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Trial-based psychotherapy and the efficacy of trial-based thought record in changing unhelpful core beliefs and reducing self-criticism

Published online by Cambridge University Press:  26 April 2012

Irismar Reis de Oliveira ,
Curt Hemmany ,
Vania B. Powell ,
Thaís D. Bonfim ,
Érica P. Duran ,
Nilma Novais ,
Michella Velasquez ,
Elaine Di Sarno ,
Gledson L. Alves  and
Joici A. Cesnik
Irismar Reis de Oliveira*
Affiliation:
Department of Neurosciences and Mental Health, Federal University of Bahia, Salvador, Brazil
Curt Hemmany
Affiliation:
Department of Neurosciences and Mental Health, Federal University of Bahia, Salvador, Brazil
Vania B. Powell
Affiliation:
Department of Neurosciences and Mental Health, Federal University of Bahia, Salvador, Brazil
Thaís D. Bonfim
Affiliation:
Department of Neurosciences and Mental Health, Federal University of Bahia, Salvador, Brazil
Érica P. Duran
Affiliation:
Independent clinical psychologist, on behalf of the Brazilian TBTR Study Group
Nilma Novais
Affiliation:
Independent clinical psychologist, on behalf of the Brazilian TBTR Study Group
Michella Velasquez
Affiliation:
Independent clinical psychologist, on behalf of the Brazilian TBTR Study Group
Elaine Di Sarno
Affiliation:
Independent clinical psychologist, on behalf of the Brazilian TBTR Study Group
Gledson L. Alves
Affiliation:
Independent clinical psychologist, on behalf of the Brazilian TBTR Study Group
Joici A. Cesnik
Affiliation:
Independent clinical psychologist, on behalf of the Brazilian TBTR Study Group
*
*Address correspondence to: Irismar Reis de Oliveira, MD, PhD, Department of Neurosciences and Mental Health, Federal University of Bahia, Avenida Reitor Miguel Calmon, s/no, Vale do Canela, Salvador, Bahia, 40110-905, Brazil. Email irismar.oliveira@uol.com.br
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Abstract

Introduction

The best prevention against relapse results when patients are taught to restructure negative core beliefs (CBs). Efficacy of the trial-based thought record (TBTR) in decreasing the credit given by patients to negative CBs and corresponding emotions was evaluated.

Method

Patients (n = 166) were submitted to a simulation of a legal trial to assess their adherence to negative CBs and corresponding emotions after each cognitive therapy technique incorporated by TBTR.

Results

Significant reductions existed in percent values after the first and second defense attorney pleas, as well as after jury's verdict and initial preparation for the appeal (p < 0.001), relative to the investigation phase. Significant differences also emerged between the defense attorney's first and second pleas and between the defense attorney's second plea and jury's verdict, as well as preparation for the appeal (p < 0.001). There was no significant difference between percentages presented by patients submitted to TBTR used in the empty chair format relative to the conventional format. Similarly, there was no difference between outcomes, regardless of therapists’ level of exposure to TBTR.

Conclusion

TBTR may help patients reduce attachment to negative CBs and corresponding emotions. Outcomes were significantly favorable regardless of the format use and therapists’ level of exposure to TBTR.

Keywords

Cognitive therapyCore beliefsSelf-criticismTrial-based cognitive therapyTrial-based thought record
Type
Original Research Articles
Information
CNS Spectrums , Volume 17 , Issue 1 , 26 April 2012 , pp. 16 - 23
Copyright
Copyright © Cambridge University Press 2012

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