Two Therapists and One Client: Problems in Comparison

This paper is a response to Robb’s analysis of Ellis’ and Dryden’s sessions held with “Jane” in the summer of 1994. As Robb noted, these consecutive sessions with the same client make for interesting, and clarifying, comparisons. My analysis considers Robb’s overview of REBT and where I believe it diverges from the position of Ellis. It also considers why Ellis used the strategy he did with “Jane” and compares and contrasts the assumptions that Ellis and Dryden seem to be making during their respective sessions. It ends with a brief summary of the two approaches and some general comments about the nature of psychotherapy.     

REBT and Rationality: Philosophical Approaches

This paper argues that philosophical critiques of concepts in psychotherapy are inappropriate unless the context in which they are used is taken into account. In the case of REBT it is misleading to try to evaluate Ellis' use of rationality by matching it with the concept which has developed in modern philosophy of science. There is no pure essence of rationality which could enable it to be applied normatively in all contexts. The pitfalls of attempting this are illustrated by analysing two recent attempts to criticise rationality in REBT, by Erwin (1997) and O'Donohue and Vass (1996). We argue that Rationality in REBT can only be understood by seeing it as part of a network of categories and practices (a discursive formation) that has evolved over the last 45 years.     

REBT: Past,Present and Future

In this article, I reflect on what I believe are Albert Ellis’ important contributions to the field of psychotherapy. Having worked closely with Albert Ellis for 32 years, I offer my opinions on some misconceptions of Albert Ellis.     

REBT: Past,Present, and Future

After a walk down memory lane, I take a tour through Ellis’s shifts in philosophy, plus shifts in self theory, and concepts of value. I contrast them all as an appeal to authority compared to pragmatism. The changes in Ellis’s thinking seemed to me more a tribute to Ellis’s diversity and his monumental contribution to psychotherapy than his refusal to be pinned down to core concepts.     

REBT in a Therapeutic Community: REBTC

Long-term residential treatment--therapeutic communities--have some empirical support for efficacy but historically have been viewed as insulated and alien to the world of research. A therapeutic community with Rational Emotive Behavior Therapy as the core of its philosophy and practice is described, and follow-up results are presented. The argument is made that therapeutic communities may be particularly well suited to treatment of people with dual diagnoses.     

Practicing REBT in Italy: Cultural Aspects

This paper attempts to explore the cultural background for the adoption and practice of REBT by cognitive therapists in Italy since the 1980s. It is not an attempt to capture the history of Italian culture and philosophy from antiquity. Italian therapists tend to prefer the assessment phase of the ABC framework and not fully adopt REBT disputing interventions. They also attempt to link the ABC not only to the here and now but also to clients’ personal development. In our experience, they have combined REBT with constructivism and metacognition. These current features parallel the historical lack of confidence shown by many Italian philosophical thinkers—from Machiavelli to Gianni Vattimo—in the possibility of reducing reality to verification as well as the reproducible rules of logical rationality. The foregoing highlights the interest in exploring the emotional roots of politics, history, and concrete reality in the time frame following the 1980s. Some typical features of Italian social life, such as individualism, hierarchy, remote social distance, and competition can also be thought of as corresponding with the historical features of the way REBT has been adopted and functions in Italy.     

Logotherapy-Enhanced REBT: An Integration of Discovery and Reason

Viktor Frankls Logotherapy and Albert Elliss Rational Emotive Behavior Therapy (REBT) are at seemingly opposite ends of the psychotherapeutic spectrum. However, a close review of the assumptions and philosophy of each school of therapy reveals that these two systems are compatible. We propose that a Logotherapy-enhanced REBT can increase human achievement and happiness by balancing the individual discovery of meaning with the pursuit of reason. This integrated and enhanced therapy will help human beings participate in positive life experiences and take greater responsibility for change. Fruitful and beneficial aspects of a Logotherapy enhanced-REBT are explored with respect to cognitions, emotions, and the reduction of rumination. Conclusions are drawn, limitations are discussed, and future recommendations are outlined.     

Trait Anger and Axis I Disorders: Implications for REBT

Anger has a prominent role in basic theories of emotion. And while many psychiatric disorders can be conceived of as emotional disorders (e.g., depressive disorders, anxiety disorders), there are no disorders for which anger is the cardinal feature. We analyzed diagnostic data on 1,687 (as later) psychiatric outpatients and looked at the co-occurrence of high trait anger (as assessed by criterion 8 of Borderline Personality Disorder) and Axis I disorders, and Borderline and Antisocial Personality Disorders. The purpose was to examine whether dysfunctional anger met criteria necessary to be considered a valid diagnostic category. Results showed that high trait anger was not fully accounted for by any particular Axis I diagnosis, or any set of Axis I diagnoses, or by the combination of Axis I diagnoses and Borderline and Antisocial PDs. Trait anger also accounted for significant amounts of unique variance in several indicators of psychiatric impairment and psychosocial functioning. We describe the anger disorder diagnoses of Eckhardt and Deffenbacher (Anger disorders: Definition, diagnosis and treatment. Taylor & Francis, Bristol, PA, 1995), and discuss the implications of those diagnoses for the practice of REBT and CBT.

REBT 45 Years On: Still on the Sidelines

In this article, I explore and respond to some of the criticisms of REBT which have contributed to its continuing marginalisation in Britain, both within counselling in general and cognitive-behaviour therapy in particular. These criticisms include: REBT's highly active-directive and apparently aggressive manner, its reputation for being foul-mouthed, defending Hitler as an example (albeit an extreme one) of human fallibility, REBT's lack of empirical support for its theoretical tenets, and endlessly advocating profound philosophical change when it is probably outside of the reach or interest of most clients. Finally, I suggest some ways of tackling these criticisms in order to help REBT become more attractive to the wider counselling community.     

Executive Coaching and REBT: Some Comments from the Field

Executive Coaching comprises personal counseling, business advice, and advice about managing for people who are in executive management. This involves a one-to-one helping relationship between coach and client. In each case for which executive coaching is sought, there are problems the client has encountered which requires changes in client behavior. REBT, with its blend of easy understandability and direct applicability to client problems, is an ideal tool for use in executive coaching. Clients readily understand the A-B-C-D connections and are able to effect changes in behavior. The article includes case examples.     

Therapists and Psychotherapy

The Grit and Grist of Psychotherapy: The Inspirations of John Warkentin. Voices: The Art and Science of Psychotherapy, 1981, 17.     

REBT in Italy: Dissemination and Integration with Constructivism and Metacognition

This paper describes and critically discusses how rational emotive behavior therapy (REBT) spread among Italian cognitive psychotherapists. In the 1980s Cesare De Silvestri, with the help of Carola Schimmelpfennig, Franco Baldini, and Mario Di Pietro, brought REBT to Italy and eagerly disseminated it. In addition, De Silvestri cooperated with the two leading figures in the Italian clinical cognitive movement, Vittorio Guidano and Gianni Liotti. Guidano and Liotti applied the ABC framework to their constructivist version of cognitive therapy. Given that the large majority of Italian cognitive therapists adopted Guidano and Liotti’s approach, they all started applying the ABC framework and are still applying it today. However, Italian therapists adapted the ABC framework to their constructivist training. For example, Guidano and Liotti interpreted the ABC framework as aimed at promoting cognitive and emotional awareness in clients, while they considered the ‘disputing’ phase to be not compatible with the constructivist principles they held. They also encouraged the application of John Bowlby’s ideas to REBT and the use of life experience report techniques in the ABC. Sandra Sassaroli and Roberto Lorenzini applied George Kelly’s “laddering” technique to the ABC framework, a technique more focused on dilemmatic structures than on REBTian dysfunctional thought. Caselli investigated REBT’s influence on Adrian Wells’ metacognitive version of the ABC. Finally, Ruggiero and Ammendola have made a strong call for “back to Ellis”. This implies that any innovation should involve a more stringent and faithful application of REBT principles.     

The Place of Rationality in Stoicism and REBT

In this paper we explore parallels between Rational Emotive Behaviour Therapy (REBT) and the applications of Stoic philosophy. We look especially at the foundations of the philosophy in Chrysippus, rather than just at the writings of the better known Roman Stoics. Similarities are found against very different historical backgrounds, although there are also important differences. Our investigation highlights some peculiarly modern aspects of Ellis's philosophy, which may be inessential to the practice of REBT. At the same time REBT provides a model for interpreting Stoic practices to modern audiences.