Overview

Under the Schema Therapy model advanced by Jeffrey Young, an early maladaptive schema (EMS) is a recurring pattern or core belief that develops in childhood or adolescence that serves as a source of dysfunction throughout one’s life. Generally, these schemas are rooted in formative experiences or trauma and are strongly held in a way that shapes new information to reinforce them.

Following the Young Schema Questionnaire-Revised (YSQ-R), clinicians generally acknowledge 20 schemas:

  • Abandonment or Instability

  • Mistrust or Abuse

  • Emotional Deprivation

  • Defectiveness or Shame

  • Social Isolation or Alienation

  • Dependence or Incompetence

  • Vulnerability to Harm or Illness

  • Enmeshment or Underdeveloped Self

  • Failure

  • Entitlement or Grandiosity

  • Insufficient Self-Control or Self-Discipline

  • Subjugation

  • Self-Sacrifice

  • Approval-Seeking or Recognition-Seeking

  • Negativity or Pessimism

  • Emotional Constriction

  • Fear of Losing Control

  • Unrelenting Standards or Hypercriticalness

  • Punitive-Self

  • Punitiveness-Others