Interpretations that are negative lead to negative Correspondence and reprint requests to Ana-Maria Vranceanu, PhD, One Bowdoin Square, Massachusetts General Hospital, Boston, MA 02138; e-mail: . 0894-1130/$ - see front matter Ó 2011 Hanley & Belfus, an imprint of Elsevier Inc. All rights reserved.doi:10.1016/j.jht.2010.08.005124 JOURNAL OF HAND THERAPY emotions and behaviors, whereas interpretations that are adaptive/positive lead to positive emotions and behaviors. In addition, maladaptive behaviors can increase negative thoughts and feelings. Thoughts and behaviors are interrelated. This interrelation is particularly important, as what we think and do are