REBT -
Self
defeating thoughts-part of the road to negative feelings and emotional pain, mocked by many
The Folklore of Sex
book, 1951
Self
acceptance-NOT the same as Self-esteem; result of rational thinking
• Efficacy of REBT is
across wide-range of disorders and variety of cultural groups
Being active and directive
actively listening to understand the clients situation; directive in suggestions the client to look up certain things o research REBT therapy further.
APAs Outstanding Lifetime contributions to Psychology Award
-considered one of the most influencial therapist of all times.
ACAs living Legend Award
-considered one of the most influential therapist of all times.
Teaching the REBT philosophy
1. we are born fallible human beings; have potential for rational or irrational thinking; 2. we are not bound by the past; 3. learn how to accept ourselves and others unconditionally and not berate ourselves or others for behaving in ways that cause emotional distress or dysfunctional behaviors; 4. The ABCs: cognitive distortion of events, and not the event itself, is what causes irrational thinking; 5. irrational thinking is the result of our cognitive distortion; 6. most have adopted one or more of twelve irrational beliefs or here core irrational beliefs that are a result of our cognitive distortions; 7. capable of adopting a new, more rational belief system that results in having appropriate feelings and functional behaviors; 8. adopting a rational belief system will take practice, but we can overcome our past conditioning.
Chief psychologist of New Jersey
1950 and quit in 1952 to dedicate all time to private practice
The American Sexual Tragedy
1954, book
Society for the Scientific Study of Sex
1956, Ellis founded and became the first president
Sex without Guilt
1958 book
Rational emotive therapy
2nd name
Rational emotive behavior therapy
3rd name
• Therapist presents hypothesis in the
ABC model
• Therapeutic Process is seen through a series of 5 steps
Assessing client's situation and hypothesizing how ABC's apply, Teaching the REBT philosophy, Demonstrating how client's situation fits REBT model, Directing the change process and reinforcing change, Terminating the relationship
How to know when to Reinforce Change and Terminate the Relationship
Clients become comfortable with REBT philosophy and apply principles to many aspects of their lives,Clients accept self and others in their difference and fallibilities, Clients are armed with the tools of change that originated from the REBT philosophy,Client adopts new style of relating which includes replacing irrational beliefs with rational beliefs
International Journal of Sexology
Ellis became the American editor
Ph.D in clinical psychology from Columbia University
Ellis pursued in 1942
Core irrational beliefs
Ellis reduced his 12 irrational beliefs to 3, it is from these that countless others form; also called core musturbatory or grandiose irrational beliefs; 1. I must always be approved of and liked/loved by everyone, 2. you should always treat me well and act the way I think you should, 3. Life should always be fair and just
Albert Ellis Institute
Ellis sued his own foundation, for illegally removing him
Cognitive therapy
Ellis was seen as first to practice; an approach and set of procedures that attempts to change feelings and behavior by modifying faulty thinking and believing.
• Ellis's early outcome studies compared psychoanalytically oriented therapies to REBT
Found REB considerably more effective
Institute for Rational Living in New York City
Founded in 1959
• Assess Client's Situation and Hypothesize How the ABCs Apply
Ongoing throughout all phases of therapy
• More efficacious for more educated and healthier and those who would like to work in a focused manner, quickly
REBT
Psychoeducational approach
REBT approach; means that it teaches the individual more effective ways of living in the world and helps the individual learn about his or her psychological self.
ABCDEs of feelings and behaviors
REBT therapist use these to address the clients irrational beliefs; A-therapist labels the Activating event; iB-labels the irrational Belief about the activating event; C-and the Consequential feeling or behavior; once irrational belief is discovered the therapists will D-Dispute; in an effort to develop new E-Effective responses
Complex interaction between one's thinking, feeling, and behavioral states
REBT therapists believe; a person's way of thinking is mostly responsible for self-defeating emotions and dysfunctional behaviors
Humor
REBT therapists see the humor that sometimes exists when individuals take on an irrational belief system
Anti deterministic philosophy-
REBT; asserts we can choose new ways of thinking and ultimately feel better and act in healthier ways
Core musturbatory or grandiose irrational beliefs
alternative names for the 3 core irrational beliefs
Awfulizing
a cognitive distortion; Exaggerating an event so that it seems horrible, terrible, awful, or catastrophic
Absolutistic musts and shoulds
a cognitive distortion; believing that one must or should act a certain way
Demands
a cognitive distortion; demanding that oneself, or another, act in a certain manner
To facilitate the Demonstrate How the Clients Situation Fits the REBT Model, the therapist may use
a handout that addressed the three core irrational or twelve irrational beliefs, Relate client's situation to the ABCs to illustrate the process
Socratic Dialogue
a process that therapists use in helping clients empirically test their core beliefs. Clients form hypotheses about their behavior through observation and monitoring.
Encouraging the disputing of dysfunctional cognitions, behaviors, and emotions
as clients learn the REBT philosophy, they realize that many of their cognitions, behaviors and emotions have not been healthy
• The job of the therapist in step 1 of the process is to
assess client's situation, understand client's feelings that may be causing distress, develop hypothesis: how the client distorts events
• REBT therapists can respect a clients' religious beliefs while
at the same time challenge other beliefs that are causing distress
Shame
attacking exercise-involves the purposeful acting out of a situation that might normally cause embarrassment; reinforces the fact that approval from others is not necessary for self-acceptance
Cognitive
behavioral school-REBT generally placed in this category of therapies
Philosophical conditioning
belief that the individual develops a way of understanding the world through his/her adherence to a unique philosophy
Disputations
can occur when a client realize that many of their cognitions, behaviors, and emotions have not been healthy; they are encouraged by therapist to dispute the unhealthy ones and replace them with healthy ones.
I
can't-stand-it-it is-a cognitive distortion; worrying about an event to the point where it feels unbearable
• Many mistakenly believe that REBT promotes
certain values as a result of words like "irrational" and "rational"
Behavioral disputations
challenge the irrational beliefs that are responsible for the behaviors.
Cognitive distortions
client's misconceptions and faulty assumptions; dualistic and inflexible thinking is related to its development and is responsible for irrational thinking, which makes one feel, crappy
Evidence
clients are challenged during philosophical discourse to show evidence that their irrational beliefs are true
Demonstrating unconditional acceptance
clients are seen as fallible human beings and recognize the inevitability of the fact that as fallible humans, people will sometimes exhibit behaviors that are toxic for themselves and others.
Client begins to actively work on change on 3 levels
cognitive, feeling, behavioral
APAs Distinguished Professional Contribution Award
considered one of the most influencial therapist of all times.
However, religious people and members of cultural groups who adhere to rigid values would have
difficulty with REBT
Rational
emotive imagery-a form of intense mental practice for learning new emotional and physical habits. Clients imagine themselves thinking, feeling, and behaving in exactly the way they would like to in everyday situations.
Therapist shows acceptance, constantly encouraging the client to
examine life & eventually take on a new philosophy of living
How to Live with a Neurotic
first book that highlighted his methods, 1957
Challenging clients
from REBT perspective, this should not be confused with heavy-duty confrontation. Occurs when therapists suggest to their clients that they examine their current way of understanding their thinking, feeling, and behavioral processes.
Generalization
having same response to similar item
1958 Supreme Court decision
his advocacy for the publication of sexually explicit materials helped the American Nudist Association with, that condoned the sending of magazines with sexually explicit information
Learning theory and existential
humanistic philosophy-REBT can best be seen as a mixture of these; learning theory in the sense that we learned a way of thinking, feeling, and acting that is self-perpetuating, and existential-humanistic, because we can choose to learn new and healthier ways of thinking, feeling, and behaving
Cognitive disputations
involve helping clients challenge their existing irrational beliefs, and in this process--do not use "Whys"
unconditioned stimulus
is paired with neutral stimulus to form a conditioned stimulus, to make a conditioned response
Metaphors and stories
less direct method, sometimes be used in an effort to illustrate and reinforce point that the REBT therapist is trying to make
• Clients treated with cognitive behavioral therapies tend to be
less disturbed and have improvement of the neurotic symptoms
• Ellis suggested some ways of being are
more likely to create frustration, emotional distress, self-hate, and hate of others
• Suggests "rational beliefs" are
more likely to lend themselves to a philosophy of tolerance
Constructivist approach
more recently Ellis argued that REBT falls under this approach; due to the fact that one can reconstruct one's meaning-making system by applying the theory
To reinforce the client understanding of REBT philosophy, the therapist may use
pamphlets, books, internet resources
Consequential feeing or behavior ("C")
part 3 of the ABCDEs of feelings and behaviors
Dispute (D)
part 4 of the ABCDEs of feelings and behaviors
Effective responses E
part 5 of the ABCDEs of feelings and behaviors
Irrational thinking
part of the road to negative feelings and emotional pain, mocked by many
Activating event (A)
part one of the ABCDEs of feelings and behaviors
Irrational belief (iB)
part two of the ABCDEs of feelings and behaviors
• Fits well with managed health: brief and offers specific tools
positive traits of REBT
• Client must understand REBT philosophy
prior to sharing the formulated hypothesis
People
ratings-a cognitive distortion; viewing a person as if he or sho has all or none of a quality (good, bad worthless)
• Ellis believed that truth is
relative and beliefs are only yours in a moment in time
• Ellis says REBT well suited for
religious people accustomed to dealing with a belief system
Discrimination
responding selectively to one stimulus but not respond to a similar stimulus
Unconditional acceptance
result from rational thinking; the acceptance that we are all fallible human beings, and that somethings in life may be unfair or unjust; helps to create an atmosphere where the client can develop a new, more rational belief system with associated behaviors and feelings that yield a more positive outlook on life; allows clients to freely discuss their thoughts, feelings, or behaviors
Therapist suggests additional ways client can
rid self of irrational and dysfunctional thoughts & adopt new, more rational and functional ones
• REBT rejects
rigidly adhering to certain truths and absolutist thinking
REBT is not good for
severe mental disorders or long term treatment
Cognitive self
statements -beliefs that result in negative feelings, that are always rooted in one or more of the 12 irrational beliefs or the 3 core beliefs and driven by cognitive distortions; the statement that the client says to self about the event.
Risk
taking behaviors - a type of homework; often given to clients that encourage new ways of acting.
12 irrational beliefs
that people tend to embrace; 1. it is a dire necessity to be loved by significant others for everything they do, 2. certain acts are awful or wicked, and that people who perform such acts should be severely damned, 3. it is horrible when things are not the way we like them to be, 4. human misery is invariably externally caused and is forced on us by outside people and events, 5. if something is or may be dangerous or fearsome we should be terribly upset and endlessly obsess about it, 6. it is easier to avoid than to face life difficulties and self-responsibility, 7. we absolutely need something other or stronger or greater than yourself on which to rely, 8. we should be thoroughly competent, intelligent, and achieving in all possible respects, 9. because something once strongly affected our life, it should indefinitely affect it, 10. we must have certain and perfect control over things, 11. human happiness can be achieved by inertia and inaction, 12. we have virtually no control over our emotions and that we cannot help feeling disturbed about things
Rational beliefs (rB)
the results of the ABCDEs of feelings and behaviors that REBT therapist use; result in new consequences and that are less stressful and healthier.
Philosophical discourse
therapist lead discussion, asks questions and attempts to have the client see how his or her thinking process is illogical and leads o emotional distress and dysfunctional behaviors
Giving homework
therapists will ask client to actively practice techniques at home, with the intent of maintaining the new, more rational belief system.
• Therapist encourages client
to take on this philosophy if they are to make any substantive changes
Demonstrating the ABCs of feeling and behaving
used to demonstrate how the clients irrational beliefs, not their situations, are causing emotional distress
Fallible human beings
view of human nature; who have the potential for rational or irrational thinking; this is the basis of the voh.
Cognitive therapist
was always considered
Rational therapy
what Ellis called his new directive and cognitive approach in 1955; 1st name
Rational or irrational thinking
what makes us fallible; we have the potential of both. Rational thinking-leads to healthy ways of living, and results in people who show unconditional acceptance of self, of others, and of the way things are. Irrational thinking leads to emotional distress, dysfunctional behaviors, and neurotic ways of living, people also tend to be critical of others and themselves
Dispute the irrational beliefs (DIBS)
when a client is called upon to dispute the irrational beliefs about the event