Labeling

Help clients explore the labeling cognitive distortion, whereby individuals assign fixed, global traits to themselves or others, often leading to strong negative emotions.

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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

Identifying negative automatic thoughts and reappraising unhelpful thinking is a core element of cognitive therapy. Teaching clients to recognize the presence and nature of distortions is a useful way of introducing this skill – clients are often quick to identify with the concept of ‘unhelpful thinking styles’ and to recognize their habitual biases. Labeling (sometimes referred to as ‘negative global evaluations’) is an extreme form of overgeneralization. It is characterized by assigning fixed, global traits to the self or others, usually in the form of pejorative, single-word labels (e.g. "stupid", "useless", "disgusting").

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

Why Use This Resource?

Cognitive distortions, cognitive biases, or ‘unhelpful thinking styles’ are characteristic ways in which our thoughts can become biased. This resource helps clients:

  • Better understand the nature of cognitive distortions.
  • Become more of aware of labeling thoughts when they arise.
  • Address unhelpful thinking styles that lead to distress.

Key Benefits

Education

Provides psychoeducation about cognitive distortions.

Awareness

Helps client recognize labeling thoughts.

Techniques

Offers practical interventions for addressing labeling thoughts.

Who is this for?

Low Self-Esteem

Negative self-labeling contributing to feelings of worthlessness.

Perfectionism

Harsh self-labels related to performance and perceived failure.

Anxiety Disorders

Negatively labeling internal experiences (e.g., "this sensation is unbearable").

Interpersonal Difficulties

Negatively labeling other people.

Integrating it into your practice

01

Education

Explain what cognitive distortions are.

02

Discuss

Explore whether the client experiences labeling thoughts.

03

Monitor

Help clients recognize when labeling thoughts arise.

04

Address

Use techniques such as looking for variations in behavior to reduce labeling.

Theoretical Background & Therapist Guidance

Catching automatic thoughts and reappraising cognitions is a fundamental aspect of traditional cognitive therapy (Beck et al., 1979; Beck, 1995; Kennerley, Kirk, & Westbrook, 2007). Identifying cognitive biases often helps introduce this concept, as clients typically find it easy to understand and relate to the idea of "unhelpful thinking styles." They can quickly learn to recognize these biases in their own automatic thoughts. Once clients have identified these biases, they can be taught to evaluate the accuracy of their automatic thoughts and draw new conclusions.

Labeling, sometimes referred to as "negative global evaluations," is an extreme form of overgeneralization and a common cognitive distortion or "unhelpful thinking style." It involves assigning fixed, global traits to oneself or others, usually in the form of negative, single-word labels (Leahy, 2017).

Labeling is often self-perpetuating. When individuals label themselves or their experiences as entirely "good" or completely "bad," they tend to focus exclusively on characteristics that align with the label, while ignoring contradictory evidence (Tolin, 2016). Beck and colleagues (1979) also note that abstract, global characterizations are challenging to address in therapy. When the therapist and client shift their focus from global judgments to specific problems, identifying solutions becomes much easier.

What's inside

  • Comprehensive overview of cognitive distortions.
  • Detailed information on understanding and identifying labeling thoughts.
  • Strategies for addressing labeling thoughts.
  • Therapist prompts for exploring cognitive distortions with clients.
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FAQs

Techniques such as cognitive restructuring, decentering, cost-benefit analysis, and developing non-judgmental descriptions are often effective.
Labeling is often apparent in automatic thoughts characterized by judgmental language and pejorative descriptions. Clients can learn to catch these thoughts through self-monitoring.

How This Resource Improves Clinical Outcomes

This resource aids clients in:

  • Understanding cognitive distortions.
  • Recognizing and addressing labelling thoughts.
  • Addressing problematic styles of thinking.

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.
  • Blake, E., Dobson, K. S., Sheptycki, A. R., & Drapeau, M. (2016). The relationship between depression severity and cognitive errors. American Journal of Psychotherapy, 70, 203-221. DOI: 10.1176/appi.psychotherapy.2016.70.2.203.
  • Burns, D. D. (2020). Feeling great: The revolutionary new treatment for depression and anxiety. PESI Publishing.
  • 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.
  • Dijkstra, P., Barelds, D., & van Brummen-Girigori, O. (2017). General cognitive distortions and body satisfaction: Findings from the Netherlands and Curaçao. International Journal of Cognitive Therapy, 10, 161-174. DOI: 10.1521/ijct.2017.10.2.161.
  • Egan, S. J., Wade, T. D., Shafran, R., Antony, M. M. (2014). Cognitive-behavioral treatment of perfectionism. Guilford.
  • Flavell, J. H. (1979). Metacognition and cognitive monitoring: A new area of cognitive-developmental inquiry. American Psychologist, 34, 906-911. DOI: 10.1037/0003-066X.34.10.906.
  • 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.
  • Jager-Hyman, S., Cunningham, A., Wenzel, A., Mattei, S., Brown, G. K., & Beck, A. T. (2014). Cognitive distortions and suicide attempts. Cognitive Therapy and Research, 38, 369-374. DOI: 10.1007/s10608-014-9613-0.
  • Kuru, E., Safak, Y., Özdemir, İ., Tulacı, R. G., Özdel, K., Özkula, N. G., & Örsel, S. (2018). Cognitive distortions in patients with social anxiety disorder: Comparison of a clinical group and healthy controls. The European Journal of Psychiatry, 32, 97-104. DOI: 10.1016/j.ejpsy.2017.08.004.
  • Lazarus, A. (1977). Towards an egoless state of being. In A. Ellis, & R. Grieger (Eds.), Handbook of rational emotive therapy (Vol. 1) (pp. 113-118). Springer.
  • Leahy, R. L. (2017). Cognitive therapy techniques: A practitioner’s guide (2nd ed.). Guilford Press.
  • Noël, V. A., Francis, S. E., Williams-Outerbridge, K., & Fung, S. L. (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.
  • Puri, P., Kumar, D., Muralidharan, K., & Kishore, M. T. (2021). Evaluating schema modes and cognitive distortions in borderline personality disorder: A mixed-method approach. Journal of Clinical Psychology, 77, 1973-1984. DOI: 10.1002/jclp.23126.
  • Shafran, R., Thordarson, D. S., & Rachman, S. (1996). Thought-action fusion in obsessive-compulsive disorder. Journal of Anxiety Disorders, 10, 379-391. DOI: 10.1016/0887-6185(96)00018-7.
  • Tecuta, L., Gardini, V., Schumann, R., Ballardini, D., & Tomba, E. (2021). Irrational beliefs and their role in specific and non-specific eating disorder symptomatology and cognitive reappraisal in eating disorders. Journal of Clinical Medicine, 10, 1-11. DOI: 10.3390/jcm10163525.
  • Tolin, D. F. (2016). Doing CBT: A comprehensive guide to working with behaviors, thoughts, and emotions. Guilford Press.
  • Veen, G., & Arntz, A. (2000). Multidimensional dichotomous thinking characterizes borderline personality disorder. Cognitive Therapy and Research, 24, 23-45. DOI: 10.1023/A:1005498824175.
  • Westbrook, D., Kennerley, H., & Kirk, J. (2011). An introduction to cognitive behaviour therapy: Skills and applications (2nd ed.). Sage.