Head, heart and hands-on- Concerning, specific, visual and creative methods in psychotherapy. A case study.

Main Article Content

Christina Löwenborg


The purpose of the case description is, from a user perspective, to describe a crucial element of a psychotherapeutic process, where client and therapist work to enact the client’s perceptions and experiences via tangible, visual and representative methodology, and to explain, in context, relevant starting points in taping, psychodrama and the mode concept in schema therapy.


The case study is built on qualitative method and comprises a presentation of a psychotherapeutic process, as well as a description of theoretical and methodical starting points in the methodology. The case study consists of a selection of material from a psychotherapy process with a client during the period 2014–16.


The outcome is presented in text and images on the basis of a described change process.


The principal conclusions in the case study demonstrate that the combination of taping, psychodramatic techniques and the mode model from schema therapy share several common denominators. The theoretical and methodical starting points can be combined and can contribute to identifying the following factors as significant parts of the therapeutic process described: visualization of vulnerabilities, identification of unsatisfied needs, mentalization and change in behavior.


The case description is relevant given that the combined methodology is still an innovative area, and the case description has a contribution to make to development of the methodology within the area.

Keywords: schema therapy, taping and psychodrama

Article Details

How to Cite
LÖWENBORG, Christina. Head, heart and hands-on- Concerning, specific, visual and creative methods in psychotherapy. A case study.. Medical Research Archives, [S.l.], v. 12, n. 3, mar. 2024. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/5204>. Date accessed: 13 apr. 2024. doi: https://doi.org/10.18103/mra.v12i3.5204.
Case Reports


Ainsworth, M. D. S, & Bowlby. J. An ethological approach to personality development. American Psychologist; 1991.

Bieling, P.J., McCabe, R.E., & Antony, M.M. Kognitiv beteendeterapi i grupp. Liber; 2008.

Boterhoven De Haan, K. & L Therapists’ thoughts on therapy: Clinicians’ perception of the therapy processes that distinguish schema, cognitive behavioural and psychodynamic approaches. Murdoch. Murdoch University; 2014.

Bowlby, J. A secure base: Parent-child attachment and healthy human development. Basic books; 1988.

Burlingame, G.M.,MacKenzie, R.K., Strauss, B. Small-group treatment: Evidence for effectiveness and mechanisms of change. M.J. Lambert (ED.) Bergin and Garfield´s handbook of psychotherapy and behavior change. Oxford Press; 2004.

Cecero, J., Beitel, M., & Prout, T. Exploring the relationships among early maladaptive schemas, psychological mindedness, and self-reported college adjustment. Psychology and Psychotherapy: Theory, Research and Practice, 81(1), 105-118; 2008.

Cullberg Weston, M. En dörr till ditt inre. Visualisering i terapi. Studentlitteratur, 2010.

DePoy, E. & Gitlin, L. Forskning – en introduktion. Studentlitteratur; 1999.

Fitzsimmons K., Gallagher S., Blayone S., Chan B., Leaitch W., Veals N., Wilkinson N. The Young Schema Questionnaire in Group Therapy: A Client –Focused Approach. Routledge; 2009.

Fox, J. The Essential Moreno. Springler Publishing Company; 1987.

Gyllenhammar, C. & Perris, P. En klinikers handbok & en terapiberättelse. Natur & Kultur; 2016.

Josefsson, D. & Linge, E. (2008) Hemligheten. Från ögonkast till varaktig relation. Natur & Kultur; 2008.

Karp, M., Holmes, P., Bradshaw Tauvon, K. The handbook of psychodrama. Routledge;1998.

Kellermann, P. F. Focus on Psychodrama. The Therapeutic Aspects of Psychodrama. Jessica Kingsley Publishers Ltd; 1992.

Kvale, S. & Brinkmann Den kvalitativa forskningsintervjun. Studentlitteratur; 2014

Lockwood, G & Perris. P. A New Look at core Emotional needs. M Vreeswijk, J Broersen & Nadort (Eds), The Wiley-Blackwell Handbook of Schema therapy. Research and Practice. Chichester: John Wiley & Sons, Ltd; 2012.

Lockwood, G. International Society of Schema Therapy; 2008.

Löwenborg, C. Värdefulla tankegångar från Kanadas urinvånare. Socionomen, nr 2; 2000.

Löwenborg, C. Reflekterande processer. Socionomen, nr. 8; 2001.

Löwenborg, C Inspiration across cultures: reflecting teams among the métis in Canada. Australian and New Zealand Journal of Family Therapy. Volume 22, no 1; 2001.

Löwenborg, C. & Nilsson, L. Vad är verksamt i handledning - en kvalitativ undersökning. Bomastryck. FoU-rapport 2002:2; 2002.

Löwenborg, C. & Nilsson, L. Vitryska utsiktsplatser. Alfaprint; 2005.

Löwenborg C. & Kamsvåg, K. Med andra ögon - brukarens syn på familjebehandling. Forskningsrapport; 2006

Löwenborg, C. Psykodrama i annat ljus - förändringens fyra rum. Stockholms institut för psykodrama, sociometri och gruppsykoterapi;2008.

Löwenborg, C. & Sjöblom, Y. Föräldrars och ungdomars erfarenheter av familjebehandling inom socialtjänsten. Socialvetenskaplig tidskrift. 1/ 2009; 2009.

Löwenborg, C. Huvud, hjärta och handling – Om konkreta, visuella och gestaltande metoder i handledning. Tryckpunkten; 2013..

Löwenborg, C. Head, heart and hands on – Concerning, concrete, visual and creative methods in supervision. Global Journals Inc. (U.S.).GJHSS-A Volume 19, issue 13, Version 1,0; 2019

Nilsson, J. Tejping och trauma. JNPK,; 2017.

Pakzad, F. (2019) Emotionell inlärning som en väg till ny kunskap i handledning. Psykoterapi 2019:1. Trydells tryckeri AB; 2019.

Philips, B. & Holmqvist R. Vad är verksamt I psykoterapi? Liber; 2008.

Rydén, G. & Wallroth, P. Mentalisering. Att leka med verkligheten. Natur & Kultur; 2008.

Slettemark, G. Psykodrama og sosiometri i praksis. WS Bookwell; 2004.

Soltvedt, M. BOF – Barnorienterad familjeterapi. Mareld; 2005.

Tschacher W., Zorn P., Ramseyer P. Change mechanisms of schema-Centered Group Psychotherapy with Personality Disorder patients. Catholic University of Sacred Heart of Rome: 2012.

Van Wreeswijk, M., Broersen, J., Nadorf, M. Handbook of Schema Therapy Theory. Research and practice. Chicester. Wiley Blackwell; 2012.

Vetenskapsrådet God forskningssed;2011.

Young, J., Klosko J., Weishaar, M. Schema Therapy. A practitioner’s guide. Guildford Publications; 2003.

Young, J., Klosko, J. Lev som du vill och inte som du lärt dig. Reinventing your life. Natur och Kultur; 2010.