Rosemary E. Bernstein, Karyn L. Angell and Crystal M. Dehle


“Liz came to realize that her rage was not a response to the auditory input itself as much as a reaction to an underlying core belief that her needs were not important to those close to her.

Prior to treatment, Liz had assumed that because close others had not responded to her non-specific covert signals, they were imperceptive, selfish, uncaring, unaccommodating, and dismissive of her needs – beliefs that led to feelings of rage and resentment.

Because these feelings were inconsistent with her self-identity as a compassionate and loving person, they perpetuated secondary feelings of shame and a core belief of helplessness regarding her condition.”