Rationality,self-regard and the “healthiness” of personality disorders

Although irrationality has been consistently correlated with the intensity of acute clinical syndromes that are characterized by emotional or thought disorders, relationships between irrationality and personality disorders have not been investigated carefully. When they enter treatment, clients at the Institute for Rational-Emotive Therapy (IRET) had personality trait scale scores that accounted for substantial variance in rationality scale scores on several well-validated instruments. The eleven scales of the Millon Clinical Multiaxial Inventory (MCMI) associated with the DSM-III axis II personality disorders had a pattern of relationships with rationality and irrationality that parallels their somewhat surprising relationships with measures of acute emotional distress. Scales 4, 5, 6, and 7 were almost always associated with hyperrationality on most scales and with enhanced self-esteem, as well as with relatively low distress; scales 1, 2, 3, 8, S, and C were associated with irrationality and low self-esteem, as well as with severe distress. The P scale had inconsistent and weak correlations with rationality and self-esteem, as it had with measures of intake distress.Russell C. Leaf is Associate Professor of Psychology at Rutgers. He also directs a research project at the Institute for Rational-Emotive Therapy, in collaboration with the four other authors of this article, on the relationships between intake personality and mental health. He is an Institute Fellow and Supervisor, and previously served as a staff therapist and as the Institute's Director of Clinical Evaluation.Albert Ellis is President of the Institute for Rational-Emotive Therapy.Roslyn Mass is Professor of Psychology at Middlesex County College. She is in charge of data processing and analysis for the collaborative research of this authorial team, and is a Fellow of and previously served as Administrative Director of the Institute for Rational-Emotive Therapy.Raymond DiGiuseppe is Associate Professor of Psychology at St. Johns and Director of Research and Director of Training at the Institute for Rational-Emotive Therapy.Diane Alington is Assistant Director and a core member of the Institute for Health, Health Care Policy and Aging Research at Rutgers, where she conducts a research program on sex differences in adult development.     

Use of the Survey of Personal Beliefs Scale: Further validation of a measure of irrational beliefs with psychiatric inpatients

Development of valid instruments for measuring underlying irrational beliefs is necessary for ongoing research of Rational-Emotive Therapy (RET). This study was designed to further evaluate the validity of one such measure, the Survey of Personal Beliefs (SPB). Adult psychiatric inpatients completed the SPB and measures of depression, hopelessness, and anxiety, as well as a conceptually similar measure of irrational thinking, the Belief Scale. It was predicted that if construct validity exists for the SPB then a significant correlation would exist between irrational beliefs as measured by the SPB and depression, hopelessness, and anxiety. It was also predicted that if the scale has construct validity, then patients being treated with RET would demonstrate a greater reduction in irrational thinking based on SPB scores than would inpatients receiving treatment not based on RET. To evaluate for discriminate validity, it was predicted that the SPB would correlate more highly with a conceptually similar measure of irrational thinking than with measures of depression, hopelessness, and anxiety. The findings of this study offer support for the validity of the SPB. Additional and unexpected findings as well as recommendations are discussed.Dr. Nottingham is an Associate Fellow and Approved Supervisor of the Institute for Rational-Emotive Therapy. He is in independent practice with Germantown Psychological Associates, P.C. and is Director of Psychology and Clinical Director of Adult Mental Health Services at Parkwood Hospital, Olive Branch, MS.I would like to thank Ivey Bright, Brad Barris, and Dee Conrad for their assistance in data collection. Additionally, without the assistance and support of the Parkwood Hospital administration and staff, this research could not have been completed.     

The therapeutic relationship in Rational-Emotive Therapy: Some preliminary data

This study assessed the therapeutic relationship between psychotherapy clients and Albert Ellis and other Rational-Emotive Therapists. Clients at the Institute for Rational-Emotive Therapy completed the relationship questionnaire (Truax, & Carkhuff, 1967). The results suggest that RET therapists do develop positive therapeutic relationships. Clients receiving RET endorsed significantly higher scores on most therapeutic relationship subscales compared to subjects in the initial articles introducing the therapeutic relationship scale. There were no differences in therapeutic relationship scores by gender of the therapist. Also, there was no correlation between the relationship scores and the number of sessions completed, which suggests the therapuetic relationship develops early. Both clients of senior and junior therapists received higher relationship scores than did clients of Dr. Ellis. This disconfirms the argument that RET practices cannot lead to a therapuetic relationship and Ellis' therapeutic relationship is a result of his fame and could not be duplicated by other therapists using RET.The authors wish to thank the Board of Trustees of Institute for Rational-Emotive Therapy for their financial support of this study.     

My current views on Rational-Emotive Therapy (RET) and religiousness

Comments on W. B. Johnson's (1992) Rational Emotive Therapy and Religiousness: A Review. Outlines the author's current views on regular religion and on dogmatic, absolutist, devout religiosity, in order to clarify how rational-emotive therapy (RET) and rational-emotive psychology (REP) actually hold, and do not hold, certain attitudes toward religion. Albert Ellis, Ph.D., is the founder of Rational-Emotive Therapy, President of the Institute of Rational-Emotive Therapy in New York, and the author of over fifty books on RET and Psychotherapy.Albertt Eillis, Ph.D., is the founder of Rational-Emotive Therapy, President of the Institute of Rational-Emotive Therapy in New York, and the author of over fifty books on RET and Psychotherapy.     

Countering perfectionism in research on clinical practice II: Retrospective analysis of treatment progress

A simple correlational study is described which has methodological advantages, when compared with an equivalent manipulative (i.e., quasiexperimental) research design, for examining exploratory questions about treatment outcome. These advantages stem from the fact that retrospective designs, when compared with prospective ones, are much less likely to involve ethical problems due to offering relatively ineffective or unnecessary treatment, and less likely to involve confounds from newly hypothesized differential expectations about treatment. Based on Millon Clinical Multiaxial Inventory (MCMI) scale scores, clients with high levels of histrionic or narcissistic (and possibly also those with antisocial, compulsive and paranoid) personality traits seemed to profit more from RET than those without such traits. Clients with high levels of schizoid, avoidant, and schizotypal traits (and probably also clients with strong passive-aggressive traits, and possibly also clients with strong dependent and borderline traits) seemed to profit less from RET than those without such marked traits. We have previously shown that the relatively healthy personality traits and disorders are associated with global self-upping and the relatively sick ones with global self-downing, as well as contrasting patterns of positive and negative reactions to stressful events. Our findings here support the concept that clients who consistently handle life situations well will tend to progress most rapidly in therapy, and those who generally handle life situations badly will tend to progress slowly. Personality traits may be especially significant markers for therapeutic attention to problems stemming from global self-rating. Expectations based on the severity of global self-upping and/or self-downing may be good predictors of therapeutic progress. In contrast, expectations about RET outcomes based on severity of distress or neediness will probably be less accurate.Dr. Russell C. Leaf is Associate Professor of Psychology at Rutgers. He also directs a research project at the Institute for Rational-Emotive Therapy, in collaboration with the four other authors of this article, on the relationships between intake personality and mental health. He is an Institute Fellow and Supervisor, and previously served as a staff therapist and as the Institute's Director of Clinical Evaluation.Albert Ellis is President of the Institute for Rational-Emotive Therapy.Roslyn Mass is Professor at Middlesex County College. She is in charge of data processing and analysis for the collaborative research of this authorial team, and is a Fellow of and previously served as Administrative Director of the Institute for Rational-Emotive Therapy.Raymond DiGiuseppe is Associate Professor of Psychology at St. Johns and Director of Research and Director of Training at the Institute for Rational-Emotive Therapy.Diane Alington is Assistant Director and a member of the core faculty of the Institute for Health, Health Care Policy and Aging Research at Rutgers, where she conducts a research program on sex differences in adult development.     

Irrationality profiles for anger and anxiety

A fundamental position in Rational-Emotive Therapy (RET) is that irrational belief systems cause emotional disturbance. This study adds to the body of recent research substantiating this position by showing significantly different profiles on the Jones Irrational Beliefs Test (IBT) (1968/1969) for a nonclinical population (N=446) differentiated according to low, medium, and high anxiety and low, medium, and high anger. The profile differences not only support the above fundamental position, but also offer some further evidence for the validity of the IBT.Paul J. Woods, Ph.D., co-editor of this journal, is an associate fellow of the Institute for Rational-Emotive Therapy, a professor of psychology at Hollins College, and is engaged in private practice in Roanoke, Virginia.Samuel K. Coggin is completing his Master's work at Hollins College and is employed as a psychologist at the Central Virginia Training Center, Lynchburg, Virginia.     

Setting and response generalization in rational-emotive therapy: A case study

A single case study (n=1) conducted during therapy investigated the relationship between disputing irrational beliefs in vivo and setting and response generalization. Irrational beliefs associated with the subject's anger and depression were disputed at different intervals over a ten week period utilizing a multiple baseline design across four classes in a school setting (setting 1). Depression and anger were rated several times each week. The subject's level of anxiety was also rated in setting 1 but the irrational beliefs associated with it were not disputed. Anger, depression, and anxiety were rated without disputation in a separate work setting (setting 2). Affect ratings significantly decreased across both settings throughout the ten week period. Results indicated that 1) disputing irrational beliefs associated with anger and depression in setting 1 led to reductions in anxiety in this setting (response generalization), 2) anger and depression reductions in setting 2 paralleled setting 1 reductions (setting generalization), and 3) anxiety reductionsWilliam J. Ruth, PhD, Staff Psychologist and practicum supervisor, Institute for Rational-Emotive Therapy, NY City; School Psychologist, Board of Cooperative Educational Services, Southern Westchester.Raymond DiGiuseppe, PhD, ABPP, Director of Training and Research, Institute for Rational-Emotive Therapy, NY City; Graduate Professor, St. John's University, NY City; co-author,Practitioner's Guide to Rational-Emotive Therapy and RET with Alcoholics and Substance Abusers.     

Living with diabetes

Management of diabetes can be affected by emotional distress in two ways: directly, via the effect of stress on glycemic control, and indirectly via effects on self-care routines. Rational-emotive therapy, along with a number of other cognitive, emotive, and behavioral tools, is an important intervention for patients who have diabetes-related distress. The authors describe personal and professional examples of the application of these tools to living rationally with diabetes.Richard R. Rubin, Ph.D. is a staff member of the Diabetes Center and the Pediatric Diabetes Clinic at the Johns Hopkins Hospital. In addition, he has a private psychotherapy practice, substantially devoted to counseling and coping skills training for people with diabetes.Susan R. Walen, Ph.D. is an Associate Professor in the Department of Psychology, Towson State University and Director of the Baltimore Center for Cognitive Therapy. She is the coauthor ofA Practitioner's Guide to Rational-Emotive Therapy.Albert Ellis, Ph.D. is the founder of Rational Emotive Therapy and president of the Institute for RET in New York City. He is the author of more than 50 books and 600 journal articles on psychotherapy topics.     

Cognitive variables related to suicidal contemplation in adolescents with implications for long-range prevention

In a series of studies with college and high school students (Total N=808) consistent and strong relationships were found between suicidal contemplation and the irrational beliefs considered by Rational-Emotive Theory & Therapy (RET) to underlie emotional distress. Suicidal contemplation was measured first by an item from the Beck Depression Inventory and subsequently by the Suicide Probability Scale. Irrational beliefs were measured by the Jones Irrational Beliefs Test and, in the third study, by the new Attitudes & Belief Scale-II as well. Groups formed on the basis of increasing indices of suicidal contemplation were found to be consistently, increasingly more irrational on both measures. Also groups created according to low, medium, and high levels of irrational beliefs (the B in RET) were found to be markedly different on C variables such as anxiety, depression, hopelessness, anger, psychosomoatic symptoms and suicidal contemplation. The findings were interpreted as strongly inferring a causational relationship from attitudes and beliefs to emotional distress and the contemplation of suicide. The implications of the findings for RET theory and for therapeutic and preventive strategies related to emotional distress and suicidal contemplation are clear. Other approaches to the explanation of suicide are cited and reference is made to a previous critical summary of them (Woods & Muller, 1988).Paul J. Woods, Ph.D., Co-Editor of this Journal, is a Fellow of the Institute for Rational-Emotive Therapy in New York City, a Professor of Psychology at Hollins College, and a Licensed Psychologist in independent practice in Roanoke, Virginia.Ellen S. Silverman, R. N., C. & M.A. collaborated in Study III for a Master's thesis at Hollins College. She is currently in a Ph.D. program in psychology at Virginia Polytechnic Institute & State University.Julia M. Gentilini, B. A. collaborated on Study I for an Honors' thesis in psychology at Hollins College.Deborah K. Cunningham, M. A. collaborated on Study II for a Master's thesis at Hollins College. She is currently in a Ph.D. program in psychology at the University of Memphis.Russell M. Grieger, Ph.D., Co-Editor of this Journal, is a Licensed Clinical Psychologist in independent practice in Charlottesville, Virginia, and a Fellow of the Institute for Rational-Emotive Therapy in New York City.     

Rational-emotive therapy in the therapeutic community

Therapeutic Communities (TC's) have become increasingly popular in the treatment of substance abusing psychotherapy clients. Their popularity appears to have stemmed from the failures of traditional and more individual treatment modalities. Approaches focusing on immeasurable constructs and often irrelevant past events are argued to contribute to symptom maintenance and resistance in this client population. It is argued that a more direct, responsibility-oriented approach be implemented in a systematic and consistent fashion in order to facilitate treatment. The systematic application of Rational-Emotive Therapy in a self-contained therapeutic system is discussed.Raymond J. Yeager Ph.D., is Director of Psychological Services at A.P.P.L.E. Inc.: A Program Planned for Life Enrichment, a graduate fellow and staff therapist at the Institute for Rational-Emotive Therapy and is a privately practicing psychologist in Commack and Huntington, Long Island, N.Y.Raymond DiGiuseppe, Ph.D., is a Diplomate of the American Board of Professional Psychology, is the Director of Training and Research at the Institute for Rational-Emotive Therapy, is an Assistant Professor of psychology at St. John's University and is in private practice in Hempstead, L.I., N.Y.John T. Olsen is a certified substance abuse counselor at A.P.P.L.E. Inc. He is a graduate of APPLE'S residential program and has worked in the field of substance abuse treatment and prevention for over 11 yearsLogan Lewis ia the President and founder of APPLE Inc.Robert Alberti is the Program Director of APPLE's residential treatment program, and is a certified substance abuse conselor.     

A dictionary of rational-emotive feelings and behaviors

Rational-emotive therapy (RET) hypothesizes that people mainly make themselves emotionally disturbed and dysfunctional in their behavior by starting with rational Beliefs (rBs) about their Goals (G) and then by consciously or unconsciously converting these into irrational Beliefs (iBs) or dogmatic, absolutistic musts and commands. To help clients and others to clearly see the differences between their rational Beliefs and their irrational Beliefs, to understand the disordered feelings and behaviors to which the latter lead, and to help them become more rational, less disturbed, and less dysfunctional in their activities, the authors have constructed and herewith present a dictionary of rational-emotive equivalents.Ted Crawford is a Consultant on Communication and Group Processes in Santa Barbara, California. Albert Ellis, Ph.D., is the Executive Director of the Institute for Rational-Emotive Therapy in New York City.     

Do you really want to maintain that a flat tire can upset your stomach? Using the findings of the psychophysiology of stress to bolster the argument that people are not directly disturbed by events

The purpose of this paper is to help clients and others more fully appreciate the complex chain of events intervening between an external happening and an emotional response to that happening. It deals first with the sensory processing of physical stimulation and then presents the current state of knowledge regarding stress psychophysiology. A decision by the cortex which defines something as dangerous or threatening activates two major stress reaction pathways, the endocrine system and the autonomic nervous system, with a large number of physical consequences such as: acceleration of heart rate, increased blood pressure, reduced effectiveness of the immunological system, slowing of gastro-intestinal processes, pupil dilation, bronchial dilation and inhibition of salivation. The complexity and variety of such consequences is illustrated with a series of flow-chart diagrams, and it is suggested that these can be an additional and persuasive argument for the RET position which follows the claim of Epictetus: People are disturbed not by things, but by the views they take of them. Finally it is argued that while rapid emotional responses oftenseem to occur automatically it is because the intervening cortical processes are at times not verbalized. This is shown in the context of a diagrammatic outline of the Rational-Emotive Therapy process.Paul J. Woods, Ph.D., co-editor of this journal, is an associate fellow and an RET training supervisor of the Institute for Rational-Emotive Therapy.     

Changing rational-emotive therapy (RET) to rational emotive behavior therapy (REBT)

Reasons are given for changing the name of Rational-Emotive Therapy (RET) to Rational Emotive Behavior Therapy (REBT) and for bringing its behavioral aspects into more prominence. Excerpted from “Changing Rational-Emotive Therapy (RET) to Rational Emotive Behavior Therapy (REBT).Behavior Therapist, 1994,16(10), 1–2, and fromReason and Emotion in Psychotherapy, Rev ed. updated. New York Carol Publishing, 1994. Reprinted with permission.     

Nine Experts Describe the Essence of Rational-Emotive Therapy While Standing on One Foot

The purpose of this study was to determine the extent of agreement among a panel of rational-emotive therapy (RET) experts about the essence of RET. The panel of experts consisted of the 9 members of The International Training Standards and Review Committee of the Institute for Rational-Emotive Therapy in New York. The question that the experts were asked was an adaptation of a Talmudic story known in Jewish lore as “While Standing on One Foot.” Responses were assigned to either of 2 categories: general cognitive behavior therapy (CBT) or RET-specific. There seems to be a range of responses that capture the essence of RET. A strong case can be made for subsuming many aspects of CBT under RET because much of what is associated with CBT has its origins in RET. The confusion about where RET ends and general CBT begins goes to the very heart of RET's status today.     

NINE EXPERTS DESCRIBE THE ESSENCE OF RATIONAL-EMOTIVE THERAPY WHILE STANDING ON ONE FOOT

The purpose of this study was to determine the extent of agreement among a panel of rational-emotive therapy (RET) experts about the essence of RET. The panel of experts consisted of the 9 members of The International Training Standards and Review Committee of the Institute for Rational-Emotive Therapy in New York. The question that the experts were asked was an adaptation of a Talmudic story known in Jewish lore as “While Standing on One Foot.” Responses were assigned to either of 2 categories: general cognitive behavior therapy (CBT) or RET-specific. There seems to be a range of responses that capture the essence of RET. A strong case can be made for subsuming many aspects of CBT under RET because much of what is associated with CBT has its origins in RET. The confusion about where RET ends and general CBT begins goes to the very heart of RET’s status today. Reprinted from Journal of Counseling & Development, March/April 1996, Volume 74. ACA. Reprinted with permission. No further reproduction authorized without written permission from the American Counseling Association. Stephen G. Weinrach, who maintained a private practice in Havertown, Pennsylvania, was a professor of counseling and human relations at Villanova University, Villanova, Pennsylvania, and a Fellow of the Institute for Rational-Emotive Therapy in New York. The author was grateful to Michael Bernard, Raymond DiGiuseppe, Windy Dryden, Albert Ellis, Howard Kassinove, G. Barry Morris, Ann Vernon, and Janet Wolfe for their responses on which this article was based. The author expressed particular appreciation to Martin Gerstein, Jeffrey K. Messing, Ellen Finkelstein, Joanne Christopher, and Colleen Deeter, who provided valuable editorial assistance. Raymond DiGiuseppe and Windy Dryden made the publication of this study possible through their generous assistance and incisive knowledge of rational-emotive therapy.     

Rational-emotive therapy: A discussion of its applicability for deaf clients

This review was conducted to explore the feasibility of Rational-Emotive therapy as an approach to addressing the problems of providing mental health services to persons who have a severe hearing impairment. Informational resources dealing with the topics of Rational-Emotive Therapy and counseling with persons who are hearing impaired were reviewed. References indicated that RET is reasonably well suited to the task of counseling with clients who are hearing impaired, provided that appropriate modifications are incorporated. Specific modifications of RET are recommended and discussed.     

Evaluation of a comprehensive inpatient rational-emotive therapy program: Some preliminary data

Mental health practitioners are faced with a profound challenge surrounding the prevalence of adult mental disorders, the need for inpatient treatment programs, and the costs of such programs. This paper describes the development of an adult inpatient psychiatric program based on Rational-Emotive Therapy. Specific elements of this program are described briefly, and preliminary outcome data presented on 372 patients. Concerns and future directions are also discussed. Development of adult inpatient psychiatric programs based on Rational-Emotive Therapy would appear to be one method of providing effective and cost-efficient treatment within the current cost-containment atmosphere of psychiatric treatment.Dr. Nottingham is an Associate Fellow and Approved Supervisor of the Institute for Rational-Emotive Therapy. He is in independent practice with Germantown Psychological Associates, P.C. and is Director of Psychology at Parkwood Hospital, Olive Branch, MS. Dr. Neimeyer is an Associate Professor and Director of Clinical Training in the Department of Psychology of Memphis State University. He has written extensively in the areas of cognitive and constructivist psychotherapy, and is co-editor of the International Journal of Personal Construct Psychology.The authors would like to thank Kat Bagley, Joe Grillo, Ivey Bright, Brooke Bensen, Cathy Michas, Brad Barris, Lori Passmore, David Wilkins, and Dee Conrad for their help with data collection. Additionally, without the assistance and support of the Parkwood Hospital administration and staff, neither this treatment program nor this paper could have been developed.Portions of this paper based on earlier data analyses were presented at the Mississippi Psychological Association Convention, September, 1990. This research was conducted at Parkwood Hospital.     

A review of outcome studies of rational-emotive therapy from 1982–1989

In 1977, DiGiuseppe and Miller provided a review of the literature assessing the effectiveness of Rational-Emotive Therapy (RET). In 1984, McGovern and Silverman completed a similar review for outcome studies conducted from 1977 through mid-1981. This present study is meant as a continuation of those reviews. The 89 studies reviewed are divided into three sections: outcome studies that do not compare Rational-Emotive Therapy with other types of treatment; a review of outcome studies that do compare RET with other types of psychotherapy; and a review of Rational-Emotive outcome studies that either combine RET with other therapies or are not appropriate for the first two sections. There does appear to be some increased sophistication in the research conducted since 1982. Increases were noted in the number of control groups used in the current research as well as in the number of follow-up studies. There also appears to be an improvement in the comparison of RET with other forms of therapy, and the number of problem areas in which RET has been tested has increased. A decrease in post-test only studies and an increased variety of subjects have also improved the current research. Issues such as socioeconomic status and I.Q. of subjects, duration of treatment, and lack of longitudinal studies remain unaddressed. It is suggested that future researchers concentrate on these specific problems to improve the credibility of RET. This review coincides with the previous findings that RET is a valuable, effective therapy that warrants increased research to broaden its application.Manuel S. Silverman, Ph.D., is a Professor of Counseling Psychology at Loyola University Chicago.Margaret M. McCarthy, M.A., is a recent graduate of Loyola University Chicago.Terrance McGovern, Ph.D., is in Private Practice in Downers Grove, Illinois.     

Cognitive career counseling for women

Developmental theories of career counseling conceptualize individuals proceeding in a sequential, orderly fashion throughout their career lives. Specific tasks are confronted and resolved as individuals pursue their career goals. Issues faced by women at each stage of the career cycle are often overlooked. This article describes the negative influence societal demands, role conflicts, and individual attitudes can have on women seeking careers. RET provides an essential cognitive component for reducing the internal and external attitudinal barriers in treating women for job related problems.Diana Richman, Ph.D. is Supervising psychologist at the Institute for Rational-Emotive Therapy. She maintains a private practice in Manhattan and Queens.