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Introduction & Theoretical Background
A brief introduction to cognitive distortions
Cognitive distortions, cognitive biases, or ‘unhelpful thinking styles’ are characteristic ways in which our thoughts can become biased (Beck, 1963). As conscious beings we are always interpreting the world around us, trying to make sense of what is happening. Sometimes our brains take ‘short cuts’ and we think things that are not completely accurate, and different cognitive short cuts result in different kinds of bias or distortions in our thinking. Sometimes we might jump to the worst possible conclusion (“this rough patch of skin is cancer!”), at other times we might blame ourselves for things that are not our fault (“If I hadn’t made him angry he wouldn’t have hit me”), and at other times we might rely on intuition and jump to conclusions (“I know that they all hate me even though they’re being nice”).
Different cognitive biases are associated with different clinical
Therapist Guidance
"Many people struggle with self-blaming thinking, and it sounds like you experience this as well. Would you be willing to explore it with me?"
Clinicians may consider giving clients helpful psychoeducation about automatic thoughts more generally and self-blame in particular. Consider sharing some of these important details:
- Automatic thoughts spring up spontaneously in your mind in the form of words or images.
- They are often on the ‘sidelines’ of our awareness. With practice, we can become more aware of them. It is a bit like a theatre – we can bring our automatic thoughts ‘center stage’.
- Automatic thoughts are not always accurate: just because you think something it doesn’t make it true, and they are often inaccurate in characteristic ways.
- One common type of bias in automatic thoughts is thinking in a way that is self-blaming. In other words, we tend to look back at events and blame ourselves
References And Further Reading
- Beck, A. T. (1963). Thinking and depression: I. Idiosyncratic content and cognitive distortions. Archives of General Psychiatry, 9, 324-333. DOI: 10.1001/archpsyc.1963.01720160014002.
- Beck, A. T., Freeman, A., Davis, D. D., & Associates. (2004). Cognitive therapy of personality disorders. 2nd ed. New York: The Guilford Press.
- Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. Guilford Press.
- Beck, J. S. (2011). Cognitive behavior therapy: Basics and beyond (2nd ed.). Guilford Press.
- Clark, D. A. (2002). A cognitive perspective on obsessive compulsive disorder and depression: Distinct and related features. In: R. O. Frost & G. Steketee (Eds.), Cognitive approaches to obsessions and compulsions: Theory, assessment, and treatment (pp.233-250). Elsevier Science.
- Flavell, J. H. (1979). Metacognition and cognitive monitoring: A new area of cognitive–developmental inquiry. American Psychologist, 34, 906. DOI: 10.1037/0003-066X.34.10.906.
- Gilbert, P. (1998). The evolved basis and adaptive functions of cognitive distortions. British Journal