The transition from therapist to executive coach

A growing number of clinicians are making the transition from therapist to executive coach. High-powered executives are exceptionally receptive to the very straightforward and pragmatic approach of REBT. However, to be successful, even a REBT trained clinician had best adapt his approach to the executive client. The primary focus needs to be on more effective and efficient job performance, not on helping the client feel better. Although these executives believe many of the same irrational beliefs as one’s clinical clients, the REBT coach can effectively illustrate how each of these beliefs contributes to specific job related problems which the executive had best resolve. Teaching executives to challenge their ideas, then assigning work-related action plans, usually results in enhanced performance, which convinces even skeptical executives that coaching is a useful endeavor. Coaching has an advantage over therapy in that the coach can observe their client in numerous work situations (meetings, presentations, performance reviews) and give constructive feedback, and actually monitor additional progress. It is an exciting field that many clinicians find extremely challenging and stimulating. Dr. William D. Criddle, MBA is a managerial psychologist and executive coach in independent practice, based in Seattle, WA, USA. He is a Fellow of the Albert Ellis Institute in New York City.     

A Synopsis of Rational-Emotive Behavior Therapy (REBT); Fundamental and Applied Research

The article presents a synopsis on rational-emotive behavior therapy (REBT), its fundamental theoretical framework, its applications, and future directions. The paper is organized according to the following structure: in part one, REBT fundamental/basic research is discussed; in the second part clinical/applied research in REBT is presented, including aspects of efficacy and effectiveness, discrimination of disorders for which REBT works most effectively, and its relations to other therapies. Uses and misuses of REBT and their impact on research and future developments are presented as well. While it is true that REBT research has many shortcomings, the overgeneralization and/or magnification of the negative, and the minimization of the positive are dysfunctional beliefs that maintain the false idea in the field that REBT has few empirical studies and that REBT research is in serious trouble. A balanced approach, analyzing both the strengths and weakness, suggest that REBT has hundreds of research articles and that high-quality studies tend to support REBT’s basic theory and efficacy. However, to strengthen this conclusion and to fully explore the potential of REBT, shortcomings of REBT research need to be corrected, and high-quality studies promoted. This is particularly important since, although effective, cognitive-behavioral psychotherapies have not yet reached “the desired standard” of efficacy and effectiveness, as about 30–40% of people are still nonresponsive to these interventions Thus, REBT could be a platform of reinvigorating empirical studies on the efficacy/effectiveness and theory of cognitive-behavioral models of psychopathology and human functioning. Mount Sinai School of Medicine, Biobehavioral and Integrative Medicine Programs, New York, USA.     

When time is of the essence: The use of rational emotive behavior therapy (REBT) informed single-session therapy (SST) to alleviate social and golf-specific anxiety,and improve wellbeing and performance,in amateur golfers

Anxieties associated with the social evaluative nature of golf are present in the majority of athletes and impact directly on their wellbeing and objective performance. One potential intervention that could reduce social anxiety in golfers is rational emotive behavior therapy (REBT). There is limited research into the effectiveness of REBT in reducing social anxiety and even less research to assess if REBT can be delivered in time-constricted situations when the expectations for immediate results are high, as is the case with many handicap golfers. The current study used an idiographic single-case study design to assess the effects of REBT-informed single-session therapy (SST) on the social anxiety of five amateur golfers. REBT was employed in a short telephone call to target the performance issue, followed up with a single face-to-face session. Data were collected prior to, immediately following, and four weeks after the REBT intervention. Visual analysis following single-case guidelines revealed substantial reductions in irrational beliefs and social anxiety as well as improvements in wellbeing, scoring average, competition placings and handicap reductions in four out of five golfers. Discussion with golfers at a telephone follow-up indicated the positive receipt of REBT by the golfers and supported the visual analysis findings. This current study supports the effectiveness of REBT and also extends the research by demonstrating that REBT-informed SST can be an effective intervention, in a time-restricted environment, for those golfers with a clear target problem and who are ready to take care of business, providing clear implications for future research and practice.     

Can Multimodal and Rational Emotive Behavior Therapy be Reconciled?

The purpose of this article is to determine whether two distinct modes of cognitive-behaviour therapy—Rational Emotive Behaviour Therapy (REBT) and Multimodal Therapy (MMT)—can be reconciled. This quest in the spirit of integrationism is pursued along three lines of inquiry: Do we talk about schools, approaches, or techniques? A reconciliation between MMT and REBT as systems seems not to be feasible, just because of the simple fact that MMT is not a new school with an idiosyncratic theory, whereas REBT is. However, REBT is also a congenial approach consisting of various eclectic techniques, as is MMT. It is explained how the A-B-C format and firing orders of the BASICI.D. modalities stem from an S-O-R model. Furthermore, the circular character of the various modalities (thinking, feeling, and behaving) is recognised both in MMT and in REBT. The techniques used in REBT and MMT overlap for 65–80%, according to a comparative perusal of Ellis's and Lazarus's presentations of preferred techniques. This means that MMT and REBT, as an approach with distinct techniques, “must” be very similar in practice. The conclusion is that philosophically Ellis and Lazarus see eye-to-eye and that MMT and REBT overlap a great deal. But a fusion is not yet at hand. At best the two can be described as two sides of one coin. “When you wake up in the morning, Pooh,” said Piglet at last, “what's the first thing you say to yourself?” “What's for breakfast?” said Pooh. “What do you say, Piglet?” “I say, I wonder what's going to happen exciting today?” said Piglet. Pooh nodded thoughtfully. “It's the same thing,” he said. “What's that?” the Unbeliever asked. “Wisdom from a Western Taoist,” I said. “It sounds like something from Winnie-the Pooh,” he said. “It is,” I said. From The Tao of Pooh Benjamin Hoff (1982)     

Using REBT in the Treatment of Restless Leg Syndrome: A Case-Study

This paper describes a case study of a middle-aged woman with restless leg syndrome (RLS) and the course of her treatment using rational emotive behavior therapy (REBT). Although the empirical support is somewhat limited, published literature suggests the potential effectiveness of cognitive-behavioral therapy in treating clients with RLS. This client sought treatment for chronic pain consistent with RLS which had affected her quality of life and daily functioning. She was assessed using a battery of quantitative measures. Conceptualization and treatment from an REBT perspective is discussed. The client was seen for six sessions. Treatment involved a combination of REBT disputing and cognitive restructuring techniques and behavioral interventions. Homework was given after each session. Between-meeting progress was assessed at each session using the Outcome Questionnaire and a scale measuring the client’s rational and irrational beliefs. The client reported a steady reduction in symptoms with associated improvements in sleep and daily functioning over the course of the six-session intervention. Therapeutic gains were maintained at 8-months follow-up.     

Distress Tolerance and Rational-Emotive Behavior Therapy: A New Role for Behavioral Analogue Tasks

Rational-emotive behavior therapy (REBT) is a widely utilized treatment approach for many mental disorders, but it has been “relatively neglected in the professional scientific literature” (Ellis 2003b). This neglect has been attributed in part to a lack of solid REBT outcome studies, which in turn stems from the difficulty of measuring constructs of interest in REBT, such as irrational beliefs, via self-report measures. In light of these concerns, the current paper aims to identify the potential utility of behavioral analogue laboratory tasks for advancing the understanding of mechanisms in REBT, as well as treatment outcome using this therapeutic approach. Specifically, we focus on the utilization of behavioral measures of distress tolerance and their application to the key REBT construct of frustration intolerance. In identifying the parallels across distress tolerance and frustration intolerance, we consider how the incorporation of distress tolerance tasks into REBT research can be useful in evaluating the role of frustration intolerance in the initiation, maintenance, and treatment of disordered behavior across a broad range of clinical disorders.

Rational Emotive Behavior Therapy: A Tough-Minded Therapy for a Tender-Minded Profession

Objections to Rational-Emotive Behavior Therapy (REBT) seem to exceed the mere rational preference for one approach over another. Ziegler suggested that James's dichotomy between Tough- and Tender-Mindedness might explain REBT's appeal to some and its failure to attract others. REBT is a predominantly Tough-Minded therapy, but the counseling profession is largely Tender Minded. In this article, the author examines why Tender-Minded counselors may not accept REBT, what common misperceptions of REBT may contribute to this rejection, and how the two might be reconciled. Intervention strategies for Tender-Minded counselors are suggested.     

Rational-Emotive Behavior Therapy: An Interview with Albert Ellis

Over the past 50~years, Rational-Emotive Behavior Therapy (REBT) has been developed and refined by Albert Ellis. REBT provides a framework for therapy that appears useful for many therapists and most clients. This paper includes a recent interview with Dr. Ellis, examining issues related to the development, application, and ongoing refinement of REBT as a useful and effective approach to psychotherapy.     

The REBT Competency Scale for Clinical and Research Applications

This paper presents the REBT Competency Scale which can be used in the evaluation of adherence to an REBT treatment model in clinical and research applications. The scale has been developed to map closely onto the REBT treatment protocol developed by Dryden et al. (A primer on rational emotive behaviour therapy, Research Press, Champaign, 2003). Based on this treatment protocol 21 core steps (tasks) were identified for effective REBT practice. Each step is operationally defined, the rater is reminded of how the step relates to REBT theory and practice and scoring criteria are established that enable a rating of the therapists performance of the task. The potential uses for and application of the scale in clinical and research settings are considered.     

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 Concept of Psychological Health in Rational Emotive Behavior Therapy

The argument has been made that if Rational Emotive Behavior Therapy (REBT) is to survive and prosper in the 21st century, its underlying personality theory requires further development and clarification. In this spirit, the concept of psychological health in REBT theory is examined in the present article. The concept of psychological health in personality theories is discussed briefly, as are the core aspects of the REBT view of emotional disturbance. Given that necessary context, a definition of the essence of psychological health in REBT theory is proposed and discussed. The clinical implications of the proposed definition are then explored.     

The Albert Ellis Institute: Past,Present and Future

The Albert Ellis Institute founded in 1959 by Dr. Albert Ellis is the bedrock where Rational Emotive Behavioral Therapy (REBT) was born. During these 55 years the Institute has become the neuralgic center from where REBT develops and disseminates trough the affiliated international centers all over the world. Nowadays it is chartered by the University of the State of New York and it has a professional team directed by Dr. Kristene Doyle deeply committed to promote emotional health spreading REBT, a short-term therapy with long-term results. Dr. Kristene Doyle talks about her experience in the Institute under Dr. Ellis mentorship and also about the current activities in the Institute and the plans for the future.     

A Systematic Review of the Literature on the Use of Rational Emotive Behaviour Therapy in Criminal Justice Work to Reduce Re-offending

A systematic review of the published literature from 1995 to 2007 considers the published evidence on the use of interventions employing Rational Emotive Behaviour Therapy in criminal justice efforts to reduce re-offending. Thirty-six studies are briefly described, summarised and appraised for research quality using a six point scale. Twenty-four studies were excluded from further analysis due to insufficiently rigorous or weak research design and method. Twelve studies were appraised as sufficiently robust to reliably inform the research interest. Further analysis of the studies indicated an association between negative emotional states and offending behaviour, some evidence of REBT effectiveness in treating emotional disturbance in offender populations, and mixed evidence of REBT effectiveness in reducing re-offending. It is concluded that interventions using REBT might be a promising approach for aiding criminal justice aims to reduce re-offending.     

Acceptance in Cognitive Behavioral Psychotherapies: Different or the Same?

Acceptance is a key construct in both rational emotive behavior therapy (REBT) and acceptance and commitment therapy (ACT). The objectives of this study were to assess and compare the properties of ACT acceptance with those of REBT acceptance in predicting emotions. A sample of 112 subjects, comprising different educational and occupational status, completed three measures of acceptance (REBT and ACT), two of mindfulness, as well as completing depression and anxiety scales. Both ACT acceptance as process and REBT acceptance could predict significant ACT acceptance as outcome. Mindfulness as a trait also predicted the level of ACT outcome acceptance as well as the level of REBT acceptance, but mindfulness as process predicted only ACT outcome acceptance. The results show that REBT acceptance, ACT acceptance and mindfulness can explain anxiety and depression in different ways. The results show that the difference between ACT acceptance and REBT acceptance primary concern the process of acceptance, most likely due to the underlying cognitive processing. The outcome acceptance and emotional level are similar in the two conditions. Future research should employ multiple cognitive measurements.     

Can Rational Emotive Behavior Therapy Lead to Spiritual Transformation? Yes, Sometimes!

When possible, Rational Emotive Behavior Therapy (REBT) has always aimed for thorough-going philosophic change. It instructs people to transform their fundamental approach to life and shows them how to become (1) less prone to disturbance and (2) active seekers of that which, for them, constitutes the zoom of living. Rather than spend time telling people the meaning of life, REBT shows them how they may more frequently, more intensely and for longer periods of time have the experience of full and deep living. By doing so, REBT can well be seen as a source of spiritual transformation.     

Rational Emotive Behavior Coaching

Managed care has led some psychotherapists to seek alternative modes of practice. Personal coaching provides one such approach. To what extent might an REBT practitioner already be “coaching”? How can REBT be meshed with personal coaching? What advantages and problems might ensue? What training is involved? These questions are answered based on the experiences of the author in shifting her work to what she calls Rational Emotive Behavior Coaching.     

Rational emotive behavior therapy research: What we know and what we need to know

Rational emotive behavior therapy (REBT) has achieved positive results in quantitative reviews of treatment outcome studies. In part because of methodological limitations of these studies, however, the generalizability of their favorable results to routine clinical practice is unknown. Also unknown are the clinical significance of outcomes achieved by REBT, the contribution made by its distinctive and specialized procedures, and the types of patients for whom REBT is particularly useful. Recommendations are provided for refining our knowledge of the effectiveness of REBT.     

Rational emotive behaviour therapy in high schools to educate in mental health and empower youth health. A randomized controlled study of a brief intervention

Rational emotive behaviour therapy (REBT) is effective in reducing distress in several target groups. No other study has tested the mental health effects on adolescents in a high school setting while expanding a Cognitive Behaviour-based therapy, REBT, into the concept of mental health literacy. The format of the ABC model, which is an important element of REBT, functioned as a working manual in and between three sessions. This study tested whether knowledge and practical use of the ABC model increased self-esteem and hope, and reduced symptoms of anxiety and depression, and dysfunctional thinking. Sixty-two high school students with subclinical levels of anxiety and depression were randomly allocated into three groups; three individual REBT sessions, or three individual attentional placebo (ATP) sessions or no sessions (control). However, dysfunctional thinking, self-esteem and hope were not measured in the control group. Repeated measures with ANOVA and t-tests were conducted. Both REBT and ATP significantly reduced symptoms of anxiety and depression, but only REBT was significantly different from the control group at the six-month follow-up. Only REBT significantly reduced dysfunctional thinking, and both REBT and ATP significantly increased self-esteem and hope. REBT had both an immediate and a long-term effect. The findings show the potential positive effects of educating well-documented psychological techniques as ordinary education in school. Further research might contribute to decide whether or not to change the school system by enclosing mental health literacy classes for all students.