According to currently burgeoning "third wave approaches" such as Acceptance and Commitment Therapy (ACT) it might be more important to change the client's dysfunctional cognitions and responses to dysfunctional cognitions. Something, of course, which has been done implicitly, within CT of the traditional "Beckian" type, anyway. You cannot really do any thought record without "standing back" from your cognitions. A closer look at Haye's et al. work might be helpful in this debate .