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.     

Irrational beliefs and psychosomatic disorders

Irrational beliefs were related to psychosomatic disorders in an adult sample of 57 male and 68 female psychotherapy clients and 62 male and 38 female adult nonclients. The client and nonclient samples differed markedly in a number of ways, but nevertheless, in both samples those with relatively high frequencies of psychosomatic disorders scored as more irrational on 7 of the 10 scales of the Jones Irrational Beliefs Test (IBT) compared to those with relatively low frequencies of psychosomatic disorders. Hierarchical multiple regression analyses found Anxious Overconcern (AO) to account for 31.7% of the variance in the psychosomatic illness scores for the nonclient sample and 10.8% of the variance for the client sample. Subgroups within each sample formed on the basis of their AO scores (a B-level variable in RET theory) were subsequently found to be significantly different on the C-level variables of anxiety and psychosomatic disorders. It is argued that causal connections are implied and that the results are better understood in a monistic mind-body-unit conceptualization of the human organism.Paul J. Woods, Ph. D., co-editor of this journal, is a Fellow and an RET training supervisor of the Institute for Rational-Emotive Therapy, a professor of psychology at Hollins College, and is engaged in private practice in Roanoke, Virginia. Larry C. Lyons is a graduate student in the Masters' program in psychology at Hollins College.     

A study of “Belief” and “Non-belief” items from the jones irrational beliefs test with implications for the theory of RET

Evidence supporting the fundamental position of Rational-Emotive Therapy (RET) that dysfunctional emotions and behaviors are heavily influenced by irrational beliefs has been questioned due to the fact that many measures of beliefs contain items that actually refer to emotions and behaviors. In this study individual items on the Jones Irrational Beliefs Test (IBT) (Jones, 1968/69) were rated by a panel of experts in RET as to whether they referred to beliefs, behaviors, emotions, or were ambiguous. Then Belief items and Non-belief items from the responses of 368 participants were extracted and scored separately. The Non-belief scores, based on items mostly referring to emotions and behaviors, were strongly related to measures of distress, as would be expected. But scores based on items unequivocally referring to beliefs were also significantly related to measures of emotional distress, psychosomatic symptoms, and suicidal contemplation. These findings are interpreted as clear support for RET's position on the relationship between irrational beliefs (B's) and dysfunctional emotions and behaviors (C's).Co-Editor of thisJournal, 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.     

Bulimia: A case study with mediating cognitions and notes on a cognitive-behavioral analysis of eating disorders

A case study of a young woman who was following a complex bulimic chain is described. Her emotional-behavioral sequence involved (1) feeling upset, (2) feeling more upset and taking a high dose of laxatives, (3) hinging, (4) taking additional laxatives, (5) feeling depressed, guilty, and angry, and then (6) starving herself for days on end. This paper lists the selfdefeating cognitions mediating the above sequence of emotions and behaviors and reports on a successful disputation of them through a Rational-Emotive Therapy approach. She resumed a normal eating pattern; her menstrual cycle returned in 2 months after having been absent for 13 months; and at followup, 15 months after termination of therapy, disclosed normal weight with no regression to any bulimic behavior. The case study concludes with preliminary notes on a cognitive-behavioral analysis of eating disorders. A model for eating disorders is proposed based upon the study and treatment of other selfindulgent disorders.Paul J. Woods, Ph.D., Co-Editor of thisJournal, is a Fellow of the Institute for Rational-Emotive Therapy in New York City, a Professor Emeritus of Psychology at Hollins College, and a Licensed Psychologist in independent practice in Roanoke, Virginia.Russell M. Grieger, Ph.D., Co-Editor of thisJournal, is a Fellow of the Institute for Rational-Emotive Therapy in New York City, and a Licensed Clinical Psychologist in independent practice in Charlottesville, Virginia.     

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.     

Irrational beliefs and conflict-handling orientations

Before a series of conflict-resolution and communication-skills workshops, measures were obtained on the dependent variables of conflict-handling orientations and on the independent variables of irrational beliefs. The population was rather general, i.e. nonstudent, nonclinical and non-volunteer, who were the managers and the engineers of three enterprises. Correlation analysis showed that irrational beliefs underlying anger, anxiety, frustration, guilt and other negative emotions were correlated with different conflict-handling orientations. On the basis of the obtained results a series of workshops was conducted in the format of Rational-Emotive Therapy (RET).Mikhael I. Timofeev, Ph.D., is a senior lecturer at the Inter-Branch Institute of Advanced Training, St. Petersburg Technical University, Politechnicheskaya, 29, St. Petersburg, 195251, Russia.     

Reductions in type a behavior,anxiety, anger,and physical illness as related to changes in irrational beliefs: Results of a demonstration project in industry

A series of stress management workshops was conducted in a Rational-Emotive Therapy (RET) format for an entire department in a large corporation (N=49). The population was rather general, i.e., nonstudent, nonclinical, and nonvolunteer. Measures were obtained before the program began and three to four months following completion on the dependent variables of Type A behavior, anxiety, anger, depression, assertiveness, and physical illness symptoms, and on the cognitive independent variables of irrational beliefs. Major changes were obtained on all dependent measures supporting previous work on the usefulness of an RET approach in reducing various types of distress. Further, these changes were shown to be strongly related to changes in irrational beliefs and changing such irrational beliefs was the major focus of the program. It is concluded, therefore, that a fundamental assumption of Rational-Emotive Therapy and theory is given additional empirical support.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     

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.     

Life satisfaction and “irrational” beliefs: The mediating influence of negative and positive life change

A study was conducted to investigate whether or not the occurrence of recent negative and positive life experiences moderates the relationship between irrational beliefs and life satisfaction. Subjects completed the Sarason, Johnson, and Siegel (1978) measure of negative and positive life change; the Hawkins, Bugen, and Snell (1981) quality-of-life measures for leisure, love, health, and financial satisfaction; and an irrational beliefs measure related to Ellis' theory of Rational-Emotive Therapy (Ellis and Harper, 1976). The data were analyzed separately for those individuals experiencing high and low levels of negative (and positive) life change, using canonical correlation procedures. The results revealed different relationships between the measures of irrational beliefs and the life satisfaction indicators as a function ofboth negative and positive life experiences.     

Applications of rational-emotive therapy (RET) to love problems

Rational-emotive therapy (RET) can be particularly applied to individuals with serious love problems, such as people possessed by super-romantic love, limerents who are mired in obsessive-compulsive feelings, insensately jealous and possessive lovers, people who needlessly interfere with their encountering suitable partners, and those who suffer anguish and depression when they lose love. It also has important things to teach about keeping alive and enhancing normal love feelings. This paper outlines the RET theory of love and applies it to various amative difficulties.This article is to appear as a chapter inClinical applications of Rational-Emotive Therapy, edited by Albert Ellis and Michael Bernard, New York: Plenum, 1985.     

What can we mean by “cognition,” and does it make any sense?

Practitioners of Rational-Emotive Therapy easily identify themselves with the broad camp of cognitive behavior therapy. However, the meaning of the term cognition is often unclear. Six possible meanings are outlined: (1) mental event, (2) symbolic overt behavior, (3) symbolic covert behavior, (4) pragmatic convention, (5) unreportable behavior and (6) hypothetical construct. This paper aims to: (1) clarify what we can mean when we talk about cognition, and (2) identify which meanings keep us in the tradition of empirical science and which take us to the realm of spooks and nonsense.Hank Robb works as a private practitioner. He is an Associate Fellow and approved Supervisor of the Institute of Rational-Emotive Therapy, New York, as well as a Diplomate in Counseling Psychology of the American Board of Professional Psychology.     

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.     

Reducing REBT's “wince factor:” an insider's perspective

The author discusses three aspects of rational emotive behavior therapy (REBT) that occasionally make him wince. They are: REBT does not adequately address issues relating to diversity-sensitive counseling; there is a tendency for some REBT adherents to display poor interpersonal skills, and lack a philosophical commitment to the interdependence of humans on one another; and, there is a tendency for REBT to promise more than it can deliver. A list of 15 recommendations and wishes for a new and improved version of REBT are included.The author wishes to express his appreciation to Dominic DiMattia and Ellen Finkelstein who provided valuable suggestions to a draft version of this article and to Windy Dryden who initiated this dialog and saw it through to its publication.Stephen. G. Weinrach id a professor of counseling and human relations a,t Villanova University Villanova, PA and a Fellow of the Institute for Rational-Emotive Therapy in New York. He maintains a private practice in Havertown, PA.     

Context and strategy in acquiring temporal connectives

There has been considerable debate over the role of comprehension strategies in the acquisition of temporal connectives. This study examined the role of caluse logic and interpretational strategies in the acquisition of temporal words; age-related changes were also considered. Thirty-two children between 3 and 5 years of age served as subjects. Sentences with a variety of temporal words were used to tap children's comprehension of before, after, when, while, just before that, and and after that. Clause logic was found to significantly improve the understanding of these sentences. However, the order of mention and main clause first strategies were used infrequently. Apparently, when children respond to sentences that describe information in a way that is consistent with that they normally hear, these strategies are seldom applied.I wish to express my thanks to Janice Bogen, who assisted in data collection, and to Erika Hoff-Ginsberg, who assisted in some of the data analysis.     

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.     

Introduction to the Special Edition: The Implications of Multicultural Diversity and Ethnopolitical Conflict for Working with Groups

This introduction to a special edition of the journal Group on The Implications of Multicultural Diversity and Ethnopolitical Conflict for Working with Groups explores the reasons that social and political forces and traumatic societal events have until recently been neglected in the theory and practice of group psychotherapy. Freud's abandonment of the infantile seduction theory and subsequent emphasis on intrapsychic fantasy and defense, the philosophy and science of the Enlightenment, and professional norms in a field dominated by individuals from privileged classes and cultures are cited as sources of the relative neglect of ethnopolitical conflict, minority issues, and multicultural diversity in the treatment process. The articles in this journal attempt to redress these shortcomings and constitute a movement towards including these factors in the common standard of training and treatment.     

The dream in group therapy: A reappraisal of unconscious processes in groups

Addressing the issue of the existence of a group unconscious, this paper views dreams as providing potential evidence on the question. Dream material presented by various members in each of three psychotherapy groups is considered. In each group, convergences were found in the material presented by separate individual dreamers. By integrating a conceptual model of neurological information processing during REM dream sleep with a variety of behavioral research, a conceptual model is offered for the development of a group disposition, which represents an overlap of both individual and shared group psychic content. Group phenomena of cohesion and dependency are derived from this conceptual model.     

Beyond Psychotherapy: Dialectical Therapy

Dialectical therapy is a common factors approach to psychotherapy integration, in which four general therapeutic strategies are taken as the cardinal points of a map of the field. It is said to be beyond psychotherapy because what is commonly referred to as psychotherapy is more than psychological treatment. It is a dialectic between two basic levels or axes: the psychological remaking, which deals with defect-driven disorders, and the philosophical uncovering, which deals with conflict-driven problems. The first level can be graphically represented as the horizontal axis of the field, connecting a maternal and a paternal pole, in which the therapist responds to the basic psychological needs of secure attachment and responsible cooperation. The second level can be represented as the vertical axis of the field, connecting a K (knowledge) vertex and an O (unknown) vertex, in which the therapist responds to the basic philosophical needs of knowledge (know thyself) and of unknown as unknowable (the noumenon of all phaenomena, the source of generative and healing powers). A map is necessary to organize the basic therapeutic needs and the range of responses to them in a coherent pattern. As a good map can help in orienting empirical research, this in turn can help in constructing better maps.     

Further indications on the validity and usefulness of the Jones Irrational Beliefs Test

Markedly different profiles on the Jones Irrational Beliefs Test (IBT) were obtained from a sample of mental health professionals, of clients in psychotherapy, and of women college students, and the differences were clearly interpretable. In a second study those with high (more irrational) scores on each scale were compared with those with low (more rational) scores on indicators of physical (psychosomatic) illness. On five of the scales as well as for the total score the more irrational groups had significantly more physical symptoms of illness. And, finally, tension headache frequency was found to be related to the total IBT score.It is argued that these findings offer further evidence for the validity of the IBT, and its use in research and clinical practice is encouraged. A reporting booklet for bibliotherapy use with clients is described.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.     

Countering perfectionism in research on clinical practice I: Surveying rationality changes after a single intensive ret intervention

The failure of controlled experimental research on therapy out-come to produce findings of clinical as well as statistical significance seems at least partly due to irrational, perfectionistic, beliefs about how research can be used to infer causes of therapeutic change. Irrational beliefs about controlled experimental designs and about incomplete sampling, in particular, appear to prevent appropriate consideration of probatively valuable quasi-experimental research. Models of more rational alternatives are identified, and an example of the functional advantages of adopting these rational beliefs is explicated. The example demonstrates that single-shot pre-post survey data from self-selected catch-as-catch-can samples can permit legitimate, but not absolutely certain, conclusions about the efficacy and efficiency of RET.Albert Ellis, Ph.D. is executive director of the Institute for Rational-Emotive Therapy in New York City.