What is the primary theoretical perspective of a COTA® who believes changing clients' negative beliefs leads to behavioral change?

The primary theoretical perspective that posits changing clients' negative beliefs can lead to behavioral change is rooted in cognitive theory. This approach emphasizes the importance of thoughts in influencing emotions and behaviors. Cognitive theory suggests that by identifying and altering negative or distorted beliefs, individuals can change their reactions and behaviors in various situations.

In therapeutic settings, a COTA® utilizing this perspective may focus on cognitive restructuring techniques. These include helping clients recognize negative thought patterns, challenge those beliefs, and replace them with more positive or realistic appraisals. This process encourages clients to develop healthier behaviors and coping strategies rooted in the changes made to their cognitive frameworks.

The other theoretical perspectives mentioned do not primarily focus on the transformation of beliefs as a pathway to behavioral change. Cognitive disability theory centers on limitations in cognitive functioning, developmental theory emphasizes stages of growth and development, and sensorimotor approaches are focused on physical skills and movement. Thus, cognitive theory distinctly highlights the connection between belief systems and behavior, making it the correct answer in this context.