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Rational Emotive Behaviour Therapy: Albert Ellis

                                                                                              What disturbs mens' minds is not events but their judgments on events” Epictecus.
The three basic musts
                                                                                          .   Rational Emotive Behaviour Therapy (REBT) is based upon the philosophical concept that individuals are not emotionally affected by unfortunate events, but rather by how
I must do well and win the approval of others or else I am no good.                           they construct views of reality through their beliefs and meanings of the world, themselves and others. REBT was developed in 1955 and was one of the first cognitive
Summary                        Behavioural            Emotional                               behaviour therapies. Ellis believed that previous therapies failed to change the patients’ behaviour. The goal of REBT is to teach clients to identify and replace their illogical
                               Consequences           Consequences                            beliefs and negative thought processes with rational ones in order to overcome psychological problems and emotional distress. REBT suggests that there are three common
Inflexible, places unrealistic Depression             Depression                              irrational beliefs that are central to all other negative beliefs, known as the ‘Three Basic Musts’ and that people engage in two types of defeatism, known as ego and
expectations on oneself        Anxiety and/or panic   Anxiety and/or panic                    discomfort disturbances. REBT teaches people to replace irrational thinking with irrational thinking through the process of the ABC model.

Other people must do "the right thing" or else they are no good and                                                                                                                                          ABC Model
deserve to be punished.
Summary                      Behavioural              Emotional                                                                                                                                              The ABC model is used to help people understand that the belief
                             Consequences             Consequences                                                                                                                                           causes
                                                                                                                                                                                                             the consequence rather than the activating event.
Inflexible and unrealistic   Aggression and violence Anger, rage or fury
Assumes one's authority over Bigotry and intolerance Impatience                                                                         Sandra loses her job
                                                                                                                                                                                                                Stage               Example
others                                                                                                                                                                                                        A Activating Event    Sandra loses her job
Life must be easy, without discomfort or inconvenience.                                                                                                                                                       B Belief              Sandra thinks she is a failure
Summary                       Behavioural           Emotional                                                                                                                                                 C Consequence         Sandra feels depressed
                              Consequences          Consequences
Inflexible and unrealistic    Low frustration       Procrastination                                                                                                                                          REBT teaches the patient to recognize irrational beliefs and
Over-estimates one's right to tolerance             Shirking                                     Sandra has the ability                                                                                      replace them with rational beliefs leading to a more positive
a trouble-free life           Self-pity                                                             to choose to think                                                            Sandra feels as            perspective. This includes 2 more steps.
                                                                                                   rationally instead of                                                          though she is a
                                                                                                  irrationally and feels                                                       rubbish person and                Stage                Example
                                                                                                   happier with her life                                                        cannot see herself             D Dispute              Sandra understands that they are making cut
                                                                                                     and much better                                                             finding a new job
                                                                                                                                                                                                                                      backs at work
The two disturbances                                                                              about losing her job
                                                                                                                                                                                                               E Education            Sandra decides to look for a new job
Discomfort Disturbance:         Self-talk:                    Core beliefs:
Negative view of the self-due   -Nobody cares, I’m no         - I need to achieve/ have                                                                                                                                                                                       A
to views of how we should be    good.                         approval from others.
& act and our achievements      -I’m a failure, I should      - Failure won’t stand/ lack                                                                                                                                                                             E               B
based on internal and           die.                          of approval.
external beliefs                -I haven’t improved, I
                                                                                                                                                                                                              Support
                                should die.                                                                                                                                                                                                                               D       C
                                                                                                                                                                                                              Ellis’ REBT has been found significantly effective in
Ego Disturbance:                Self-talk:                    Core beliefs:                                       Sandra starts to                                                                            reducing the symptoms of Post-Traumatic Stress
Emphasizing power of            -My life will get worse.      -Discomfort and misery                                                                            Sandra starts REBT
                                                                                                                challenge her usual                                                                           Disorder (PTSD) Ellis (1994).
                                                                                                                                                                and starts to realise
threats to safety,              -I will become more           are awful.                                         ways of thinking –
                                                                                                                                                                   she sometimes
emotion/physical pain,          depressed.                    -Helplessness about bad                          maybe she didn’t lose                                                                          Macaskill and Macaskill (1997) found Ellis’ REBT
                                                                                                                                                               interprets situations in
quality of life.                -Life is too hard and will    feelings is dealt with by                        her job because she
                                                                                                                                                                   irrational ways                            when combined with antidepressant was more
                                get harder                    death.                                             is rubbish after all
                                                                                                                                                                                                              effective at treating depression than antidepressants
                                                                                                                                                                                                              alone and resulted in a lower incidence of relapse.

                                       Considering yourself                                                                                                                                                   Criticisms
                                       as completely bad,
                           Self Rating idiotic or incompetent                                           • REBT was one of the first cognitive behaviour therapies.                                            One-dimensional - Focuses too much on the thought
                                                                                                                                                                                                              processes of the individual and ignores larger factors
                                                                                                        • REBT came from the clinical tradition (learning theory and psycho-analytic approaches)              such as personality.
                                                        Something is awful                              •REBT adopts a logico-empirical approach                                                              Simplistic - as it uses only very few concepts in
                                             Awfulising because it isn’t how it                                                                                                                               comparison to other similar theories
                      4                                 ‘should’ or ‘must’ be.                          • REBT stresses the importance of having evidence for your beliefs and the subjective
                  underlying                                                                            nature of our perception of the world
                   thought                                                                                                                                                                                    Correlation/causation problems – do the negative
                  processes                                                                                                                                                                                   thoughts cause the depression or does the
                                                                                                        •The ABC model explains how we generate our emotional responses                                       depression cause the negative thoughts? Bower
                                                             The person believes
                                           Demanding                                                                                                                                                          (1981)
                                                             everyone ‘should’ or                       •The ABC model explains how our emotional response impact on our behaviour and
                                             -ness
                                                             ‘must’ be a certain                        subsequent cognitions.                                                                                Ecological - Criticised for trying to change the
                                                             way.
                                                                                                                                                                                                              individual to fit social reality when in fact social
                                                                                                        • REBT identifies 3 beliefs underlying all other beliefs;                                             changes are needed (e.g. in stress management,
                          Discomfort
                          Intolerance      Viewing certain things                                                                                                                                             rather than changing source of stress people are just
                                           as unbearable.                                               • REBT identifies 2 forms of disturbance; ego and discomfort.                                         taught to cope better with it)

                                                                    Daniel Parker, Emily O’brien, Tomos Austin, Tasmin Lofthouse, Sharon Hickey, Doug Whyley, Kirsty Noble, Mike Chapman, and Laura Bird

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Rational Emotive Behaviour Therapy: Albert Ellis

  • 1. Rational Emotive Behaviour Therapy: Albert Ellis What disturbs mens' minds is not events but their judgments on events” Epictecus. The three basic musts . Rational Emotive Behaviour Therapy (REBT) is based upon the philosophical concept that individuals are not emotionally affected by unfortunate events, but rather by how I must do well and win the approval of others or else I am no good. they construct views of reality through their beliefs and meanings of the world, themselves and others. REBT was developed in 1955 and was one of the first cognitive Summary Behavioural Emotional behaviour therapies. Ellis believed that previous therapies failed to change the patients’ behaviour. The goal of REBT is to teach clients to identify and replace their illogical Consequences Consequences beliefs and negative thought processes with rational ones in order to overcome psychological problems and emotional distress. REBT suggests that there are three common Inflexible, places unrealistic Depression Depression irrational beliefs that are central to all other negative beliefs, known as the ‘Three Basic Musts’ and that people engage in two types of defeatism, known as ego and expectations on oneself Anxiety and/or panic Anxiety and/or panic discomfort disturbances. REBT teaches people to replace irrational thinking with irrational thinking through the process of the ABC model. Other people must do "the right thing" or else they are no good and ABC Model deserve to be punished. Summary Behavioural Emotional The ABC model is used to help people understand that the belief Consequences Consequences causes the consequence rather than the activating event. Inflexible and unrealistic Aggression and violence Anger, rage or fury Assumes one's authority over Bigotry and intolerance Impatience Sandra loses her job Stage Example others A Activating Event Sandra loses her job Life must be easy, without discomfort or inconvenience. B Belief Sandra thinks she is a failure Summary Behavioural Emotional C Consequence Sandra feels depressed Consequences Consequences Inflexible and unrealistic Low frustration Procrastination REBT teaches the patient to recognize irrational beliefs and Over-estimates one's right to tolerance Shirking Sandra has the ability replace them with rational beliefs leading to a more positive a trouble-free life Self-pity to choose to think Sandra feels as perspective. This includes 2 more steps. rationally instead of though she is a irrationally and feels rubbish person and Stage Example happier with her life cannot see herself D Dispute Sandra understands that they are making cut and much better finding a new job backs at work The two disturbances about losing her job E Education Sandra decides to look for a new job Discomfort Disturbance: Self-talk: Core beliefs: Negative view of the self-due -Nobody cares, I’m no - I need to achieve/ have A to views of how we should be good. approval from others. & act and our achievements -I’m a failure, I should - Failure won’t stand/ lack E B based on internal and die. of approval. external beliefs -I haven’t improved, I Support should die. D C Ellis’ REBT has been found significantly effective in Ego Disturbance: Self-talk: Core beliefs: Sandra starts to reducing the symptoms of Post-Traumatic Stress Emphasizing power of -My life will get worse. -Discomfort and misery Sandra starts REBT challenge her usual Disorder (PTSD) Ellis (1994). and starts to realise threats to safety, -I will become more are awful. ways of thinking – she sometimes emotion/physical pain, depressed. -Helplessness about bad maybe she didn’t lose Macaskill and Macaskill (1997) found Ellis’ REBT interprets situations in quality of life. -Life is too hard and will feelings is dealt with by her job because she irrational ways when combined with antidepressant was more get harder death. is rubbish after all effective at treating depression than antidepressants alone and resulted in a lower incidence of relapse. Considering yourself Criticisms as completely bad, Self Rating idiotic or incompetent • REBT was one of the first cognitive behaviour therapies. One-dimensional - Focuses too much on the thought processes of the individual and ignores larger factors • REBT came from the clinical tradition (learning theory and psycho-analytic approaches) such as personality. Something is awful •REBT adopts a logico-empirical approach Simplistic - as it uses only very few concepts in Awfulising because it isn’t how it comparison to other similar theories 4 ‘should’ or ‘must’ be. • REBT stresses the importance of having evidence for your beliefs and the subjective underlying nature of our perception of the world thought Correlation/causation problems – do the negative processes thoughts cause the depression or does the •The ABC model explains how we generate our emotional responses depression cause the negative thoughts? Bower The person believes Demanding (1981) everyone ‘should’ or •The ABC model explains how our emotional response impact on our behaviour and -ness ‘must’ be a certain subsequent cognitions. Ecological - Criticised for trying to change the way. individual to fit social reality when in fact social • REBT identifies 3 beliefs underlying all other beliefs; changes are needed (e.g. in stress management, Discomfort Intolerance Viewing certain things rather than changing source of stress people are just as unbearable. • REBT identifies 2 forms of disturbance; ego and discomfort. taught to cope better with it) Daniel Parker, Emily O’brien, Tomos Austin, Tasmin Lofthouse, Sharon Hickey, Doug Whyley, Kirsty Noble, Mike Chapman, and Laura Bird