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Evolutionary Systems Therapy for Schizotypy (ESTS) is an experimental therapeutic process that integrates evolutionary psychiatry. [1], metacognitively oriented therapy [2], and compassion focused therapy [3]. ESTS attempts to help those with clinical manifestations of schizotypy [4] - and specifically schizotypal personality disorder (StPD) - to increase their feeling of safety in interpersonal relationships and interpreting their own thoughts and the thoughts of others [5]. ESTS posits that those with high levels of openness to experience and introversion would have been exposed to a heightened risk of clinical manifestiations of schizotypy when dealing with traumatic experiences (such as child maltreatment) [6] [7] [8].
ESTS is an experimental therapy that has been pilot-tested in a randomized controlled trial (RCT) and in a few cases series [9]. An RCT showed how ESTS was as effective as a combination of cognitive behavioral therapy and psychopharmacotherapy in treating those with StPD [5]. Despite these results are promising, confirmatory trial on large sample size is needed to provide evidence about effectiveness of ESTS [10]
ESTS is an integrative form of therapy that consists of four modules. The first module aims to share with the patient an evolutionary conceptualization of StPD and promote a working alliance. The patient’s life history is explored to determine if early temperament was characterized by openness and introversion, and how these traits may have incurred in a perceived judgmental environment. Consequently, the patient may have experienced critical beliefs about self and others leading to a defensive stance in the form of schizotypal traits. In the second and third module, change is promoted by exploring and widening the self-to-self and self-to-other relationships, respectively. Different narrative, relational and experiential techniques are used. The last module aims at consolidating changes achieved and preventing relapses.
Submission declined on 1 November 2023 by
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Evolutionary Systems Therapy for Schizotypy (ESTS) is an experimental therapeutic process that integrates evolutionary psychiatry. [1], metacognitively oriented therapy [2], and compassion focused therapy [3]. ESTS attempts to help those with clinical manifestations of schizotypy [4] - and specifically schizotypal personality disorder (StPD) - to increase their feeling of safety in interpersonal relationships and interpreting their own thoughts and the thoughts of others [5]. ESTS posits that those with high levels of openness to experience and introversion would have been exposed to a heightened risk of clinical manifestiations of schizotypy when dealing with traumatic experiences (such as child maltreatment) [6] [7] [8].
ESTS is an experimental therapy that has been pilot-tested in a randomized controlled trial (RCT) and in a few cases series [9]. An RCT showed how ESTS was as effective as a combination of cognitive behavioral therapy and psychopharmacotherapy in treating those with StPD [5]. Despite these results are promising, confirmatory trial on large sample size is needed to provide evidence about effectiveness of ESTS [10]
ESTS is an integrative form of therapy that consists of four modules. The first module aims to share with the patient an evolutionary conceptualization of StPD and promote a working alliance. The patient’s life history is explored to determine if early temperament was characterized by openness and introversion, and how these traits may have incurred in a perceived judgmental environment. Consequently, the patient may have experienced critical beliefs about self and others leading to a defensive stance in the form of schizotypal traits. In the second and third module, change is promoted by exploring and widening the self-to-self and self-to-other relationships, respectively. Different narrative, relational and experiential techniques are used. The last module aims at consolidating changes achieved and preventing relapses.
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