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Rational Emotive Behavioral Therapy
Transcript of Rational Emotive Behavioral Therapy
Died July 24, 2007 He held M.A. and Ph.D. degrees in clinical psychology from Columbia University and
American Board of Professional Psychology He also founded and was the President of the New York City-based Albert Ellis Institute He is generally considered to be one of the originators of the
cognitive revolutionary paradigm shift in psychotherapy and
the founder of cognitive-behavioral therapies. Origin and Concept of REBT Ellis had an early interest in philosophy and describes what a revelation to
him that people partly constructed their own feeling of anxiety , depression and rage. View of Man 1. Human Beings are both rational and irrational.
2. Human psychological/emotional disturbance is
due to human irrationality
3.Parents and society's culture form part in our early irrational thinking 4. To overcome emotional disorders, the irrational thoughts must be extinguished and replaced by rational thoughts.
5. Human being is capable of changing these irrational thoughts. Theories of personality operating REBT proposed a "biopsychosocial" explanation of causation,
that biological, psychological, and social factors are involved inway humans feel and behave. "ABCDE" Model A - Activating Event - what happened
B - Beliefs about "A"
C - Reactions REBT suggest that human beings defeat or disturbed themselves in two main ways.
1. by holding irrational beliefs about their self (ego disturbance)
2. by holding irrational beliefs about their emotional and physical comfort
(discomfort disturbance) Ego disturbance represents an upset to the self-image by the demands set about one's self. Ego anxiety - emotional tension resulting from the perception that one's self or personal worth is threatened. This may lead to other problems such as avoidance of situations where failure and disapproval might occur. Discomfort disturbance - results from demands about others and about the world. Discomfort disturbance leads to problem like:
- Discomfort anxiety
- Secondary disturbance
- Short-range enjoyment
- Negativity and Complaining Goal of Therapy 1. Help the client understand that emotions and behaviors are caused by beliefs and thinking.
2. Show how the relevant beliefs may be uncovered.
3. Teach the client how to dispute and change the irrational beliefs and replacing them with more rational alternatives.
4. Help the client get into action. The Process of Therapy Engage the Client
1. Build a good relationship with the client.
2. Watch for secondary disturbances about coming from help.
3. Demonstrate to them at an early stage that change is possible and the therapy can assist them to achieve this goal. Assess the problem , person, and situation
1. Start with the client's view of what is wrong to them.
2. Check for secondary disturbance.
3. Carry out a general assessment. Prepare the client for therapy
1. Clarify what is the goal
2. Introduce discussions about the basics of REBT
3. Discuss the approaches to be used Implement the treatment program Evaluate progress Prepare the client for termination Techniques used in REBT Cognitive techniques
Rational analysis - analysis of specific episodes to teach the client how to uncover and dispute irrational beliefs.
Double-Standard dispute - useful with resistant beliefs which the client finds hard to give up.
Catastrophe Scale - to put in scale events that scare the client.
Devil's advocate - this useful and effective technique to get the client arguing against their own dysfunctional beliefs.
Reframing - to help the client see that even negative events almost always have positive side to them. Imaginary Techniques
Time Projection - this technique is designed to show that even the feared or unwanted event is gone one's life will continue.
Blow-up - "Worst-case" imagination coupled with humor. Behavioral Techniques
Exposure - involves client entering feared situations.
Shame attacking - confronting the fear of shame by deliberately acting in ways the clients anticipates may attract disapproval.
Risk-Taking - challenge beliefs
Stepping out of character Homework This include activities such as reading, self-help exercise, and experimental activities. Limitations REBT may be difficult to integrate to some treatment program. There are some clients that may be psychologically fragile that cannot cope with REBT There is a discrepancy with what the client wants and what REBT offers