A 37-year-old woman who is counseling characterizes her life as an abject failure, despite the fact that she has a healthy, stable family and has built a successful business with her husband. What does this woman's thinking represent?
A) Rationalization
B) Cognitive distortion
C) Delusional thinking
D) Self-aggrandizement
Ans: B
Feedback:
The client may cognitively distort either positively or negatively. The client exhibiting positive distortion may take chances that most would avoid (eg, risky stock deals) or be unrealistically positive about health-threatening conditions (eg, ignoring chest pains or an unusual lump). Negative distortions include: "I always do it wrong," "Nobody likes me," or "It's all his fault!" Usually, negative distortions are maladaptive and become the focus of treatment, which involves identification of the effects of the distortion on the client's life.
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