Download Rational Emotive Behavior Therapy

Rational Emotive Behavior
Therapy
Chapter 6
The Case of Alan
27-year-old married Caucasian male
Complains of symptoms of anxiety
Unsure of counseling; seems willing to try
Basic Philosophy
Constructivist
Humans are responsible for their
behavior
Neutral view of human nature
Basic Philosophy
Values
Long range hedonism
Self-interest
Social interest
Self-direction
Tolerance of others
Acceptance of life’s ambiguity
Flexibility
Openness change
Scientific thinking
Human Motivation
People strive to live and be happy:
By themselves
With others
In intimate relationships
When they are learning
Working
Having fun
Central Constructs
ABC
Antecedent
Something that happens to us
Belief
Our thoughts about the antecedent (what
happened to us)
Consequence
The emotion that we feel or behavior that we do
as a result of our thoughts about what
happened to us
Central Constructs
Irrational (iBs)
Rigid statements we
say to ourselves that
are often unrealistic
Self-demandingness
Other-demandingness
World-demandingness
Reliance on Irrational
thinking leads to:
Seeing things as much
worse than they are
Low frustration tolerance
Rating everyone and
everything as horrible
Overgeneralizing
Central Constructs
Goals
Unconditional Self-Acceptance
Secondary Disturbances
The consequence from the initial ABC
becomes the Activating event
Our beliefs about the new activating event
trigger new consequences
Theory of the Person
No theory of personality development
No interest in developmental stages
Humans are the product of
Inherited influences (tendency to think
irrationally and react emotionally)
Their environment (parents, teachers,
siblings, peers, etc.)
Psychological Health and
Dysfunction
Psychological Health
Able to defeat the natural
human tendency to be
irrational
Reliance on rational
beliefs
Use of Unconditional SelfAcceptance
Healthy basic philosophy
Balancing self-interest
with social interest
Psychological
Dysfunction
Person experiences an
activating event
Activating event triggers
the irrational belief
system
The irrational belief
system leads to an
unwanted consequence
Nature of Therapy
Assessment
Standardized
Structured techniques
Informal assessment
Role of the client
Role of the counselor
Goals
Process of Therapy
ABCDE model
D = Dispute
E = Effect
Stages of REBT Therapy
Dispute irrational beliefs
Alter the client’s environment
Resistance
Process of Therapy
Therapeutic
Techniques
Cognitive
Disputation
Bibliotherapy
Proselytizing
Recording therapy
sessions
Reframing
Therapeutic
Techniques
Stop and monitor
Rational coping
statements
Rational emotive
imagery
Flamboyant
therapist actions
Humor
Process of Therapy
Therapeutic
Techniques
Forceful coping
statements and
taped disputing
Role-playing
Rational-irrational
dialogues
Reinforcements and
penalties
Therapeutic
Techniques
Skill training
In vivo
desensitization
Acting on rational
beliefs
Homework
Shame attacking
Evaluation
Qualities
Precision
Testability
Empirical validity
Research Support
Outcome research
Theory-testing research
Issues of Individual and
Cultural Diversity
Pros
Does not perpetuate
bias based on sexual
orientation
Philosophical values
that include
acceptance of others
Active
Directive
Short term
Cons
Assumption that the
problem resides
within the person
Focus is on
individualism
Emphasis on personal
responsibility for
change