Bilişsel Davranışçı Terapi Sürecinde Değersizlik Çekirdek İnancı ve İlişkisel Stresörlerin İncelenmesi: Bir Vaka Sunumu
An Examination of Worthlessness Core Belief and Relational Stressors in the Cognitive Behavioral Therapy Process: A Case Presentation

Summary/Abstract: The aim of this study is to examine the worthlessness core belief and relational stressors within the framework of Cognitive Behavioral Therapy (CBT) through a case presentation. The study was conducted as a qualitative case report based on a structured CBT process. The case involves a client who exhibits patterns of assuming excessive responsibility in interpersonal relationships, avoiding being a burden to others, and prioritizing others’ needs over their own. During the eight-session intervention process, cognitive formulation, the ABC model, cognitive restructuring, and Problem-Solving Therapy (controllability analysis) techniques were utilized. The findings indicate that the worthlessness core belief associated with early life experiences is activated by stressors in close relationships during adulthood and contributes to the maintenance of dysfunctional coping strategies. By the end of therapy, improvements were observed in the client’s ability to recognize automatic thoughts and to restructure perceived control. The discussion supports the effectiveness of CBT in modifying core beliefs and increasing perceived control. In conclusion, CBT-based interventions appear to be effective in facilitating awareness of worthlessness beliefs and in developing coping skills for relational stressors; future studies are recommended to support this process with psychometric measures.

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