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Rational Emotive Behavior Therapy - Wikipedia
Rational Emotive Behavior Therapy - Wikipedia
REBT is t hen applied as an educat ional process in which t he t herapist oft en act ive-direct ively
t eaches t he client how t o ident ify irrat ional and self-defeat ing beliefs and philosophies which in
nat ure are rigid, ext reme, unrealist ic, illogical and absolut ist , and t hen t o forcefully and act ively
quest ion and disput e t hem and replace t hem wit h more rat ional and self-helping ones. By using
different cognit ive, emot ive and behavioral met hods and act ivit ies, t he client , t oget her wit h help
from t he t herapist and in homework exercises, can gain a more rat ional, self-helping and
const ruct ive rat ional way of t hinking, emot ing and behaving.
One of t he main object ives in REBT is t o show t he client t hat whenever unpleasant and
unfort unat e act ivat ing event s occur in people's lives, t hey have a choice bet ween making
t hemselves feel healt hily or, self-helpingly, sorry, disappoint ed, frust rat ed, and annoyed or making
t hemselves feel unhealt hily and self-defeat ingly horrified, t errified, panicked, depressed, self-
hat ing and self-pit ying.[18] By at t aining and ingraining a more rat ional and self-const ruct ive
philosophy of t hemselves, ot hers and t he world, people oft en are more likely t o behave and
emot e in more life-serving and adapt ive ways.
A fundament al premise of REBT is t hat humans do not get emot ionally dist urbed by unfort unat e
circumst ances, but by how t hey const ruct t heir views of t hese circumst ances t hrough t heir
language, evaluat ive beliefs, meanings and philosophies about t he world, t hemselves and
ot hers.[19] This concept has been at t ribut ed as far back as t he St oic philosopher Epict et us, who
is oft en cit ed as ut ilizing similar ideas in ant iquit y.[11][20]
A-B-C-D-E-F Model
In REBT, client s usually learn and begin t o apply t his premise by learning t he A-B-C-D-E-F model of
psychological dist urbance and change. The following let t ers represent t he following meanings in
t his model:
A Adversity
B Beliefs about adversity
C Emotional consequences
D Disputations to challenge beliefs
about adversity
E Effective new rational beliefs
F New feelings
The A-B-C model st at es t hat it is not an A, adversit y (or act ivat ing event ) t hat cause dist urbed
and dysfunct ional emot ional and behavioral Cs, consequences, but also what people B, irrat ionally
believe about t he A, adversit y. A, adversit y can be an ext ernal sit uat ion, or a t hought , a feeling or
ot her kind of int ernal event , and it can refer t o an event in t he past , present , or fut ure.[21]
The Bs, irrat ional beliefs t hat are most import ant in t he A-B-C model are t he explicit and implicit
philosophical meanings and assumpt ions about event s, personal desires, and preferences. The
Bs, beliefs t hat are most significant are highly evaluat ive and consist of int errelat ed and
int egrat ed cognit ive, emot ional and behavioral aspect s and dimensions. According t o REBT, if a
person's evaluat ive B, belief about t he A, act ivat ing event is rigid, absolut ist ic, fict ional and
dysfunct ional, t he C, t he emot ional and behavioral consequence, is likely t o be self-defeat ing and
dest ruct ive. Alt ernat ively, if a person's belief is preferent ial, flexible, and const ruct ive, t he C, t he
emot ional and behavioral consequence is likely t o be self-helping and const ruct ive.
Through REBT, by underst anding t he role of t heir mediat ing, evaluat ive and philosophically based
illogical, unrealist ic and self-defeat ing meanings, int erpret at ions and assumpt ions in dist urbance,
individuals can learn t o ident ify t hem, t hen go t o D, disput ing and quest ioning t he evidence for
t hem. At E, effect ive new philosophy, t hey can recognize and reinforce t he not ion no evidence
exist s for any psychopat hological must, ought or should and dist inguish t hem from healt hy
const ruct s, and subscribe t o more const ruct ive and self-helping philosophies.[22] This new
reasonable perspect ive leads t o F, new feelings and behaviors appropriat e t o t he A t hey are
addressing in t he exercise.
Psychological dysfunction
One of t he main pillars of REBT is t hat irrat ional and dysfunct ional ways and pat t erns of t hinking,
feeling, and behaving are cont ribut ing t o human dist urbance and emot ional and behavioral self-
defeat ism and social defeat ism. REBT generally t eaches t hat when people t urn flexible
preferences, desires and wishes int o grandiose, absolut ist ic and fat alist ic dict at es, t his t ends t o
cont ribut e t o dist urbance and upset . These dysfunct ional pat t erns are examples of cognit ive
dist ort ions.
Core beliefs that disturb humans
Albert Ellis has suggest ed t hree core beliefs or philosophies t hat humans t end t o dist urb
t hemselves t hrough:[18]
Over-generalization
Furt her, REBT generally posit s t hat dist urbed evaluat ions t o a large degree occur t hrough
overgeneralizat ion, wherein people exaggerat e and globalize event s or t rait s, usually unwant ed
event s or t rait s or behavior, out of cont ext , while almost always ignoring t he posit ive event s or
t rait s or behaviors. For example, awfulizing is part ly ment al magnificat ion of t he import ance of an
unwant ed sit uat ion t o a cat ast rophe or horror, elevat ing t he rat ing of somet hing from bad t o
worse t han it should be, t o beyond t ot ally bad, worse t han bad t o t he int olerable and t o a
"holocaust ". The same exaggerat ion and overgeneralizing occurs wit h human rat ing, wherein
humans come t o be arbit rarily and axiomat ically defined by t heir perceived flaws or misdeeds.
Frust rat ion int olerance t hen occurs when a person perceives somet hing t o be t oo difficult ,
painful or t edious, and by doing so exaggerat es t hese qualit ies beyond one's abilit y t o cope wit h
t hem.
Secondary disturbances
Essent ial t o REBT t heory is also t he concept of secondary dist urbances which people
somet imes const ruct on t op of t heir primary dist urbance. As Ellis emphasizes:[18]
Origins of dysfunction
Regarding cognit ive-affect ive-behavioral processes in ment al funct ioning and dysfunct ioning,
originat or Albert Ellis explains:
"REBT assumes that human thinking, emotion, and action are not
really separate or disparate processes, but that they all significantly
overlap and are rarely experienced in a pure state. Much of what we
call emotion is nothing more nor less than a certain kind—a biased,
prejudiced, or strongly evaluative kind—of thought. But emotions and
behaviors significantly influence and affect thinking, just as thinking
influences emotions and behaviors. Evaluating is a fundamental
characteristic of human organisms and seems to work in a kind of
closed circuit with a feedback mechanism: First, perception biases
response, and then response tends to bias subsequent perception. Also,
prior perceptions appear to bias subsequent perceptions, and prior
responses appear to bias subsequent responses. What we call feelings
almost always have a pronounced evaluating or appraisal
element."[18]
REBT t hen generally proposes t hat many of t hese self-defeat ing cognit ive, emot ive and
behavioral t endencies are bot h innat ely biological and indoct rinat ed early in and during life, and
furt her grow st ronger as a person cont inually revisit s, clings and act s on t hem. Ellis alludes t o
similarit ies bet ween REBT and t he general semant ics when explaining t he role of irrat ional beliefs
in self-defeat ing t endencies, cit ing Alfred Korzybski as a significant modern influence on t his
t hinking.[24]
REBT differs from ot her clinical approaches like psychoanalysis in t hat it places lit t le emphasis
on exploring t he past , but inst ead focuses on changing t he current evaluat ions and philosophical
t hinking-emot ing and behaving in relat ion t o t hemselves, ot hers and t he condit ions under which
people live.
Irrational beliefs
REBT proposes four core irrat ional beliefs;
Disturbances
REBT sees dist urbances as caused by charact erist ics of a person, rat her t han a part icular past
event ;
Other insights
Ot her insight s of REBT (some referring t o t he ABCDEF model above) are:
Intervention
As explained, REBT is a t herapeut ic syst em of bot h t heory and pract ice; generally one of t he
goals of REBT is t o help client s see t he ways in which t hey have learned how t hey oft en
needlessly upset t hemselves, t each t hem how t o "un-upset " t hemselves and t hen how t o
empower t hemselves t o lead happier and more fulfilling lives.[19] The emphasis in t herapy is
generally t o est ablish a successful collaborat ive t herapeut ic working alliance based on t he REBT
educat ional model. Alt hough REBT t eaches t hat t he t herapist or counsellor is bet t er served by
demonst rat ing uncondit ional ot her-accept ance or uncondit ional posit ive regard, t he t herapist is
not necessarily always encouraged t o build a warm and caring relat ionship wit h t he client . The
t asks of t he t herapist or counselor include underst anding t he client 's concerns from his point of
reference and work as a facilit at or, t eacher and encourager.
In t radit ional REBT, t he client t oget her wit h t he t herapist , in a st ruct ured act ive-direct ive manner,
oft en work t hrough a set of t arget problems and est ablish a set of t herapeut ic goals. In t hese
t arget problems, sit uat ional dysfunct ional emot ions, behaviors and beliefs are assessed in
regards t o t he client 's values and goals. Aft er working t hrough t hese problems, t he client learns
t o generalize insight s t o ot her relevant sit uat ions. In many cases aft er going t hrough a client 's
different t arget problems, t he t herapist is int erest ed in examining possible core beliefs and more
deep root ed philosophical evaluat ions and schemas t hat might account for a wider array of
problemat ic emot ions and behaviors.[21] Alt hough REBT much of t he t ime is used as a brief
t herapy, in deeper and more complex problems, longer t herapy is promot ed.
In t herapy, t he first st ep oft en is t hat t he client acknowledges t he problems, accept s emot ional
responsibilit y for t hese and has willingness and det erminat ion t o change. This normally requires a
considerable amount of insight , but as originat or Albert Ellis[18] explains:
"Humans, unlike just about all the other animals on earth, create
fairly sophisticated languages which not only enable them to think
about their feeling, their actions, and the results they get from doing
and not doing certain things, but they also are able to think about
their thinking and even think about thinking about their thinking."
Through t he t herapeut ic process, REBT employs a wide array of forceful and act ive, meaning
mult imodal and disput ing, met hodologies. Cent ral t hrough t hese met hods and t echniques is t he
int ent t o help t he client challenge, disput e and quest ion t heir dest ruct ive and self-defeat ing
cognit ions, emot ions and behaviors. The met hods and t echniques incorporat e cognit ive-
philosophic, emot ive-evocat ive-dramat ic, and behavioral met hods for disput at ion of t he client 's
irrat ional and self-defeat ing const ruct s and helps t he client come up wit h more rat ional and self-
const ruct ive ones. REBT seeks t o acknowledge t hat underst anding and insight are not enough; in
order for client s t o significant ly change, t hey need t o pinpoint t heir irrat ional and self-defeat ing
const ruct s and work forcefully and act ively at changing t hem t o more funct ional and self-
helping ones.
REBT posit s t hat t he client must work hard t o get bet t er, and in t herapy t his normally includes a
wide array of homework exercises in day-t o-day life assigned by t he t herapist . The assignment s
may for example include desensit izat ion t asks, i.e., by having t he client confront t he very t hing he
or she is afraid of. By doing so, t he client is act ively act ing against t he belief t hat oft en is
cont ribut ing significant ly t o t he dist urbance.
Anot her fact or cont ribut ing t o t he brevit y of REBT is t hat t he t herapist seeks t o empower t he
client t o help himself t hrough fut ure adversit ies. REBT only promot es t emporary solut ions if
more fundament al solut ions are not found. An ideal successful collaborat ion bet ween t he REBT
t herapist and a client result s in changes t o t he client 's philosophical way of evaluat ing himself or
herself, ot hers, and his or her life, which will likely yield effect ive result s. The client t hen moves
t oward uncondit ional self-accept ance, ot her-accept ance and life-accept ance while st riving t o
live a more self-fulfilling and happier life.
In addit ion, REBT is used wit h non-clinical problems and problems of living t hrough counselling,
consult at ion and coaching set t ings dealing wit h problems including relat ionships, social skills,
career changes, st ress management , assert iveness t raining, grief, problems wit h aging, money,
weight cont rol et c. More recent ly, t he report ed use of REBT in sport and exercise set t ings has
grown,[27] wit h t he efficacy of REBT demonst rat ed across a range of sport s.
REBT also has many int erfaces and applicat ions t hrough self-help resources, phone and int ernet
counseling, workshops & seminars, workplace and educat ional programmes, et c. This includes
Rat ional Emot ive Educat ion (REE) where REBT is applied in educat ion set t ings, Rat ional
Effect iveness Training in business and work-set t ings and SMART Recovery (Self Management
And Recovery Training) in support ing t hose in addict ion recovery, in addit ion t o a wide variet y of
specialized t reat ment st rat egies and applicat ions.
Efficacy
REBT and CBT in general have a subst ant ial and st rong research base t o verify and support bot h
t heir psychot herapeut ic efficiency and t heir t heoret ical underpinnings. Met a-analyses of
out come-based st udies reveal REBT t o be effect ive for t reat ing various psychopat hologies,
condit ions and problems.[18][28][29] Recent ly, REBT randomized clinical t rials have offered a
posit ive view on t he efficacy of REBT.[29]
In general REBT is arguably one of t he most invest igat ed t heories in t he field of psychot herapy
and a large amount of clinical experience and a subst ant ial body of modern psychological
research have validat ed and subst ant iat ed many of REBTs t heoret ical assumpt ions on
personalit y and psychot herapy.[30][23][31][29]
REBT may be effect ive in improving sport s performance and ment al healt h.[32][33]
Ellis himself lat er in life accept ed t hat REBT was not universally effect ive; "I hope I am also not
a devout REBTer, since I do not t hink it is an unmit igat ed cure for everyone and do accept it s
dist inct limit at ions." [34]
Limitations and critique
The clinical research on REBT has been crit icized bot h from wit hin and by ot hers. For inst ance,
originat or Albert Ellis has on occasions emphasized t he difficult y and complexit y of measuring
psychot herapeut ic effect iveness, because many st udies only t end t o measure whet her client s
merely feel bet t er aft er t herapy inst ead of t hem get t ing bet t er and st aying bet t er.[17] Ellis has
also crit icized st udies for having limit ed focus primarily t o cognit ive rest ruct uring aspect s, as
opposed t o t he combinat ion of cognit ive, emot ive and behavioral aspect s of REBT.[30] As REBT
has been subject t o crit icisms during it s exist ence, especially in it s early years, REBT t heorist s
have a long hist ory of publishing and addressing t hose concerns. It has also been argued by Ellis
and by ot her clinicians t hat REBT t heory on numerous occasions has been misunderst ood and
misconst rued bot h in research and in general.[23]
Some have crit icized REBT for being harsh, formulaic and failing t o address deep underlying
problems.[31] REBT t heorist s have argued in reply t hat a careful st udy of REBT shows t hat it is
bot h philosophically deep, humanist ic and individualized collaborat ively working on t he basis of
t he client 's point of reference.[19][31] They have furt her argued t hat REBT ut ilizes an int egrat ed
and int errelat ed met hodology of cognit ive, emot ive-experient ial and behavioral
int ervent ions.[19][30] Ot hers have quest ioned REBTs view of rat ionalit y, bot h radical
const ruct ivist s who have claimed t hat reason and logic are subject ive propert ies and t hose who
believe t hat reason can be object ively det ermined.[31] REBT t heorist s have argued in reply t hat
REBT raises object ions t o client s' irrat ional choices and conclusions as a working hypot hesis and
t hrough collaborat ive effort s demonst rat e t he irrat ionalit y on pract ical, funct ional and social
consensual grounds.[18][31] In 1998 when asked what t he main crit icism on REBT was, Albert Ellis
replied t hat it was t he claim t hat it was t oo rat ional and not dealing sufficient ly enough wit h
emot ions. He repudiat ed t he claim by saying t hat REBT on t he cont rary emphasizes t hat t hinking,
feeling, and behaving are int errelat ed and int egrat ed, and t hat it includes a vast amount of bot h
emot ional and behavioural met hods in addit ion t o cognit ive ones.[35]
Ellis has himself in very direct t erms crit icized opposing approaches such as psychoanalysis,
t ranspersonal psychology and abreact ive psychot herapies in addit ion t o on several occasions
quest ioning some of t he doct rines in cert ain religious syst ems, spirit ualism and myst icism. Many,
including REBT pract it ioners, have warned against dogmat izing and sanct ifying REBT as a
supposedly perfect psychological panacea. Prominent REBTers have promot ed t he import ance
of high qualit y and programmat ic research, including originat or Ellis, a self-proclaimed "passionat e
skept ic". He has on many occasions been open t o challenges and acknowledged errors and
inefficiencies in his approach and concurrent ly revised his t heories and pract ices.[18][31] In general,
wit h regard t o cognit ive-behavioral psychot herapies' int ervent ions, ot hers have point ed out t hat
as about 30–40% of people are st ill unresponsive t o int ervent ions, t hat REBT could be a
plat form of reinvigorat ing empirical st udies on t he effect iveness of t he cognit ive-behavioral
models of psychopat hology and human funct ioning.[23]
REBT has been developed, revised and augment ed t hrough t he years as underst anding and
knowledge of psychology and psychot herapy have progressed. This includes it s t heoret ical
concept s, pract ices and met hodology. The t eaching of scient ific t hinking, reasonableness and
un-dogmat ism has been inherent in REBT as an approach, and t hese ways of t hinking are an
inext ricable part of REBT's empirical and skept ical nat ure.
Mental wellness
As would be expect ed, REBT argues t hat ment al wellness and ment al healt h t o a large degree
result s from an adequat e amount of self-helping, flexible, logico-empirical ways of t hinking,
emot ing and behaving.[17] When a perceived undesired and st ressful act ivat ing event occurs, and
t he individual is int erpret ing, evaluat ing and react ing t o t he sit uat ion rat ionally and self-helpingly,
t hen t he result ing consequence is, according t o REBT, likely t o be more healt hy, const ruct ive and
funct ional. This does not by any means mean t hat a relat ively un-dist urbed person never
experiences negat ive feelings, but REBT does hope t o keep debilit at ing and un-healt hy emot ions
and subsequent self-defeat ing behavior t o a minimum. To do t his, REBT generally promot es a
flexible, un-dogmat ic, self-helping and efficient belief syst em and const ruct ive life philosophy
about adversit ies and human desires and preferences.
REBT clearly acknowledges t hat people, in addit ion t o dist urbing t hemselves, also are innat ely
const ruct ivist s. Because t hey largely upset t hemselves wit h t heir beliefs, emot ions and
behaviors, t hey can be helped t o, in a mult imodal manner, disput e and quest ion t hese and develop
a more workable, more self-helping set of const ruct s.
References
External links
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