Rational Emotive Behavioral Therapy - COUN 835

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Psychology

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Feb 20, 2024

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Rational Emotive Behavioral Therapy There are aspects of Adlerian, Cognitive Behavioral, Client-Centered, and Gestalt Theories, so Rational Emotive Behavioral Therapy makes a lot of sense to me because it has similarities and overlap with the aforementioned theories in all the most important ways. There is a lot of unconditional support, but also directive and active therapy to help the client understand their maladaptive behaviors and beliefs and then to adjust and correct them in accordance with what works for them individually. As a teacher, what I see often in my teenage students affirms that “people frequently defeat themselves by their inborn and acquired self- sabotaging ways” (Wedding & Corsini, 2019, p.168). I do strongly believe that each person’s personality or character or temperament, whatever you call it, may have some innate and biological qualities, but has also been formed and informed by the individual’s learning and experiences. Consequently, I find REBT appealing because “REBT emphasizes that people nonetheless have the choice of changing their dysfunctional behaviors and specifically shows them many ways of doing so” (Wedding & Corsini, 2019, p.168). When a person encounters adversity, it may result in irrational beliefs which cause emotional / mental disturbance. This is an internalized process that most people are not aware of participating in, that they have internalized, believing that the world should or must be different that it is, and their personal failure to prevent adversity from happening is the self-defeating, irrational belief. The turmoil they experience because of this irrational belief causes them to be dissatisfied with their life and to perceive that others are dissatisfied with them or their life choices, causing a secondary form of adversity (anxiety, depression, etc.) thus repeating the cycle endlessly. REBT is different from other theories, because “[m]ost major psychotherapies […] concentrate either on A (the adversities) or on C (the emotional consequences) and rarely consider B (the belief system), which is a vital factor in creating self-disturbance” (Wedding & Corsini, 2019, p.169). According to Ellis client-centered therapy may make the client feel happier and some confrontational methods like desensitizing may lessen the anxiety or the emotional consequence, but without correcting the internal, irrational belief that causes the client’s emotional consequence they are improving mood without addressing the cause. REBT works by the clinician teaching the client “to focus primarily on B [belief] rather than on A [adversity event] and C [emotional consequence], curative and preventive rather than merely palliative results in connection with his anxiety” (Wedding & Corsini, 2019, p.170). When clinicians teach clients to be aware of their irrational and self-sabotaging beliefs, clients can learn to engage in a metacognitive process to recognize and counteract in the process by establishing preventative modifications to their belief systems. They are able to make these modifications if they do homework, through a system of trial and error to find what works for them, as well as and engage in psycho-education to learn about their ABC patterns. Additionally, the therapist models for them and supports the client and helps them to discover behavior modification to minimize their irrational beliefs or adopt new beliefs and/or behaviors. The Rational Emotive Behavior therapist’s role is to “show the client [their] unconsciously held attitudes, beliefs, and values and also teach the client how to bring [their] self-defeating, hidden ideas to consciousness and actively dispute them” (Wedding & Corsini, 2019, p.172). The client’s role is to first accept and understand that their self-sabotaging and irrational beliefs are the impetus for their undesirable emotional consequences. Once the client realizes that the external, environmental, events do not cause their emotional state, they then need to practice experiential exercises and do the in vivo homework to restructure their thoughts by using logic and reason to capitalize on their innate capacity for growth and self-actualization.

All of this can only happen if the clinician is able to create an environment of unconditional support and model unconditional acceptance of self, others, and the world. The ultimate goals are “minimizing musturbation, perfectionism, grandiosity, and low frustration tolerance […] by using cognitive, emotive, and behavioristic procedures” (Wedding & Corsini, 2019, p.174). These two roles are most effective and when they work collaboratively in goal-oriented treatment with an eye towards lasting results to not just help the client feel better in the moment, but to help the client get better in the long-term. This therapeutic relationship is very similar to the teacher-student relationship I develop with my students, and very much like the process of teaching students any new skill, which is why I connect with it. REBT doesn’t challenge systematic values or ethics, it does not favor or criticize one cultural perspective or orientation more than another, instead focuses on challenging and disputation of the individual’s beliefs. REBT helps clients to make important distinctions between positive and negative beliefs and engage in real learning to develop more effective beliefs, acceptance, and tolerance. It is also very flexible and adaptative, incorporating different treatment methods and processes, so as to be effective for many different clients. REBT clinicians do not tell the client what they think or interpret their experiences, but help the client discover why they feel the way they do, and then develop a method of changing those beliefs that works for them individually, which means their REC group membership does not circumscribe the impact of REBT therapy because all cultural, sexual, religious, ethnic, and racial identities are respected and valued. The acceptance of the existence of adversity and the acceptance of self as well as others is an important aspect of REBT. For all of these reasons, it is a good theory or orientation for the culturally-sensitive clinician, which is very important to me. References Wedding, D., & Corsini, R. J. (2018). Current Psychotherapies (11th ed.). Cengage Learning US. https://bookshelf.textbooks.com/books/9781337670555 ABC Theory – A = Adversity B = Belief (irrational belief) C = Consequence (emotional consequence) *** add new D = disputation (exercise to dispute an irrational belief using logic) E = effective, new beliefs (new belief patterns used to change self-defeating emotions)

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