Thought Record (Considered Response)
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Offers theory, guidance, and prompts for mental health professionals. Downloads are in Fillable PDF format where appropriate.
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Introduction & Theoretical Background
Beck’s cognitive model (Beck et al, 1979) proposes that events are not directly responsible for the way we feel. Rather, it is the interpretation of those events – our appraisals, thoughts, or cognitions – that trigger our emotional responses. Beck’s cognitive therapy proposes that we can change how we feel by changing how we think. The CBT cognitive model describes different levels of cognition that underpin how we think about ourselves, other people and the world, shaping our interpretation and response to events. Moving from the deepest to the most superficial, these are:
- Core beliefs. These are understood as generalized statements that shape how an individual understands themselves, other people, and the world (e.g. “I’m competent”, “I’m unlovable”, “No one can be trusted”, “The world is dangerous and unpredictable”, “I’m adaptable”).
- Intermediate beliefs. These are understood as a set of assumptions that guide behavior across different situations. They can
Therapist Guidance
“CBT proposes that what we think affects the way we feel. Everyone has hundreds of ‘automatic thoughts’ every day. These are thoughts that ‘pop’ into your mind. Not everything that we think is 100% true. Sometimes the thoughts that we have are facts, but other times they are opinions; sometimes they are accurate and helpful, and sometimes they are inaccurate and unhelpful. People often mistakenly think CBT is about ‘thinking happy thoughts’ but actually it’s about thinking accurately. A good way of catching and examining your negative automatic thoughts is to use a thought record. Would you be willing to practice one with me now?”
1. Situation. Thought records are completed with respect to specific situations, usually involving a sudden change in emotion. Clients can be instructed to complete a thought record when they notice a change in how they are feeling. If a therapist and client are completing
References And Further Reading
- Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. 1979. New York: Guilford Press.