Archive for the ‘Emotion’ Category

Cognitive Therapy “Basics” Index

Sunday, September 30th, 2007

Wow. I’ve received quite a few new readers recently. That’s wonderful. Welcome!

For those of you who just arrived here’s a quick index of all the posts in my recent series of articles on Cognitive Behavioral Therapy basics:

  • I. What is CBT? – An explanation of what Cognitive Behavioral Therapy is.
  • II. An Overview of Cognitive Distortions – An introduction to, and a list of, the ten cognitive distortions:
    • All or Nothing
    • Over-generalizing
    • Mental Filter
    • Disqualifying the Positive
    • Jumping to Conclusions
    • Magnification (or Catastrophizing)
    • Emotional Reasoning
    • Should Statements
    • Labeling
    • Personalization

The next articles in the series looked at each distortion and provided examples.

Finally, as the ninth and last post of the basics series, I posted: IX. The Triple Column Technique, which teaches the fundamental technique for combatting cognitive distortions and the negative emotions they create.

Though the “basics” series is complete, there will be plenty more discussion of Cognitive Behavioral Therapy in the near future.

Cognitive Behavioral Therapy Basics IX: The Triple Column Technique

Tuesday, September 25th, 2007

Now that we’ve looked at all ten cognitive distortions, let’s look at what to do about them.

While it’s best to learn about Cognitive Behavioral Therapy techniques by reading Feeling Good or to actually talking to a cognitive behavioral therapist, I can outline the primary technique used to combat and ward off cognitive distortions: the Triple Column Technique. Feel free to try it out, and if you find it helpful, take a look at the book.

How To Do The Triple Column Technique

  1. Grab a sheet of 8 1/2” x 11” paper and a pen or pencil.
  2. Turn the paper so that the width is 11” (landscape).
  3. Draw two lines from top to bottom so that the page is divided into three even columns.
  4. Label the first column “Thoughts”, the second column “Distortions”, and the third “Rational Responses.”
  5. Identify the negative feeling (or feelings) you’re experiencing (eg. sadness), and jot it down at the top of the page. Next to it, jot down a number between 1 and 10 that indicates how intensely you feel that emotion.
  6. In the first column, try to write the exact thought you were thinking when the feeling arose. At first this can be a bit tricky, but with a little practice it’ll come more naturally. Typical thoughts might be: “I’m a failure”, “I always screw up”, “Why should I try? I’ll only fail.”
  7. In the second column, write the distortions that underlie the thoughts you’ve identified. Remember to inspect each thought for each of the ten possible distortions. Note that some thoughts will actually contain multiple distortions.
  8. When you’re done listing the distortions, use the third column to write rational replacement thoughts for the original distorted ones. For example: “I succeed at many things, even if I fail at a few now and then — just as everyone does. No one succeeds 100% of the time, and I recognize that I do succeed quite often.” replaces “I’m a failure.” The key here is to write rational responses to your irrational thoughts. Under the light of rational thought, distorted thoughts crumble, and the absence of distorted thoughts means the negative feelings they generate go away or never arise in the first place.
  9. Now that you’ve completed the exercise, take a moment to see how you feel. Perhaps the feeling has dissipated. If not, perhaps it is less intense than before. How intense is it on the same 1 to 10 scale?

By the way, do not do this technique in your head. It’s essential that you do it on paper. There’s something about putting pen to paper that makes it truly effective.

Good luck!

Cognitive Behavioral Therapy Basics VIII: All Remaining Five!

Thursday, September 13th, 2007

Today’s post represents a change in format. Rather than examine the remaining five cognitive distortion on our list one-per-post, let’s pick up the pace and cover all five today. That way we can move on to the good stuff: doing something about them!

Ready? Let’s go!

  • Magnification – Your thoughts magnify the negatives and minimize the positives of an event or situation.
  • Emotional Reasoning – Your thoughts and decisions are based on how you feel rather than what’s really going on in reality.
  • Should Statements – Your thoughts emphasize what you or circumstances should be, rather than how you or things actually are.
  • Labeling – Your thoughts assign a specific name, or label, to you or someone else. This label is absolute and negative, such as: “I’m a failure.”
  • Personalization Your thoughts assign all responsibility and causality to you personally. You assume that you directly caused events or circumstances though that’s not the case in reality and you actually had less direct control than you believe.

For a thorough examination of these distortions, please also see Feeling Good by David D. Burns.

In upcoming posts, we’ll learn how to detect these often-elusive but always detrimental cognitive distortions and how to deal with them.

Cognitive Behavioral Therapy Basics VII: Jumping to Conclusions

Tuesday, September 11th, 2007

The next cognitive distortion on the list is Jumping to Conclusions.

In this cognitive distortion, you arrive at conclusions (usually upsetting ones) prematurely. There are two forms this distortion can take:

  • Mind Reading – In this form of Jumping to Conclusions, you decide you know what others are thinking. Assuming that others are thinking negative thoughts about you can lead to distress and depression.
  • Fortune Telling – In this form, you make predictions about the future. Assuming that bad things are going to happen can also lead to distress and depression.

Example: Clyde’s Dinner Conversation

Clyde is having dinner with friends. As the conversation picks up speed, he grows ever quieter. His conversational style is slower and more thoughtful than the others at the table, and the conversation is moving so swiftly he finds it hard to keep up. He thinks: Everyone thinks I’m stupid. This is an example of the Mind Reading form of Jumping to Conclusions.

Example: The Magazine Rejection of Doom

Leslie has always wanted to try freelance writing. One day while reading a magazine, she thinks of a great article idea. She considers pitching the article to the magazine, but then changes her mind and thinks: They’ll just reject it. This is an example of the Fortune Teller form of Jumping to Conclusions.

In the next post, we’ll take a closer look at the next cognitive distortion on the list: Magnification.

What I Learned About Life From Watching Roger Federer

Friday, September 7th, 2007

Swiss tennis super-star Roger Federer is the Michael Jordan of tennis. He’s just amazingly good. Many say he’s the best tennis player of all time.

He’s ranked number one in the world — a rank he has held for more consecutive weeks than any other player in history — and is currently kicking ass once again at the US Open. His career history is jaw-dropping; just take a look at his achievements as detailed on the Roger Federer Wikipedia page.

Watching him play the other night, I began to wonder how the things that drive his success on the tennis court might be applied to our own lives even if the only time we touch a tennis ball might be to throw it for our pooch to fetch.

Calm and Focused Efficiency

When he plays, one of the most striking things is how little energy he seems to expend compared to his (usually doomed) opponent who sweats and breathes hard as he runs around the court, smashing the ball in an attempt to stop the juggernaut across the net. Federer is always calm, efficient, and focused in comparison.

Economy of Motion

Federer has amazing economy of motion. Everything he does on the court is precise and efficient — there’s no wasted energy or motion. Because all his actions are so perfect, and the economy of motion is so profound, he makes it all look easy, effortless.

Equanimity in the Face of Difficulty

Tennis is a deeply psychological game. To win, a player must be solidly “in the zone” — centered and determined. Once the mind goes off course because of self-doubt or negative emotions, it’s over — the critical edge needed to win is lost and defeat looms on the near horizon. Whereas many player’s psychological foundations shake and crumble when the match is going poorly for them, Federer is always in the zone, no matter what’s going on in the match.

Deep Consistency

Perhaps above all else, Federer is deeply consistent. No matter what the score is, no matter what’s going on with his opponent, no matter if the tide of the match is in his favor or not — he is always precisely consistent: how he swings the racket, how he runs, how he positions himself on the court and makes ready for the next shot.

I would love to have this kind of bring all these qualities to many aspects of my life, be they physical, mental, or in the realm of my productivity. Calm and focused efficiency, economy of motion, equanimity in the face of difficulty, and deep consistency.

What are some of the ways you bring these qualities to your life?

Cognitive Behavioral Therapy Basics VI: Disqualifying the Positive

Thursday, September 6th, 2007

The next cognitive distortion on the list is Disqualifying the Positive. In this cognitive distortion, you reject the positive aspects of an event or situation, leaving only the negative. When a positive thought arises, it’s quickly knocked away by a negative one.

Example: Miranda’s Hair

Miranda and Phoebe are having a chat over coffee. Phoebe mentions how great Miranda’s hair looks. Miranda dismisses the comment and instead talks about how much weight she’s gained and how unhappy she is with the way she looks.

Example:

After coffee with Miranda, Phoebe is walking to her car when she runs into our old buddy Bob, the tennis player. She asks him how it’s going, and he looks sad and says, “Not well. My tennis game is in the toilet.” Phoebe says, “But, Bob, didn’t you just win that big match you were excited about?” Bob looks even more upset and says, “Yes, I did. But that doesn’t matter. I just played another match this weekend and I lost. I’m terrible.”

It seems Phoebe’s words are lost on both of her friends and their Disqualifying the Positive cognitive distortions.

In the next post, we’ll take a closer look at the next cognitive distortion on the list: Jumping to Conclusions.

Astonishing Photos of Destroyed and Mangled Luggage

Wednesday, September 5th, 2007

Earlier this year, my luggage was horrifically mangled by the luggage transport machinery at the airport in Oakland, California. I was so in awe of the extent of the mutilation that I had to take a bunch of pictures of it. Up until the machine ripped it to shreds, this had been a fairly high quality REI travel bag, made of sturdy materials. Note how the strong fabric is torn, mangled and burned. Note also the metal strut that juts out of the side of the bag like a broken bone. In the close-up, you can see how intense the forces were in the machine by the way the end is ground down. Totally crazy! Click the thumbnails below for larger versions.





I offer these pictures because I think they’re amusing and astonishing, but there’s also a tie-in to the series of articles about cognitive distortions we’re in the midst of: An example of a Over-generalizing would be: “Bad things always happen to me!”

Cognitive Behavioral Therapy Basics V: Mental Filter

Friday, August 31st, 2007

Before we move on to the next cognitive distortion, let’s bear in mind that these distortions arise in automatic thoughts. They happen so fast and reflexively that you are usually not even conscious they’re happening. Later in this series we’ll look at techniques to expose and dismantle them.

In the last post, we looked at the second cognitive distortion on the list: Over-generalizing. Today, let’s look at the third: Mental Filter.

In the mental filter distortion, you focus like a laser on one negative or upsetting aspect of an event or situation to the exclusion of all else.

Example One: Franklin’s Drive

This morning, on his way to work, Franklin accidently cut someone off with his car in traffic. Even though in every other respect his driving was fine, he spends the rest of the day berating himself for his single mistake. He thinks: I shouldn’t have cut that person off. I’m a bad driver.

Example Two: Harry’s Unrequited Love

Harry’s life is good. He has a job he loves, a home he’s happy to return to every day, and he’s soon going on a vacation abroad he’s been looking forward to. But all he can think about, over and over, is how the woman he’d like to court has rejected him. He thinks: Why doesn’t she feel about me the way I feel about her?

Example Three: Tina at the Mall

As Tina walks through a crowded shopping mall, people are courteous, and a few smile at her as the pass by. Then someone is rude to her. She thinks: “People are so rude.”

Notice that in all three examples, the thinker concentrates solely on a single upsetting aspect of the event or situation.

In the next post, we’ll take a closer look at the next cognitive distortion on the list: Disqualifying the Positive.

Cognitive Behavioral Therapy Basics IV: Over-generalizing

Thursday, August 30th, 2007

In the last post, we looked at the first cognitive distortion on the list: All or Nothing Thinking. Today, let’s look at the second: Over-generalizing.

When we over-generalize, we apply something specific too broadly. It’s a destructive form of exaggeration. Perhaps it’s easiest to see in examples:

Example One: Reginald at the Supermarket

Reginald parks his car at the local supermarket and goes inside to do his shopping. When he comes out, someone has dinged his door. He thinks: Bad things always happen to me.

Example Two: Dead-end Shirley

Shirley is stuck in an unfulfilling, dead-end job. One day, while on lunch break, she runs into an old friend whom she hasn’t seen in years. It turns out, her friend is very successful. Shirley thinks: I’ll never be a success.

Example Three: Emil’s Dinner of Doom

Emil is engrossed in a television show when he suddenly remembers that he had been cooking something in the oven. He runs to the kitchen only to find his dinner is burned to a crisp. He thinks: Why do I always screw up?

Notice how each of the example thoughts above take a specific thing (“Someone has dinged my car”, “I’m not as successful as I’d like to be”, “I burned my dinner”) and over-generalize it so that it’s gigantic? (“Bad things always happen to me”, “I’ll never be a success”, “Why do I always screw up?”)

In the next post, we’ll take a closer look at the next cognitive distortion on the list: Mental Filter.

Cognitive Behavioral Therapy Basics III: All or Nothing Thinking

Wednesday, August 29th, 2007

In the last post, we took a quick peek at the list of 10 cognitive distortions. Let’s dive in a little deeper.

Today we’ll look at the first cognitive distortion on the list: All or Nothing Thinking.

In All or Nothing Thinking, a single imperfection equates to total failure. It’s a view that demands total perfection in absolute, black or white terms. People who tend toward this distortion see events as completely good or completely bad, and see themselves as complete successes or complete failures.

Example One: Bob the Tennis Pro

Bob is a young, professional tennis player. He is very good and has a promising future. His record is stellar — he has many wins under his belt and no losses. But then he loses a match. He thinks: This loss proves I’m not a good tennis player. I’m a failure.

Example Two: Love-struck Sue

Sue has started a new romantic relationship. One day she suggests an outing to her new boyfriend, but he declines. She’s crushed. She thinks: Either he loves me or he doesn’t. This proves he doesn’t.

Example Three: Jeff and the Problematic Code

Jeff is a programmer. He has worked for the same well-known technology company for many years. One day at lunch, his colleagues point out a flaw in the design of one of his programs. He thinks: I always mess up.

In the next post, we’ll take a closer look at the next cognitive distortion on the list: Over-generalizing.