Cognitive behaviour therapy approach to disputing automatic thoughts: a two-stage model

Lam, Danny and Cheng, Linda (1998) Cognitive behaviour therapy approach to disputing automatic thoughts: a two-stage model. Journal Of Advanced Nursing, 27(6), pp. 1143-1150. ISSN (print) 0309-2402

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Research shows that clients with automatic thoughts (dysfunctional thinking) often do not think of alternative explanations in relation to negative events. Furthermore, these automatic thoughts are characterized by a broad global, self-evaluative and ambiguous nature that could make disputing (or changing the ways they think) the most difficult part of the therapeutic process. This paper proposes a two-stage practise-based disputing model, guided by research, that aims to 'bring' an automatic thought to a specific, objective, quantifiable and concrete level at which not only is the particular aspect(s) of the automatic thought that causes emotional disturbances finely focused, but the disputing is also likely to be effective and manageable. Furthermore, it will also generate alternative explanations that are helpful in reducing emotional disturbances and in facilitating problem solving approach. In this paper, the authors use a case example to discuss the rationale that underpins the conceptualization of the model and to illustrate the process in which the strategies of the model are effectively used.

Item Type: Article
Uncontrolled Keywords: cognitive behaviour therapy, disputing, automatic thoughts, dysfunctional thoughts
Research Area: Psychiatry, neuroscience and clinical psychology
Faculty, School or Research Centre: Faculty of Health and Social Care Sciences (until 2013)
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Depositing User: Automatic Import Agent
Date Deposited: 23 Mar 2010 12:09
Last Modified: 14 Oct 2010 13:22

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