Posted: Sep 29, 2017 12:59 pm
crank wrote:Thank you both for your replies.
Fallible, you describe how CBT is meant to be used. What's to keep someone who already has denial issues from using it, in a way that seems perfectly normal to him, but since he's in denial, he isn't perceiving the issues clearly enough, he's misidentifying how he's off reality wise. He thinks he's catastrophizing some event X, when in reality what he thinks X is is only the tip of the iceberg so to speak in how bad his behaviour was. This would allow him to minimize how seriously he views his actions when he ought to be amplifying how seriously bad he's been viewing them. Jesus, that's too confusing. What it boils down to is I'm trying to say just because CBT is supposed to work in a certain way, that shouldn't make you think that bent and broken and twisted and warped folk will use it that way. Or less confusingly, the thinking errors identified by folks with a warped view of reality might not be identified all that well. I need to use CBT to tell myself I'm not the most confusing writer on the forum.
It doesn't make me think that. It makes me think that you maybe didn't get my previous point, which is that CBT uncovers irrational thoughts and exposes them to reality. This whole thing is too confusing. There are too many unknowns. Like, do you mean he's giving CBT to himself or what? That's not really 'having CBT.' That's using some CBT techniques in some kind of ad hoc fashion. A therapist is going to recognise denial and challenge him about it. It's pretty easy to spot in a patient. Also if he's not talking to you about what he did, it's probably because he is catastrophising the outcome. If he could be more rational about it, it might actually mean he WAS then able to face you, so minimising the magnitude of it might not even be the terrible thing you seem to think it would be. That's just a couple of variables. There are more.
Ah I see another post there from you. I'm at work, just cramming some food into my gob between patients. It's Friday fuck yeah, so hopefully will have more time this evening to type the more considered response you deserve.