Externalizing

Externalizing is a common cognitive distortion whereby individuals blame others for negative events and deny personal responsibility.

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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

The Externalizing information handout is part of the cognitive distortions series, designed to support therapists and clients in addressing common thinking biases. It offers insights into the externalizing cognitive distortion, helping therapists and clients identify, understand, and address unhelpful style of thinking.

Why Use This Resource?

Understanding and addressing cognitive distortions is a key component of cognitive behavioral therapy (CBT). This resource facilitates:

  • Better understanding of cognitive distortions.
  • Awareness and recognition of unhelpful styles of thinking.
  • Strategies for addressing these cognitive biases.

Key Benefits

Clarity

Provides clear definitions and examples of externalization.

Recognition

Helps clients identify when they externalize.

Strategies

Offers practical interventions to address externalizing thoughts.

Who is this for?

Anger

Anger and aggression associated with blaming others for negative events.

Post-Traumatic Stress Disorder (PTSD)

Blaming others for traumatic experiences.

Relationship Problems

Strained connections due to a refusal to accept responsibility.

Integrating it into your practice

01

Educate

Provide psychoeducation on cognitive distortions and their impact

02

Identify

Help clients recognize instances where they externalize.

03

Monitor

Encourage clients to identify instances of externalizing thoughts.

04

Address

Tackle externalizing thoughts using interventions such as costs-benefits analysis.

Theoretical Background & Therapist Guidance

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’, and can easily be trained to notice the presence of biases in their own automatic thoughts.

Externalization (also referred to as ‘other-blame’, ‘personalized blame’, and ‘defensive attribution’) describes a style of thinking whereby individuals blame others for negative events and deny personal responsibility. It is often assumed that external attributions for negative outcomes are healthy, as they help to buffer self-esteem. However, external attributions can also be maladaptive. Many studies indicate that blaming others for negative events is associated with reduced health and well-being (Tennen & Affleck, 1990). For instance, individuals who blame others for chronic pain experience greater pain and distress than those who do not (DeGood & Kiernan, 1993).

The handout provides practical guidance for identifying, monitoring, and addressing externalizing thoughts when they occur.

What's inside

  • A comprehensive introduction to cognitive distortions.
  • A detailed explanation of externalization, including clinical examples.
  • Practical strategies for identifying and managing externalizing thoughts.
  • Therapist prompts for exploring this cognitive distortion with clients.
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FAQs

Externalization refers to the tendency to blame outside factors or other individuals for personal failures or negative experiences, thereby avoiding personal responsibility.
Key interventions include self-monitoring, considering other causes for negative events (including oneself), and costs-benefits analysis.
Clients may use externalizing thoughts to protect self-esteem, justify behaviors, or alleviate difficult emotions like shame or guilt.

How This Resource Improves Clinical Outcomes

By utilizing this resource, therapists can help clients:

  • Become more aware of externalizing thoughts.
  • Re-evaluate this style of thinking.
  • Address problems associated this cognitive pattern, such as interpersonal difficulties.

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., Freeman, A., & Davis, D. D. (2004). Cognitive therapy of personality disorders (2nd ed.). Guilford Press.
  • Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. Guilford Press.
  • Bradley, G. W. (1978). Self-serving biases in the attribution process: A reexamination of the fact or fiction question. Journal of Personality and Social Psychology, 36, 56–71. DOI: 10.1037/0022-3514.36.1.56.
  • DeGood, D. E., & Kiernan, B. (1996). Perception of fault in patients with chronic pain. Pain, 64, 153–159. DOI: 10.1016/0304-3959(95)00090-9.
  • Ehlers, A., & Steil, R. (1995). Maintenance of intrusive memories in posttraumatic stress disorder: A cognitive approach. Behavioral and Cognitive Psychotherapy, 23, 217-249. DOI: 10.1017/S135246580001585X.
  • Freeman, D., Garety, P. A., Kuipers, E., Fowler, D., & Bebbington, P. E. (2002). A cognitive model of persecutory delusions. British Journal of Clinical Psychology, 41, 331-347. DOI: 10.1348/014466502760387461.
  • Hazebroek, J. F., Howells, K., & Day, A. (2001). Cognitive appraisals associated with high trait anger. Personality and Individual Differences, 30, 31-45.
  • Hickling, E. J., Blanchard, E. B., Buckley, T. C., & Taylor, A. E. (1999). Effects of attribution of responsibility for motor vehicle accidents on severity of PTSD symptoms, ways of coping, and recovery over six months. Journal of Traumatic Stress, 12, 345-353. DOI: 10.1023/A:1024784711484.
  • Stuewig, J., Tangney, J. P., Heigel, C., Harty, L., & McCloskey, L. (2010). Shaming, blaming, and maiming: Functional links among the moral emotions, externalization of blame, and aggression. Journal of Research in Personality, 44, 91-102. DOI: 10.1016/j.jrp.2009.12.005.