema or core belief that underlies their distressing memory (e.g., "I am unworthy").
Activating the Image: The client is guided to recall the memory and visualise it in detail, including the emotions and sensations associated with it.
Rescripting the Image: The therapist supports the client to ‘rewrite’ memory, introducing new elements that challenge the negative schema. For instance, the client might visualise a caring figure stepping in to offer support and encouragement during the critical moment or the client might stand up and assert themselves.
Emotional Processing: Throughout the rescripting process, the therapist helps the client process and integrate new, positive emotions that arise from the revised imagery.
Consolidation: Finally, the new narrative is rehearsed and reinforced. The memory is discussed and debrief, allowing the individual to internalise the positive changes and diminish the emotional impact of the original negative memory.
Imagery rescripting within schema therapy is an important tool which transforms past wounds into sources of strength, new coping tools and break past patterns. If you are interested in learning more about Schema therapy or believe this would be helpful for you, contact Sydney Psychology Group today.
Written By: Taylah Johnston - Clinical Psychologist Registrar