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The activation of certain underlying negative core beliefs (CBs) may carry out a primary role in the manifestation of cognitive, affective and behavioral symptoms. Besides aiding the patient to identify and modify dysfunctional thoughts and emotions, helping the patient to restructure dysfunctional CBs is fundamental in order for therapeutic results to be consistent and long lasting (de-Oliveira & Pereira, 2004; Wenzel, 2012). One difficulty in restructuring more superficial levels of cognition is that, frequently, the more functional alternative thoughts that are generated to challenge the dysfunctional automatic thoughts (ATs) are disqualified by thoughts (also automatic) of the type “yes, but...,” derived from the activated negative CBs (de-Oliveira, 2007).

Use of the Trial-Based Thought Record to Change Negative Core Beliefs