Cognitive reframing

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Cognitive reframing is a psychological technique that consists of identifying and then changing the way situations, experiences, events, ideas, and/or emotions are viewed. [1] Cognitive reframing is the process by which such situations or thoughts are challenged and then changed. In the context of cognitive therapy, cognitive reframing is referred to as cognitive restructuring.

Contents

History

Aaron T. Beck developed cognitive therapy in the 1960s. Through working with patients diagnosed with depression, he found that negative thoughts would persist in the minds of these patients. Beck helped his patients recognize the impact of their negative thoughts, and aided them in shifting their mindset to think more positively. This eventually led to the lessening of, or sometimes getting rid of, the patients' depression. This process was termed by Albert Ellis and others[ citation needed ] "cognitive restructuring", and aimed principally at rethinking perceived negative thoughts and turning them into positive thoughts. [2] Using cognitive restructuring as a tool in therapeutic settings led other researchers to recognize that this process happens outside the clinic, and would lead them to develop the term "cognitive reframing" as a way to describe the more generalized process.

Therapeutic uses of cognitive reframing

Cognitive reframing can be useful in many ways, such as when trying to improve memory, reduce test anxiety, and helping parents and children cope with disabilities. For example, people with memory problems were told that their memory could be improved by shifting their perspective on their problem. After receiving treatment, their memory improved. [3] Another example are parents with disabled children. Some parents harbored negative thoughts about their disabled children. Cognitive reframing helped these parents to view their children and their experiences in a more positive light. [4]

Humor and cognitive reframing

One behavior that has been shown to facilitate cognitive reframing is humor, especially humor that is based on positivity, rather than mean-spirited. For example, in one study, [5] participants were exposed to a series of unpleasant pictures. To cope with these pictures, participants were invited to create a positive joke about the picture, a negative joke about the picture, or no joke about the picture. The positive joke tended to elicit positive emotions instead of negative emotions. The authors concluded that positive humor might epitomize a variant of cognitive reframing in which individuals shift their perspective of some unfavorable event or circumstance towards a more positive outlook of the same circumstances. [5]

Differentiated from cognitive restructuring and distortion

Cognitive reframing can refer to almost any conscious shift in a person's mental perspective. For this reason, it is commonly confused with both cognitive restructuring and cognitive distortion. However, there are distinct differences between the three. Reframing is the general change in a person's mindset, whether it be a positive or negative change. Restructuring is the act of therapeutically changing one's mindset to strengthen oneself—meaning that it always has a positive connotation. In this way, cognitive restructuring is a particular instance of cognitive reframing. Distortions are exaggerated and typically negative thoughts not supported by a rational thought process. If someone suffers from a series of distortions (which can lead to depression, poor decisions, and other negative results), the need for cognitive restructuring may present itself. Therefore, distortion is a problem which may be solved by cognitive reframing.

Yet another major distinguishing feature between cognitive reframing and cognitive restructuring is awareness. Cognitive reframing can happen subconsciously, while cognitive restructuring, something usually done under the guidance of a therapist, is conscious. [6] Since cognitive restructuring is a therapeutic technique, it requires the patient to recognize and consciously shift their frame of reference to a more ‘positive’ one. However, since reframing just requires any mental frameshift, there does not need to be any conscious decision to alter one's perspective. For example, when an individual exhibits hindsight bias, they are unconsciously changing their frame of reference to retain pride and self-esteem [7] Though the need to negatively reframe thoughts is arguably not as frequent as the need to positively reframe them, there are instances in which it is beneficial to negatively reframe thoughts. For example, in theatre, an actor may need to appear sadder or in a more negative state of mind. In order to accomplish this, he or she may alter his or her state of mind through cognitive reframing, in an attempt to appear more dysphoric externally. Another use of cognitive reframing can be seen when one tries to make one's viewpoints objective, which is shifting your perspective to be neutral and less polarized about a certain situation.

Related Research Articles

Psychology is an academic and applied discipline involving the scientific study of human mental functions and behavior. Occasionally, in addition or opposition to employing the scientific method, it also relies on symbolic interpretation and critical analysis, although these traditions have tended to be less pronounced than in other social sciences, such as sociology. Psychologists study phenomena such as perception, cognition, emotion, personality, behavior, and interpersonal relationships. Some, especially depth psychologists, also study the unconscious mind.

Abnormal psychology is the branch of psychology that studies unusual patterns of behavior, emotion, and thought, which could possibly be understood as a mental disorder. Although many behaviors could be considered as abnormal, this branch of psychology typically deals with behavior in a clinical context. There is a long history of attempts to understand and control behavior deemed to be aberrant or deviant, and there is often cultural variation in the approach taken. The field of abnormal psychology identifies multiple causes for different conditions, employing diverse theories from the general field of psychology and elsewhere, and much still hinges on what exactly is meant by "abnormal". There has traditionally been a divide between psychological and biological explanations, reflecting a philosophical dualism in regard to the mind-body problem. There have also been different approaches in trying to classify mental disorders. Abnormal includes three different categories; they are subnormal, supernormal and paranormal.

A cognitive distortion is an exaggerated or irrational thought pattern involved in the onset or perpetuation of psychopathological states, such as depression and anxiety.

In psychology and cognitive science, a schema describes a pattern of thought or behavior that organizes categories of information and the relationships among them. It can also be described as a mental structure of preconceived ideas, a framework representing some aspect of the world, or a system of organizing and perceiving new information, such as a mental schema or conceptual model. Schemata influence attention and the absorption of new knowledge: people are more likely to notice things that fit into their schema, while re-interpreting contradictions to the schema as exceptions or distorting them to fit. Schemata have a tendency to remain unchanged, even in the face of contradictory information. Schemata can help in understanding the world and the rapidly changing environment. People can organize new perceptions into schemata quickly as most situations do not require complex thought when using schema, since automatic thought is all that is required.

Cognitive restructuring (CR) is a psychotherapeutic process of learning to identify and dispute irrational or maladaptive thoughts known as cognitive distortions, such as all-or-nothing thinking (splitting), magical thinking, overgeneralization, magnification, and emotional reasoning, which are commonly associated with many mental health disorders. CR employs many strategies, such as Socratic questioning, thought recording, and guided imagery, and is used in many types of therapies, including cognitive behavioral therapy (CBT) and rational emotive behaviour therapy (REBT). A number of studies demonstrate considerable efficacy in using CR-based therapies.

Transference is a phenomenon within psychotherapy in which repetitions of old feelings, attitudes, desires, or fantasies that someone displaces are subconsciously projected onto a here-and-now person. Traditionally, it had solely concerned feelings from a primary relationship during childhood.

Emotional reasoning is a cognitive process by which an individual concludes that their emotional reaction proves something is true, despite contrary empirical evidence. Emotional reasoning creates an 'emotional truth', which may be in direct conflict with the inverse 'perceptional truth'. It can create feelings of anxiety, fear, and apprehension in existing stressful situations, and as such, is often associated with or triggered by panic disorder or anxiety disorder. For example, even though a spouse has shown only devotion, a person using emotional reasoning might conclude, "I know my spouse is being unfaithful because I feel jealous."

<span class="mw-page-title-main">Beck's cognitive triad</span> Three key elements of depression

Beck's cognitive triad, also known as the negative triad, is a cognitive-therapeutic view of the three key elements of a person's belief system present in depression. It was proposed by Aaron Beck in 1967. The triad forms part of his cognitive theory of depression and the concept is used as part of CBT, particularly in Beck's "Treatment of Negative Automatic Thoughts" (TNAT) approach.

Cognitive shifting is the mental process of consciously redirecting one's attention from one fixation to another. In contrast, if this process happened unconsciously, then it is referred to as task switching. Both are forms of cognitive flexibility.

Models of abnormality are general hypotheses as to the nature of psychological abnormalities. The four main models to explain psychological abnormality are the biological, behavioural, cognitive, and psychodynamic models. They all attempt to explain the causes and treatments for all psychological illnesses, and all from a different approach.

Psychological resistance, also known as psychological resistance to change, is the phenomenon often encountered in clinical practice in which patients either directly or indirectly exhibit paradoxical opposing behaviors in presumably a clinically initiated push and pull of a change process. In other words, the concept of psychological resistance is that patients are likely to resist physician suggestions to change behavior or accept certain treatments regardless of whether that change will improve their condition. It impedes the development of authentic, reciprocally nurturing experiences in a clinical setting. Psychological resistance can manifest in various ways, such as denying the existence or severity of a problem, rationalizing or minimizing one's responsibility for it, rejecting or distrusting the therapist's or consultant's suggestions, withholding or distorting information, or sabotaging the treatment process. It is established that the common source of resistances and defenses is shame. This and similar negative attitudes may be the result of social stigmatization of a particular condition, such as psychological resistance towards insulin treatment of diabetes.

Cognitive therapy (CT) is a type of psychotherapy developed by American psychiatrist Aaron T. Beck. CT is one therapeutic approach within the larger group of cognitive behavioral therapies (CBT) and was first expounded by Beck in the 1960s. Cognitive therapy is based on the cognitive model, which states that thoughts, feelings and behavior are all connected, and that individuals can move toward overcoming difficulties and meeting their goals by identifying and changing unhelpful or inaccurate thinking, problematic behavior, and distressing emotional responses. This involves the individual working with the therapist to develop skills for testing and changing beliefs, identifying distorted thinking, relating to others in different ways, and changing behaviors. A cognitive case conceptualization is developed by the cognitive therapist as a guide to understand the individual's internal reality, select appropriate interventions and identify areas of distress.

Emotionally focused therapy and emotion-focused therapy (EFT) are a set of related approaches to psychotherapy with individuals, couples, or families. EFT approaches include elements of experiential therapy, systemic therapy, and attachment theory. EFT is usually a short-term treatment. EFT approaches are based on the premise that human emotions are connected to human needs, and therefore emotions have an innately adaptive potential that, if activated and worked through, can help people change problematic emotional states and interpersonal relationships. Emotion-focused therapy for individuals was originally known as process-experiential therapy, and it is still sometimes called by that name.

Arbitrary inference is a classic tenet of cognitive therapy created by Aaron T. Beck in 1979. He defines the act of making an arbitrary inference as the process of drawing a conclusion without sufficient evidence, or without any evidence at all. In cases of depression, Beck found that individuals may be more prone to cognitive distortions, and make arbitrary inferences more often. These inferences could be general and/or in reference to the effectiveness of their medicine or treatment. Arbitrary inference is one of numerous specific cognitive distortions identified by Beck that can be commonly presented in people with anxiety, depression, and psychological impairments.

Guided imagery is a mind-body intervention by which a trained practitioner or teacher helps a participant or patient to evoke and generate mental images that simulate or recreate the sensory perception of sights, sounds, tastes, smells, movements, and images associated with touch, such as texture, temperature, and pressure, as well as imaginative or mental content that the participant or patient experiences as defying conventional sensory categories, and that may precipitate strong emotions or feelings in the absence of the stimuli to which correlating sensory receptors are receptive.

Photo psychology or photopsychology is a specialty within psychology dedicated to identifying and analyzing relationships between psychology and photography. Photopsychology traces several points of contact between photography and psychology.

Schema therapy was developed by Jeffrey E. Young for use in treatment of personality disorders and chronic DSM Axis I disorders, such as when patients fail to respond or relapse after having been through other therapies. Schema therapy is an integrative psychotherapy combining theory and techniques from previously existing therapies, including cognitive behavioral therapy, psychoanalytic object relations theory, attachment theory, and Gestalt therapy.

The gratitude trap is a type of cognitive distortion that typically arises from misunderstandings regarding the nature or practice of gratitude. It is closely related to fallacies such as emotional reasoning and the "fallacy of change" identified by psychologists and psychotherapists such as John M. Grohol, Peter Ledden, and others.

Imagery Rescripting is an experiential therapeutic technique that uses imagery and imagination to intervene in traumatic memories. The process is guided by a therapist who works with the client to define ways to work with particular traumatic memories, images, or nightmares.

<span class="mw-page-title-main">Mindfulness-Oriented Recovery Enhancement</span> Mind-Body therapy program

Mindfulness-Oriented Recovery Enhancement (MORE) is an evidence-based mind-body therapy program developed by Eric Garland. It is a therapeutic approach grounded in affective neuroscience that combines mindfulness training with reappraisal and savoring skills. Garland developed this approach by combining the key features of mindfulness training, "Third Wave" cognitive-behavioral therapy, and principles from positive psychology.

References

  1. Robson Jr, James P; Troutman-Jordan, Meredith (2014). "A Concept Analysis of Cognitive Reframing". Journal of Theory Construction and Testing. 18 (2).
  2. Beck, A (1997). "The past and the future of cognitive therapy". Journal of Psychotherapy Practice and Research, 6, 276-284.
  3. Lachman, M.E., Weaver, S.L., Bandura, M., Elliot, E. & Candlewick, C.J. (1992). Improving memory and control beliefs through cognitive restructuring and self-generated strategies. Journal of Gerontology, 47, P293-P299.
  4. Woolfson, L. (2003). Disabled children, parents and society: A need for cognitive reframing. Proceedings of the British Psychological Society, 11, 5
  5. 1 2 Samson, Andrea C.; Gross, James J. (February 2012). "Humour as emotion regulation: The differential consequences of negative versus positive humour". Cognition & Emotion. 26 (2): 375–384. doi:10.1080/02699931.2011.585069. ISSN   0269-9931. PMID   21756218. S2CID   1173305.
  6. Ray, R.D., Ochsner, K.N., Cooper, J.C., Robertson, E.R., Gabrieli, J.D.E. & Gross, J.J. (2005). Individual differences in trait rumination and the neural systems supporting cognitive reappraisal. Cognitive, Affective, & Behavioral Neuroscience, 5, 156-168
  7. Louie, T.A. (1999). Decision makers’ hindsight bias after receiving favorable and unfavorable feedback. Journal of Applied Psychology, 84, 29-41