The Book in One Sentence
- You can change your moods by learning how to restructure your negative thoughts.
The Five Big Ideas
- 1. Your moods are created by your thoughts.
-
- 2. Thoughts that are dominated by pervasive negativity cause depression.
-
- 3. The negative thoughts which cause depression nearly always contain gross, cognitive distortions.
-
- 4. There are 10 cognitive distortions that twist your thinking.
-
- 5. The most usual mental distortion to look out for when you are feeling worthless is all-or-nothing thinking.
Feeling Good Summary
Cognitive therapy is founded on three principles:
- 1. Your moods are created by your “cognitions,” or thoughts.” A cognition refers to the way you look at things— your perceptions, mental attitudes, and beliefs. It includes the way you interpret things— what you say about something or someone to yourself.
- 2. You feel the way you do right now because of the thoughts you are thinking at this moment.
-
- 3. When you are feeling depressed, your thoughts are dominated by pervasive negativity.
-
- The negative thoughts which cause your emotional turmoil nearly always contain gross distortions. Although these thoughts appear valid, they are irrational or just plain wrong, and that twisted thinking is a major cause of your suffering.
-
- “Every bad feeling you have is the result of distorted negative thinking. Illogical pessimistic attitudes play the central role in the development and continuation of all your symptoms.”
-
- “Every time you feel depressed about something, try to identify a corresponding negative thought you had just prior to and during the depression. Why? Because these thoughts have actually created your bad mood, by learning to restructure them, you can change your mood.”
-
- “Your emotions result entirely from the way you look at things.”
The Relationship Between The World and The Way You Feel
Cognitive Distortions
- All-or-Nothing Thinking. You evaluate your personal qualities in extreme, black-or-white categories. All-or-nothing thinking forms the basis for perfectionism. It causes you to fear any mistake or imperfection because you will then see yourself as a complete loser. This makes you feel inadequate and worthless. The technical name for this type of perceptual error is “dichotomous thinking.”
-
- Overgeneralization. You arbitrarily conclude that one thing that happened to you once will occur over and over again. The pain of rejection is generated almost entirely from overgeneralization.
-
- Mental Filter. You pick out a negative detail in any situation and dwell on it exclusively, thus perceiving that the whole situation is negative. When you are depressed, you wear a pair of eyeglasses with special lenses that filter out anything positive. All that you allow to enter your conscious mind is negative. Because you are not aware of this “filtering process,” you conclude that everything is negative. The technical name for this process is “selective abstraction.” It is a bad habit that can cause you to suffer much needless anguish.
-
- Disqualifying the Positive. You transform neutral or even positive experiences into negative ones. Burns calls this, “reverse alchemy.” Disqualifying the positive is one of the most destructive forms of cognitive distortion.
-
-
Jumping to Conclusions. When you jump to conclusions, you arbitrarily jump to a negative
conclusion that is not justified by the facts of the situation. Two
examples of jumping to conclusion are “mind reading” and “the fortune
teller error.”
-
- Mind Reading. You assume that other people look down on you, and you’re so convinced about this that you don’t even bother to check it out.
-
- Fortune Telling. You imagine something bad is about to happen, and take this prediction as a fact even though it is unrealistic.
-
-
- Magnification and Minimization. When you magnify, you look at your errors, fears, or imperfections and exaggerate their importance. This has also been called “catastrophizing” because you turn commonplace negative events into nightmarish monsters. When you minimize, you inappropriately shrink things until they appear tiny such as your own desirable qualities or others’ imperfections. This is also called the “binocular trick”.
-
- Emotional Reasoning. You take your emotions as evidence for the truth. Your logic: “I feel like a dud, therefore I am a dud.” This kind of reasoning is misleading because your feelings reflect your thoughts and beliefs.
-
- Should Statements. You try to motivate yourself by saying, “I should do this” or “I must do that.”
-
- Labeling and Mislabeling. Labeling refers to your tendency to create a completely negative self-image based on your errors. Mislabeling refers to your tendency to describe an event with words that are inaccurate and emotionally heavily loaded.
- Personalization. You assume responsibility for a negative event when there is no basis for doing so.
…..
“Your thoughts create your emotions; therefore, your emotions cannot prove that your thoughts are accurate.”
Dr. Aaron Beck said a depressed self-image can be characterized by the four D’s:
- Defeat
- Defection
- Desertion
- Deprivation
-
“Only your own sense of self-worth determines how you feel.”
“The most usual mental distortion to look out for when you are feeling worthless is all-or-nothing thinking.”
How to Boost Self-Esteem
1. Talk Back to That Internal Critic
Train yourself to recognize and write down the self-critical thoughts as they go through your mind;
- Learn why these thoughts are distorted; and
- Practice talking back to them so as to develop a more realistic self-evaluation system.
-
- 2. Use “The Triple-Column Technique”
-
- “When you have a negative thought, ask yourself, “What thoughts are going through my mind right now? What am I saying to myself? Why is this upsetting me?”
-
3. Use Mental Biofeedback
“Monitor your negative thoughts with a wrist counter. Click the button each time a negative thought crosses your mind. Then, at the end of the day, note your daily score and write it down in a log book.”
Notes Cont.
“When you are down on yourself, ask what you actually mean when you try to
define your true identity with a negative label such as ‘a fool,’ ‘a sham,’
‘a stupid dope,’ etc.”
“Once you begin to pick destructive labels apart, you will find they are arbitrary and meaningless. They actually cloud the issue, creating confusion and despair. Once rid of them, you can define and cope with any real problems that exist.”
When you are upset:
- Zero in on those automatic negative thoughts and write them down;
-
- Read over the list of ten cognitive distortions. Learn precisely how you are twisting things and blowing them out of proportion; and substitute a more objective thought that puts the lie to the one which made you look down on yourself.
“Your feelings result from the meaning you give to the event, not from the event itself.”
“Irrational should statements rest on your assumption that you are entitled to instant gratification at all times.”
The following two guidelines will help you to determine when your anger is productive and when it is not.
- Is my anger directed toward someone who has knowingly, intentionally, and unnecessarily acted in a hurtful manner?
- Is my anger useful? Does it help me achieve a desired goal or does it simply defeat me?
-
“If you have a ‘should’ or ‘shouldn’t’ rule that has been causing you disappointment and frustration, rewrite it in more realistic terms.
Replace ‘should’ with ‘it would be nice if.’”
“You’re not entitled to get what you want just because you want it.”
“Remorse or regret are aimed at behavior, whereas guilt is targeted toward
the ‘self.’”
“Sadness is a normal emotion created by realistic perceptions that describe
a negative event involving loss or disappointment in an undistorted way.
Depression is an illness that always results from thoughts that are distorted in some way.”
“When a genuinely negative event occurs, your emotions will be created
exclusively by your thoughts and perceptions. Your feelings will result from
the meaning you attach to what happens. A substantial portion of your
suffering will be due to the distortions in your thoughts. When you eliminate these distortions, you will find
that coping with the ‘real problem’ will become less painful.”
“Although your distorted negative thoughts will be substantially reduced or
entirely eliminated after you have recovered from a bout of depression,
there are certain ‘silent assumptions’ that probably still lurk in your
mind. These silent assumptions explain in large part why you became depressed in the first place and can help you
predict when you might again be vulnerable.”
“A silent assumption is an equation with which you define your personal
worth. It represents your value system, your personal philosophy, the stuff
on which you base your self-esteem.”
If you feel moody, choose an activity, and instead of aiming for 100
percent, try for 80 percent, 60 percent, or 40 percent. Then see how much
you enjoy the activity and how productive you become.
“You are wrong in your belief that suicide is the only solution or the best
solution to your problem.”
“When you think that you are trapped and hopeless, your thinking is
illogical, distorted, and skewed.”
“Nearly all suicidal patients have in common an illogical sense of
hopelessness and the conviction they are facing an insoluble dilemma. Once
you expose the distortions in your thinking, you will experience
considerable emotional relief.”
“Your feelings of hopelessness and total despair are just symptoms of depressive illness, not facts.”
Burns lets the following rule of thumb guide him: People who feel hopeless neveractually are hopeless.
………………
CHECKLIST OF COGNITIVE DISTORTIONS
1. | All or nothing thinking: You look at things in absolute, black and white categories.
You see things in black-or-white categories.
If a situation falls short of perfect, you see it
as a total failure. When a young woman on
a diet ate a spoonful of ice cream, she told
herself, “I’ve blown my diet completely.”
This thought upset her so much that she
gobbled down an entire quart of ice cream!
2. | Overgeneralization: You view a negative event as a never-ending pattern of defeat.
You see a single negative event, such as a
romantic rejection or a career reversal, as a
never-ending pattern of defeat by using
words such as “always” or “never” when
you think about it. A depressed salesman
became terribly upset when he noticed bird
dung on the windshield of his car. He told
himself, “Just my luck! Birds are always
crapping on my car!”
3. | Mental Filter: You dwell on the negatives and ignore the positives.
You pick out a single negative detail and
dwell on it exclusively so that your vision of
all of reality becomes darkened, like the
drop of ink that discolors a beaker of water.
Example: You receive many positive
comments about your presentation to a
group of associates at work, but one of
them says something mildly critical. You
obsess about his reaction for days and
ignore all the positive feedback.
4. | Discounting the positives: You insist that your accomplishments or positive qualities “don’t count.”
You reject positive experiences by insisting
they “don’t count.” If you do a good job,
you may tell yourself that it wasn’t good
enough or that anyone could have done as
well. Discounting the positive takes the joy
out of life and makes you feel inadequate
and unrewarded.
5. | Jumping to conclusions: (A) Mind reading - you assume that people are reacting negatively to you when there’s no definite evidence for this; (B) Fortune Telling - you arbitrarily predict things will turn out badly.
You interpret things negatively when there
are no facts to support your conclusion.
Mind reading: Without checking it out, you
arbitrarily conclude that someone is
reacting negatively to you.
Fortune-telling: You predict that things
will turn out badly. Before a test you may
tell yourself, “I’m really going to blow it.
What if I flunk?” If you’re depressed you
may tell yourself, “I'll never get better.”
6. | Magnification or Minimization: You blow things way out of proportion or you shrink their importance inappropriately.
You exaggerate the importance of your
problems and shortcomings, or you
minimize the importance of your desirable
qualities. This is also called the “binocular
trick.”
7. | Emotional Reasoning: You reason from how you feel: “I feel like an idiot, so I really must be one.” Or “I don’t feel like doing this, so I'll put it off.”
You assume that your negative emotions
necessarily reflect the way things really
are: “I feel terrified about going on
airplanes. It must be very dangerous to
fly.” Or “I feel guilty. I must be a rotten
person.” Or “I feel angry. This proves I’m
being treated unfairly.” Or “I feel so
inferior. This means I’m a second-rate
person.” Or “I feel hopeless. I must really
be hopeless.”
8. | “Should Statements”: You criticize yourself or other people with “Shoulds” or “Shouldn’ts.” “Musts,” “Oughts,” “Have tos” are similar offenders.
You tell yourself that things should be the
way you hoped or expected them to be.
After playing a difficult piece on the piano,
a gifted pianist told herself, “I shouldn’t
have made so many mistakes.” This made
her feel so disgusted that she quit
practicing for several days. “Musts,”
“oughts” and “have tos” are similar
offenders.
“Should statements” that are directed
against yourself lead to guilt and
frustration. Should statements that are
directed against other people or the world
in general lead to anger and frustration:
“He shouldn't be so stubborn and
argumentative.”
Many people try to motivate themselves
with shoulds and shouldn’ts, as if they were
delinquents who had to be punished before
they could be expected to do anything. “I
shouldn’t eat that doughnut.” This usually
doesn’t work because all these shoulds and
musts make you feel rebellious and you get
the urge to do just the opposite. Dr. Albert
Ellis has called this musterbation.” | call it
the “shouldy” approach to life.
9. | Labeling: You identify with your shortcomings. Instead of saying, “I made a mistake,” you tell yourself, “I’m a jerk,” or “a fool, or “a loser.”
Labeling is an extreme form of all-or-
nothing thinking. Instead of saying “I made
a mistake,” you attach a negative label to
yourself: “I’m a loser.” You might also label
yourself “a fool” or “a failure” or “a jerk.”
Labeling is quite irrational because you are
not the same as what you do. Human
beings exist, but “fools,” “losers,” and
“jerks” do not. These labels are just useless
abstractions that lead to anger, anxiety,
frustration, and low self-esteem.
You may also label others. When
someone does something that rubs you the
wrong way, you may tell yourself: “He’s an
S.0.B.” Then you feel that the problem is
with that person’s “character” or “essence”
instead of with their thinking or behavior.
You see them as totally bad. This makes
you feel hostile and hopeless about
improving things and leaves little room for
constructive communication.
10. | Personalization and Blame: You blame yourself for something you weren't entirely responsible for, or you blame other people and overlook ways that your own attitudes and behavior might contribute to a problem.
Personalization occurs when you hold
yourself personally responsible for an
event that isn’t entirely under your control.
When a woman received a note that her
child was having difficulties at school, she
told herself, “This shows what a bad
mother I am,” instead of trying to pinpoint
the cause of the problem so that she could
be helpful to her child. When another
woman’s husband beat her, she told herself,
“If only I were better in bed, he wouldn’t
beat me.” Personalization leads to guilt,
shame, and feelings of inadequacy.
Some people do the opposite. They
blame other people or their circumstances
for their problems, and they overlook ways
that they might be contributing to the
problem: “The reason my matriage is so
lousy is because my spouse is totally
unreasonable.” Blame usually doesn’t work
very well because other people will resent
being scapegoated and they will just toss
the blame right back in your lap. It’s like
the game of hot potato - no one wants to
get stuck with it.
Copyright © 1980 by David D. Burns, M.D. Adapted from Feeling Good: The New Mood Therapy (New York: William Morrow & Company, 1980; Signet, 1981)
…….
TEN WAYS TO UNTWIST YOUR THINKING
1. Identify the Distortion
Write down your negative thoughts so you can see which of the
ten cognitive distortions you're involved in. This will make it
easier to think about the problem in a more positive and realistic
way.
2. Examine the Evidence
Instead of assuming that your negative thought is true, examine
the actual evidence for it. For example, if you feel that you never
do anything right, you could list several things you have done
successfully.
3. The Double-Standard Method
Instead of putting yourself down in a harsh, condemning way,
talk to yourself in the same compassionate way you would talk to
a friend with a similar problem.
4. The Experimental Technique
Do an experiment to test the validity of your negative thought.
For example, if, during the episode of panic, you become terrified
that you're about to die of a heart attack, you could jog or run up
and down several flights of stairs. This will prove that your heart
is healthy and strong.
5. Thinking in Shades of Grey
Although this method might sound drab, the effects can be
illuminating. Instead of thinking about your problems in all-or-
nothing extremes, evaluate things on a range of 0 to 100. When
things don’t work out as well as you hoped, think about the
experience as a partial success rather than a complete failure.
See what you can learn from the situation.
6. The Survey Method
Ask people questions to find out if your thoughts and attitudes
are realistic. For example, if you believe that public speaking
anxiety is abnormal and shameful, ask several friends if they ever
felt nervous before they gave a talk.
7. Define Terms
When you label yourself “inferior” or “a fool” or “a loser,” ask,
“What is the definition of a ‘fool’?” You will feel better when you
see that there is no such thing as a “fool” or a “loser.”
8. The Semantic Method
Simply substitute language that is less colorful and emotionally
loaded. This method is helpful for “should statements.” Instead
of telling yourself “I shouldn’t have made that mistake,” you can
say, “It would be better if I hadn’t made that mistake.”
9. Re-attribution
Instead of automatically assuming that you are “bad” and blaming
yourself entirely for a problem, think about the many factors that
may have contributed to it. Focus on solving the problem instead
of using up all your energy blaming yourself and feeling guilty.
10. Cost-Benefit Analysis
List the advantages and disadvantages of a feeling (like getting
angry when your plane is late), a negative thought (like “No
matter how hard I try, I always screw up”), or a behavior pattern
(like overeating and lying around in bed when you're depressed).
You can also use the Cost-Benefit Analysis to modify a self-
defeating belief such as, “I must always try to be perfect.”
Copyright © 1989 by David D. Burns, M.D., from The Feeling Good Handbook
WAYS TO CHALLENGE AUTOMATIC THOUGHTS
1. Indentify the Distortion
2. Examine the Evidence
3. The Double-Standard Method
4. The Experimental Technique
5. Thinking in Shades of Gray
6. The Feared Fantasy Technique
7. The Vertical Arrow Technique
8. Cost-Benefit Analysis
9. Define Terms
10. The Survey Method
AUTOMATIC THOUGHTS:
“I’m inferior to all these other men who have such better physiques. If I took my shirt off, everyone would stare at me and think I was abnormal.”
David, Burns D. The Feeling Good Handbook. New York: Plume, 1999. Print.
YOUR THOUGHTS AND FEELINGS
1. Sadness or Depression
Loss, a romantic rejection, the death of a loved
one, the loss of a job, or the failure to achieve an
important personal goal.
2. Guilt or Shame
You believe that you’ve hurt someone or that
you've failed to live up to your own moral
standards. Guilt results from self-condemnation,
where as shame involves fear that you'll lose face
when others find out about who you really are.
3. Anger, Irritation, Annoyance, or Resentment
You feel that someone is treating you unfairly or
trying to take advantage of you.
4. Frustration
Life falls short of your expectations. You insist
that things should be different. It might be your
own performance (“I shouldn’t have made that
mistake”), what someone else does (“He should’ve
been on time!”), or an event (“Why does the traffic
always slow down when I’m in a hurry?”).
5. Anxiety, Worry, Fear, Nervousness or Panic
You believe you're in danger because you think
something bad is about to happen. “What if the
plane crashes? What if my mind goes blank when
I give my talk in front of all those people? What if
this chest pain is the start of a heart attack?”
6. Inferiority or Inadequacy
You compare yourself to others and conclude that
youre not as good as they are because you're not
as talented, attractive, charming, successful,
intelligent. “She’s really got what it takes. She’s so
cute. All the men are chasing her. I’m just
average. There’s nothing very special about me.’
7. Loneliness
You tell yourself that you’re bound to feel
unhappy because you're alone and you aren’t
getting enough love and attention from others.
8. Hopelessness or Discouragement
You feel convinced that your problems will go on
forever and that things will never improve. “I'll
never get over this depression,” or “I just can’t
lose weight and keep it off,” or “I'll never find a
good job,” or “I'll be alone forever.”
David, Burns D. The Feeling Good Handbook. New York: Plume, 1999. Print.