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在CBT框架下，使用结构化提问序列引导来访者从情绪出发，逐层挖掘自动化思维、中间信念与核心信念，实现认知内容的外化与层级标注。
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Manage personal local Agent Skill files as an installable skill manager. Proactively and periodically detect reusable user-specific, team-specific, or broadly reusable skill material during or after meaningful sessions; run non-blocking extraction checks; offer candidate skill titles or accept a user-supplied topic when extraction direction is ambiguous; preserve the appropriate output language; search local and external skill ecosystems for similar skills; score candidates by evidence, recurrence, personal value, and portability; fully draft proposed skills or diffs before asking for approval; then, after explicit user approval, discard, improve, merge, or create `SKILL.md` folders.
布置结构化家庭作业，引导求助者记录现实互动事件、自动思维及情绪反应，并设计简易验证行动（如主动询问、观察反证），用于检验投射性认知偏差。适用于已识别出具体非理性信念（如‘别人肯定不喜欢我’）且情绪稳定者。
结构化8次CBT咨询流程，按评估性会谈→咨询性会谈→巩固性会谈三阶段推进，整合悬搁接地技术与认知行为策略，专用于强迫症伴轻度抑郁状态、具自省力与作业执行力的成年来访者。
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| id | 3dff5492-0da8-5d05-b27f-f0953a3a4ac0 |
| name | CBT自动思维识别与调整四步法 |
| description | 在CBT框架下，使用结构化提问序列引导来访者从情绪出发，逐层挖掘自动化思维、中间信念与核心信念，实现认知内容的外化与层级标注。 |
| version | 0.1.1 |
| tags | ["CBT","信念探索","箭头向下","认知层级","羞愧干预","认知行为疗法","profile:psychology::认知行为疗法","axis:疗法","class:认知行为疗法","kind:child","document_merge_state:active","canonical:true"] |
| triggers | ["来访者报告情绪突变","出现明显生理唤醒或行为回避","能初步命名情绪但无法追溯想法"] |
| examples | [{"input":"来访者说：‘我这次汇报搞砸了，领导肯定觉得我能力不行，我完蛋了。’","output":"治疗师：‘如果好朋友做了同样汇报后这么说，你会怎么回应他？’来访者停顿后答：‘我会说…其实领导只提了一个小建议，没说你不行。’","notes":"使用第④步触发自我慈悲视角"},{"input":"来访者说：‘他没回我消息，一定是生我气了。’","output":"治疗师：‘支持‘他生气了’这个想法的证据有哪些？有没有其他可能，比如他正在开会？’来访者列出：‘没回消息’是唯一证据，补充‘可能在忙’‘手机没电’等。","notes":"第①②步联合使用，松动证据单一性"}] |
在CBT框架下，使用结构化提问序列引导来访者从情绪出发，逐层挖掘自动化思维、中间信念与核心信念，实现认知内容的外化与层级标注。
以具体情绪为起点（如‘刚才提到感到羞愧’），连续追问‘如果这是真的，那意味着什么？’或‘这说明我是个怎样的人？’，每次追问后确认理解并锚定新一层信念；避免解释、评判或跳步；当出现重复、停顿或强烈情绪反应时暂停并正常化。
识别并外化信念层级
references/evidence.mdreferences/evidence_manifest.jsonInput:
来访者说：‘我这次汇报搞砸了，领导肯定觉得我能力不行，我完蛋了。’
Output:
治疗师：‘如果好朋友做了同样汇报后这么说，你会怎么回应他？’来访者停顿后答：‘我会说…其实领导只提了一个小建议，没说你不行。’
Notes:
使用第④步触发自我慈悲视角
Input:
来访者说：‘他没回我消息，一定是生我气了。’
Output:
治疗师：‘支持‘他生气了’这个想法的证据有哪些？有没有其他可能，比如他正在开会？’来访者列出：‘没回消息’是唯一证据，补充‘可能在忙’‘手机没电’等。
Notes:
第①②步联合使用，松动证据单一性