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. 2023 Oct 31;14:1167860. doi: 10.3389/fpsyg.2023.1167860

Table 2.

Descriptions of the content of MCT-Silver modules.

Module Name Cognitive bias/Behavior Aims Training example
1 Thinking and reasoning I Mental filter, overgeneralization
  • Identify and modify selective perception (i.e., mental filter) and exaggerated generalizations of negative experiences.

Modification of overgeneralization of negative experiences: Situational examples are presented along with possible (depressive) interpretations.
More helpful interpretations
of these situations are identified.
2 Memory Mood-congruent memory, false memories
  • Normalize and explain concentration and memory issue.

  • Increase awareness of memory biases.

False memory effect: Participants are asked to remember objects presented in a picture. They are then provided with a list of words and are asked to identify the incorrect objects, which were not presented.
3 Thinking and reasoning II “Should” statements, “all or nothing” thinking, acceptance of negative feelings related to life changes.
  • Encourage participants to question rigid and perfectionistic behavior

  • Present the concept of acceptance for negative feelings.

Examining perfectionistic standards:
  • The pros and cons of holding oneself to certain (high) standards (e.g., to always have a perfectly clean home) are discussed.

Acceptance:
  • Identification of areas in life in which participants would like to practice more acceptance.

4 Values Identifying values and strategies for living a value-based life
  • Identify personal values.

Values:
  • Communication regarding the importance of improving insight into personal values.

  • Processing of strategies that can support a value-oriented life.

5 Thinking and reasoning III Magnification and minimization, depressive attributional style
  • Identify and modify biases in judging the extent and consequences of perceived successes and failures.

One-sided attributions: Examples of one-sided attributions are presented, and participants are encouraged to identify multiple causes for an outcome.
6 Behaviors and strategies Dysfunctional coping strategies:
withdrawal, rumination,
thought suppression
  • Reduce dysfunctional behaviors associated with depression.

  • Develope new helpful coping behaviors.

Helpful coping strategies:
  • Mindfulness exercise to practice gaining inner (psychological) distance.

7 Thinking and reasoning IV Jumping to conclusions, mind reading, fortune telling (catastrophizing)
  • Identify instances of jumping to conclusions.

  • Encourage consideration of multiple sources of information before reaching a conclusion.

Considering alternative information:
  • Paintings are presented and participants are asked to guess the correct title from a list of choices.

8 Self-esteem Self-esteem, changing negative self-perceptions through imagery
  • Communicate strategies to improve self-esteem

  • Reduce and modify unfair comparisons (e.g., with the younger self).

  • Imagination exercise: Transformation of negative images into strong, positive images (e.g., transformation of a weak, nervous chick into a proud eagle).