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In my experience, the denial was unconscious – perhaps it’s always unconscious. A hard shell of defense mechanisms, coping strategies, and the resulting belief system to protect the (in my case) fragmented self.
Schema theory helps explain the defensive system but it seems to me that the most effective, long-lasting therapy comes when a (gifted, well-trained) therapist (who know him/herself well) provides a safe interpersonal environment that allows the client’s self-stuff to come out.
I agree that it would be nice if more psychologists were educated in schema therapy. The more pressing issue, IMHO, is if more generalist psychologists could learn to recognize PD in a client early on and, if not trained to help them, refer them to a specialist.
Last edited by here today; May 11, 2013 at 06:34 AM.
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