(REBT) Indicator Founder Introductory Time Force Category Key Concepts
View of Human Personalities and Structure
Maladjustment
Albert Ellis (1913-2007)
1950s Cognitive Behavioural Therapy (CBT) Directive People contribute to their own psychological issues and symptoms by the way they interpret events & situations Thinking (cognitions), emotions and behaviour interact and have a cause & effect relationship Aims at providing clients with the tools to restructure their philosophical thinking (internal dialogue) and behavioural styles Human beings are born with the potential for both rational and irrational thinking Humans have predispositions for positive aspects of life eg: self preservation, self actualisation, happiness etc and also for negative aspects eg: self destruction, repetition of mistakes, intolerance, procrastination People can be taught how to accept themselves as people who will continue to make mistakes but yet, can learn tools to live more at peace with themselves. We create irrational dogmas which contribute to our own problems. We actively reinforce selfdefeating beliefs by autosuggestion, self-repetition
and behaving as though these irrational dogmas are
useful. It is our own repetition of early indoctrinated irrational thoughts rather than our parents work, that keep these negative attitudes alive and operative in us. Eg: you do not actually NEED to be approved by people, it may be nice and good, but not absolutely critical to survival Basic Philosophy
Goals
A persons belief system and internal dialogue are
the primary causes of disorders. People contribute to their own psychological problems by repeating irrational dogmas to themselves, so they can be taught to identify these irrational dogmas and to stop repeating them and replace them with healthy thinking schemes.
Clients are taught to separate evaluation of
their behaviour from the evaluation of themselves. Ie: I am not very good with studies, but that does not mean I am a bad person. (as opposed to: I am lousy at doing things, I am a bad person and deserve to be punished) Identify and change dysfunctional thinking patterns, emotions and behaviour into healthy ones Unconditional Self Acceptance: to over come maladaptive thinking: I must be perfect and win approval of everyone! Unconditional Other Acceptance: to overcome maladaptive thinking: Others must always follow the rules, do the correct
Relationship
Technique
1.
2. 3. 4. 5.
thing all the time and be good people, if not
they must be punished! Unconditional Life Acceptance: to over come maladaptive thinking: Life must be easy, without discomfort or inconvenience! Essentially cognitive, directive and teacherstudent Adopts person centered approaches of unconditional acceptance and positive regard of clients but with limits placed to prevent client dependence for approval from therapist Open and direct in self disclosure, open and direct in disputing clients unrealistic notions Identify/operationalise objective facts giving rise to problems faced by client (ie: He always ignores me to I walked into the room last Tuesday night and he did not say hello) Identify how many irrational musts have been incorporated by the client into his thinking Demonstrate to clients that they are feeding & growing their emotional problems by thinking illogically and unrealistically Help client modify and minimise illogical, unrealistic and irrational thinking Challenge client to develop a rational philosophy for life
ie: the ABCDEF process
A = Identify objective facts, events, behaviours B = The clients Beliefs about A C = the emotional consequences due to the clients beliefs D = Dispute the irrational and illogical beliefs
E = Help client to generate a more Effective
belief system F = Promote new Feelings and emotions about problem areas of life
Application of Approach
Strength
Limitation
Techniques used: psychoeducational structured
therapy, talk therapy, debating and disputing, home work assignments, diary of irrational thoughts, changing words used, self-instructional training. All types of problems, but may not be so useful for young children or adults who have not reached formal operations thinking (ie: able to think in the abstract, logical thinking). Other wise, very useful for depression, anxiety, stress management, panic, performance worries, social phobias, motivational skills, assertion training, eating disorders, self image issues. Eclectic in approach, open to new techniques Action and goal oriented Structured and evidence based specific steps and measurable goals for each steps good for therapists and clients who like structured programmes Clients go home with a clear format on what to do and how to do it The ABCDEF format can easily be taught / put into a chart for clients for their future use in other problems Does not require many sessions
Tends to downplay emotions, less focus on
exploring unexpressed or underlying conflicts and emotions
Tends to ignore environmental issues and past
history in families and relationships Difficult to use for younger or less thinking clients Some clients may not like the disputing and confrontational approach so early which can cause early termination Some clients do not like so much structure, they may reject homework and so much direction from the therapist
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