Disqualifying The Positive

This Disqualifying The Positive information handout forms part of the cognitive distortions series, designed to help clients and therapists work more effectively with common thinking biases.

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Professional version

Offers theory, guidance, and prompts for mental health professionals. Downloads are in Fillable PDF format where appropriate.

Client version

Includes client-friendly guidance. Downloads are in Fillable PDF format where appropriate.

Overview

Cognitive distortions, cognitive biases, or ‘unhelpful thinking styles’ are the characteristic ways our thoughts become biased (Beck, 1963). Catching automatic thoughts and (re)appraising them is a core component of traditional cognitive therapy (Beck et al, 1979; Beck, 1995; Kennerley, Kirk, Westbrook, 2007). Identifying the presence and nature of cognitive biases is often a helpful way of introducing this concept - clients are usually quick to appreciate and identify with the concept of ‘unhelpful thinking styles’.

Disqualifying the positive is a well-known thinking style in which individuals ignore, dismiss, or discount their positive attributes and experiences. Disqualifying the positive can be especially pernicious because it can maintain negative beliefs in the face of overwhelming counter-evidence and contradictory everyday events.

Why Use This Resource?

Disqualifying the positive is a common cognitive distortion, particularly in depression and anxiety. Clinicians can use this resource to:

  • Teach clients about cognitive distortions.
  • Help clients recognize ways they disqualify the positive.
  • Address this cognitive bias in therapy.

Key Benefits

Education

Promotes understanding of cognitive distortions.

Recognition

Helps clients identify their typical disqualifying thoughts.

Monitoring

Helps client notice when they are thinking in this way.

Intervention

Offers strategies for altering unhelpful thinking styles.

Who is this for?

Depression

Dismissing progress or personal achievements.

Low Self-Esteem

Discounting compliments and personal strengths.

Perfectionism

Focusing on performance deficits rather than strengths.

Social Anxiety

Disqualifying positive aspects of social interactions.

Integrating it into your practice

01

Educate

Introduce clients to the concept of cognitive distortions.

02

Identify

Help clients recognize where, when, and how they disqualify positives.

03

Monitor

Encourage clients to notice when this unhelpful thinking style occurs.

04

Address

Tackle this cognitive distortion using interventions such as positive data logging.

Theoretical Background & Therapist Guidance

According to the cognitive model, different cognitive biases are associated with different clinical presentations. For example, catastrophizing is associated with anxiety disorders (Nöel et al, 2012), dichotomous thinking has been linked to emotional instability (Veen & Arntz, 2000), and thought-action fusion is associated with obsessive compulsive disorder (Shafran et al., 1996).

Disqualifying the positive is a well-known thinking style in which individuals ignore, dismiss, or discount their positive attributes and experiences. Many therapists will be familiar with clients who use this type of “yes, but…” reasoning. While disqualifying the positive has been emphasized in cognitive models of depression (e.g., Gilbert, 2009), it plays a role in other disorders. For example, individuals with specific phobias often disqualify external rescue factors, such as the strength of physical structures (e.g., the robust design of aeroplanes) or the willingness of others to help in crisis situations (Kirk & Rouf, 2004).

Likewise, individuals with perfectionism tend to ignore or discount positive aspects of their performance, leading them to think that their high standards prompt continued striving (Egan et al., 2014).

What's inside

  • An introduction to cognitive distortions.
  • Comprehensive overview of disqualifying the positive.
  • Guidance for recognizing and addressing this unhelpful thinking style.
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FAQs

Disqualifying the positive involves ignoring or undervaluing positive attributes or experiences.
Start by encouraging clients to monitor for occurrences of this thinking style, followed by interventions to address it, such as evaluating the costs and benefits of discounting positives.
Utilize strategies such as counting positives and costs-benefits analysis to help clients recognize neglected strengths and achievements.

How This Resource Improves Clinical Outcomes

  • Enhances client awareness of cognitive distortions.
  • Reduces the impact of negative cognitive biases on mental health.
  • Encourages recognition and acknowledgement of positive attributes and experiences.

References And Further Reading

  • Beck, A. T. (1963). Thinking and depression: I. Idiosyncratic content and cognitive distortions. Archives of General Psychiatry, 9, 324-333. DOI: 10.1001/archpsyc.1963.01720160014002.
  • Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. Guilford Press.
  • Beck, J. S. (1995). Cognitive behavior therapy: Basics and beyond. Guilford Press.
  • Burns, D. D. (1980). Feeling good: The new mood therapy. New American Library.
  • Clark, D. A., & Beck, A. T. (2010). Cognitive therapy of anxiety disorders: Science and practice. Guilford Press.
  • Covin, R., Dozois, D. J., Ogniewicz, A., & Seeds, P. M. (2011). Measuring cognitive errors: Initial development of the Cognitive Distortions Scale (CDS). International Journal of Cognitive Therapy, 4, 297-322. DOI: 10.1521/ijct.2011.4.3.297.
  • Darvishi, E., et al. (2020). A cross-sectional study on cognitive errors and obsessive-compulsive disorders among young people during the outbreak of coronavirus disease 2019. Activitas Nervosa Superior, 62, 137-142. DOI: 10.1007/s41470-020-00077-x.
  • Egan, S. J., et al. (2014). Cognitive-behavioral treatment of perfectionism. Guilford Press.
  • Fennell, M., & Jenkins, H. (2004). Low self-esteem. In J. Bennett-Levy et al. (Eds), Oxford guide to behavioural experiments in cognitive therapy (pp. 413-431). Oxford University Press.
  • Franceschi, P. (2020). For a typology of auditory verbal hallucinations based on their content. Activitas Nervosa Superior, 62, 104-109. DOI: 10.1007/s41470-020-00073-1.
  • Gilbert, P. (1998). The evolved basis and adaptive functions of cognitive distortions. British Journal of Medical Psychology, 71, 447-463. DOI: 10.1111/j.2044-8341.1998.tb01002.x.
  • Gilbert, P. (2009). Overcoming depression. A self-help guide using cognitive behavioral techniques. Robinson.
  • Kirk, J., & Rouf, K. (2004). Specific phobias. In J. Bennett-Levy et al. (Eds), Oxford guide to behavioural experiments in cognitive therapy (pp.161-181). Oxford University Press.
  • Leahy, R. L. (2017). Cognitive therapy techniques: A practitioners guide. Guilford Press.
  • Noël, V. A., et al. (2012). Catastrophizing as a predictor of depressive and anxious symptoms in children. Cognitive Therapy and Research, 36, 311-320. DOI: 10.1007/s10608-011-9370-2.
  • Olivardia, R. (2001). Mirror, mirror on the wall, who’s the largest of them all? The features and phenomenology of muscle dysmorphia. Harvard Review of Psychiatry, 9, 254-259.
  • Özdel, K., et al. (2014). Measuring cognitive errors using the Cognitive Distortions Scale (CDS): Psychometric properties in clinical and non-clinical samples. PloS One, 9, e105956. DOI: 10.1371/journal.pone.0105956.
  • Padesky, C. A. (1990). Schema as self-prejudice. International Cognitive Therapy Newsletter, 6, 6-7.
  • Riley, C., & Shafran, R. (2005). Clinical perfectionism: A preliminary qualitative analysis. Behavioural and Cognitive Psychotherapy, 33, 369-374. DOI: 10.1017/S1352465805002122.
  • Shafran, R., et al. (1996). Thought-action fusion in obsessive compulsive disorder. Journal of Anxiety Disorders, 10, 379-391. DOI: 10.1016/0887-6185(96)00018-7.
  • Veale, D. (2004). Advances in a cognitive behavioural model of body dysmorphic disorder. Body Image, 1, 113-125. DOI: 10.1016/S1740-1445(03)00009-3.
  • Veen, G., & Arntz, A. (2000). Multidimensional dichotomous thinking characterizes borderline personality disorder. Cognitive Therapy and Research, 24, 23-45. DOI: 10.1023/A:1005498824175.
  • Weeks, J. W., et al. (2008). Exploring the relationship between fear of positive evaluation and social anxiety. Journal of Anxiety Disorders, 22, 386-400. DOI: 10.1016/j.janxdis.2007.04.009.
  • Westbrook, D., Kennerley, H., & Kirk, J. (2011). An introduction to cognitive behaviour therapy: Skills and applications (2nd ed.). Sage.
  • Young, J. E., et al. (2013). Schema therapy: A practitioners guide. Guilford Press.