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Cognitive restructuring (CR) is a psychotherapeutic process of learning to identify and dispute irrational or maladaptive thoughts known as cognitive distortions, [1] such as all-or-nothing thinking (splitting), magical thinking, overgeneralization, magnification, [1] and emotional reasoning, which are commonly associated with many mental health disorders. [2]
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.
Cognitive therapy is based on a teacher-student relationship, where the therapist educates the client. Cognitive therapy uses Socratic questioning to challenge cognitive distortions. Homework is an essential aspect of cognitive therapy. It consolidates the skills learned in therapy. The cognitive approach is active, directed, and structured.
Cognitive restructuring (CR) is a popular form of therapy used to identify and reject maladaptive cognitive distortions, [33] and is typically used with individuals diagnosed with depression. [34] In CR, the therapist and client first examine a stressful event or situation reported by the client.
In cognitive therapy, decatastrophizing or decatastrophization is a cognitive restructuring technique to treat cognitive distortions, such as magnification and catastrophizing, commonly seen in psychological disorders like anxiety [1] and psychosis.
From the cognitive psychology perspective, cognitions and feelings precede behavior, so it initially uses cognitive restructuring. The goal of the therapy is for the individual to learn how to cope with and overcome their fear in each level of an exposure hierarchy. The process of systematic desensitization occurs in three steps.
This new cognitive approach came into conflict with the behaviorism common at the time, which claimed that talk of mental causes was not scientific or meaningful, and that assessing stimuli and behavioral responses was the best way to practice psychology. However, the 1970s saw a general "cognitive revolution" in psychology.
Cognitive Behavioral Therapy (CBT): CBT is a widely used form of cognitive intervention that combines cognitive restructuring with behavioral techniques. It helps individuals recognize and modify unhelpful thought patterns and behaviors that contribute to their psychological distress.