CBT therapists challenge clients in what is known as ‘multimodal disputing’.
This means that it can take place across four spectrums.
Many people who turn to therapists for recovery have a stereotyped imagination of what they can expect from the experience.
In CBT, disputing means challenging the client to see irrational beliefs as unrealistic and encouraging them to replace these with more rational, realistic versions.
Non-extremism accepts that these failures makes things more difficult but they are not life-threatening. Logical Reasoning: This form of disputing is aimed at showing the client that feelings are not facts, e:g I feel terrible so I must be terrible.
The aim is to replace long-standing false beliefs with a client driven flexible belief system in order to help them become less disturbed.
Clients often have problems adopting this ‘verbal persuasion’ and sometimes change is only initiated over a long period.
The aim of cognitive disputing, through interaction between client and therapist, is to lead the client into an atmosphere of self disputing and in essence to eventually become their own therapist. Therapists can challenge this thinking, making it more flexible meaning having strong desires but being prepared for setbacks. Extremism versus non-extremism: In other words, awfulizing.
This means associating failures and setbacks with a generalized view that this setback proves the irrational thoughts around worthlessness and hopelessness correct.