The CCT Square builds on the CBT triangle (emotions-thoughts-behavior) to add a fourth domain: physiological reactions. CCT addresses all four corners of the square: if we change one corner, the other three are altered.
Cues—also known as trauma reminders—are formerly neutral stimulus that, through a process of classical conditioning, come to activate the trauma response and symptoms. Cues are idiosyncratic: they are specific to a person and the context of trauma. Each cue is linked to a particular square, i.e., an initial response pattern.
In CCT, we do not attempt to change the child’s trauma responses, but we help the child create new, more adaptive responses. This is visually represented with the CCT CUbE.