The Relationship of a Measure of Frustration Intolerance with Emotional Dysfunction in a Student Sample

This study extended earlier research (Harrington in Cong Ther Res 30:699–709, 2006) on the relationship of the multidimensional Frustration Discomfort Scale (FDS) with measures of depressed mood, anxiety and anger, independent of self-esteem. The study employed a non-clinical student sample (N = 323) and measures of both state and trait anger and anxiety. In addition, the Unconditional Self-Acceptance Questionnaire (USAQ) was also used to specifically assess REBT self-acceptance beliefs regarding self-worth, as well as a measure of self-esteem. A Serbian version of the FDS was developed for use in the study. Consistent with the earlier research, significant predictive relationships were found, whilst controlling for self-worth, between entitlement and anger, emotional intolerance and anxiety, and discomfort intolerance with depressed mood. Emotional intolerance also proved to be a significant positive predictor of depression, whilst achievement frustration had a negative relationship with depression. Overall, the FDS dimensions had a weaker relationship with emotional states than traits. The results are discussed in regard to the relationship between FDS dimensions and dysfunctional emotions in a non-clinical sample.     

Albert Ellis at 85: Professional Reflections

An extended interview was conducted at the Albert Ellis Institute coinciding with Albert Ellis' 85^th birthday. Questions were submitted in advance by Michael Bernard and covered areas central to the theory and practice of rational emotive behavior therapy (REBT). Clarification was sought for: a) the primacy of cognition in REBT theory, b) critical features of REBT interventions for the treatment of anxiety, depression, guilt, anger and procrastination, c) the long-standing inclusion of self-efficacy training and problem solving with mainstream practice of REBT, d) psychoeducational aspects of REBT, and e) the self-actualizing tendency.     

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.

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.     

The Impact of Anger Management Treatment and Rational Emotive Behavior Therapy in a Public School Setting on Social Skills,Anger Management,and Depression

Public school students participated in a group to enhance and improve anger management. The study used a pre-post design with a comparison group. Students were assigned to either Anger Management Treatment or Anger Management plus Rational Emotive Behavior Therapy (REBT). Each child served as his or her own control and received an empirically validated intervention. Pretest–posttest data were evaluated using the Social Skills Rating System, the Children’s Depression Inventory and the Children’s Inventory of Anger. Results indicate that the addition of the REBT component to Anger Management reduced anger as well as depression, while improving social skills, suggesting the addition of a specialized cognitive behavioral component increased the effectiveness of the intervention.     

Further evidence of the Narcissistic Personality Inventory’s validity problems: A meta-analytic investigation—Response to Miller, Maples, and Campbell (this issue)

Miller, Maples, and Campbell (this issue) present evidence that Rosenthal and Hooley’s (2010) concerns regarding the Narcissistic Personality Inventory’s (NPI) relation to psychological health may be unwarranted. To resolve this issue empirically, we conducted a meta-analysis (k = 54, N = 38,932). Meta-analytic results revealed that a subset of NPI items were indeed problematic; items that function poorly at differentiating narcissists from non-narcissists accounted entirely for the NPI’s connection to psychological health. These items were also strongly associated with self-esteem, but unrelated to aggression/anger. In contrast, the remaining NPI items were unrelated to psychological health, but associated with aggression/anger. We conclude that although the NPI measures narcissism, its poorest functioning items also link it to outcomes unrelated to narcissism.     

Incorporating Jewish Texts with REBT in the Treatment of Clinical Anger

Although there are some major philosophical differences between the underpinnings of REBT and religion, REBT has still been used effectively with religious clients (DiGiuseppe et al. in A practitioner’s guide to rational-emotive behavior therapy, 3rd ed., Oxford University Press, Oxford, 2014). To date, most of the literature on using REBT with religious clients has focused on Christians and Christianity (e.g. Johnson in Cognit Behav Pract 8(1):39–47, 2002; Nielsen in Cognit Behav Pract 8(1):34–39, 2002; Ellis in Prof Psychol Res Pract 31(1):29–33, 2000; amongst others), with less attention given to other religions. This paper provides examples for the therapeutic use of Jewish texts from Biblical and Rabbinic literature to help religious Jewish clients who present with clinical anger. The texts are used to highlight and accompany disputations and other REBT therapeutic techniques. Before offering the disputes and the techniques, a brief history of REBT and religion is presented, followed by general ethical guidelines for treating religious clients. A review of different Jewish denominations and a background to Biblical and Rabbinic sources are described as well.     

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 interpersonel 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. Reprinted from Journal of Rational-Emotive & Cognitive-Behavior Therapy, 14(1), 63–78, 1996. The author expressed his appreciation to Dominic DiMattia and Ellen Finkelstein who provided valuable suggestion 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 was a professor of counseling and human relations at Villanova, PA and a Fellow of the Institute for Rational-Emotive Therapy in New York. He maintained a private practice in Havertown, PA. He died in 2004.     

Freud, Rogers, and Ellis: A Comparative Theoretical Analysis

Albert Ellis, Sigmund Freud, and Carl Rogers are widely recognized as the three most influential psychotherapists of the twentieth century. In the present article, it is argued that the striking differences in their therapeutic systems, Rational Emotive Behavior Therapy (REBT), psychoanalysis, and person-centered therapy, respectively, are rooted in more fundamental theoretical differences concerning the essential nature of client personality. The positions of Freud, Rogers, and Ellis on three critical issues in personality theory especially relevant for the practice of psychotherapy are examined and comparatively analyzed. The critical issues are: (1) nature vs. nurture as the foundations of personality; (2) the potency of reason in human behavior; and (3) the possibility of fundamental personality change. For each critical issue the treatment implications are also briefly explored with a view toward illustrating how the theorists' positions directly translate into therapeutic practice. The basic intent of this comparative analysis is to strengthen and further clarify the personality theory underlying REBT.     

The Role of Anger in Generalized Anxiety Disorder

Little is known about the role of anger in the context of anxiety disorders, particularly with generalized anxiety disorder (GAD). The aim of study was to examine the relationship between specific dimensions of anger and GAD. Participants (N = 381) completed a series of questionnaires, including the Generalized Anxiety Disorder Questionnaire (GAD-Q-IV; Newman et al., 2002, Behavior Therapy, 33, 215–233), the State-Trait Anger Expression Inventory (STAXI-2; Spielberger 1999, State-Trait Anger Expression Inventory-2: STAXI-2 professional manual, Odessa, FL: Psychological Assessment Resources) and the Aggression Questionnaire (AQ; Buss & Perry 1992, Journal of Personality and Social Psychology, 63, 452–459). The GAD-Q-IV identifies individuals who meet diagnostic criteria for GAD (i.e. GAD analogues) and those who do not (non-GAD). The STAXI-2 includes subscales for trait anger, externalized anger expression, internalized anger expression, externalized anger control and internalized anger control. The AQ includes subscales for physical aggression, verbal aggression, anger and hostility. The GAD-Q-IV significantly correlated with all STAXI-2 and AQ subscales (r's ranging from .10 to .46). Multivariate analyses of variance revealed that GAD analogues significantly differed from non-GAD participants on the combined STAXI-2 subscales (η² = .098); high levels of trait anger and internalized anger expression contributed the most to GAD group membership. GAD analogue participants also significantly differed from non-GAD participants on the combined AQ subscales (η² = .156); high levels of anger (affective component of aggression) and hostility contributed the most to GAD group membership. Within the GAD analogue group, the STAXI-2 and AQ subscales significantly predicted GAD symptom severity (R ² = .124 and .198, respectively). Elevated levels of multiple dimensions of anger characterize individuals who meet diagnostic criteria for GAD.     

Driving anger and other driving-related behaviors in high and low ADHD symptom college students

This study examined differences between college students with high and low symptoms of Attention-Deficit/Hyperactivity Disorder (ADHD). Fifty-nine introductory psychology students completed ADHD diagnostic measures and were compared on measures of driving anger and driving anger expression; accident-related, aggressive, and risky driving behaviors; general anger; and general anger expression. Results indicated high ADHD symptom college students experience more driving anger, display such anger in more hostile/aggressive ways, are more aggressive and risky on the road, experience more crash-related outcomes, are more generally angry, and tend to display anger in socially unacceptable ways. Results are discussed in regard to the understanding and treatment of ADHD.     

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.     

It's prime time for rational emotive behavior therapy: Current theory and practice,research recommendations,and predictions

This article identifies the current rational emotive behavior therapy (REBT) playing field as we head towards the 21st century. Some of the important refinements, embellishments and clarifications of REBT theory and practice as described in the Ellis' 1994 revision ofReason and Emotion in Psychotherapy are reviewed. The second section of the paper presents a variety of recommendations concerning ways in which future REBT research can help bolster its scientific status. Finally, predictions by REBT experts concerning the longevity of REBT and whether it can maintain its distinctive identity within the cognitive behavior therapy movement are revealed.     

The Development of a Measure of Irrational/Rational Beliefs

The Attitudes and Belief Scale-2 (ABS-2) developed in the late 1980s, is a measure of Ellis’ irrational and rational beliefs. Although no publication has described the instrument and it has only appeared in conference presentations, many researchers have used the ABS-2 to test REBT. This article describes the development of the ABS-2 and the original research on its psychometric properties. The scale has three factors that represent 24 different cells in a 4 × 2 × 3 factorial model. The first factor, Cognitive Processes, reflects Ellis’ concepts of Demandingness, Awfulizing, Frustration Intolerance, and Self-Downing. The second factor covers irrationally worded items versus rationally worded items. The rationally worded items were written to counter the irrational beliefs. The third factor includes content or life themes about which the person could be concerned, and includes Achievement, Affiliation, and Comfort. The ABS-2 generates a Total Score, a Total Irrationality Score, a Total Rationality score, and Scales scores representing each of the four Cognitive Processes domains and each of the three Content domains. The ABS-2 scores demonstrate adequate to excellent internal consistency, and correlate significantly with measures of depression, anxiety, life satisfaction, selfcontrol, well-being, and measures of internalizing personality disorders. The ABS-2 did not correlate significantly with measures of anger, externalizing personality disorders, mania, and somatoform disorder. An exploratory factor analysis provided weak support for the factor structure of the scale. The ABS-2 scores distinguish between normal and clinical samples. Rationally worded items discriminated between clinical and nonclinical groups much better than did the irrationally worded scales, suggesting that instruments that only assess irrational beliefs might underestimate the support for REBT.     

Questions as Interventions: Perceptions of Socratic, Solution Focused, and Diagnostic Questioning Styles

A videotaped psychotherapy analogue compared psychology trainees' (n = 67) and undergraduate non-therapists' (n = 115) perceptions of three theoretically derived questioning styles: Socratic disputation in Rational Emotive Behavior Therapy (REBT), solution focused questioning (e.g. the miracle question), and diagnostic interviewing. Non-therapists rated REBT and diagnostic styles more highly than psychology trainees. All subjects rated solution focused questioning more highly than both other styles, perceiving it as more collaborative and conducive to the client's independent thinking. The constructs of collaborative empiricism and solution focused cooperation are discussed in relation to findings. The study also compared psychology trainees' and non-therapists' Big Five personality profiles, a topic which has not previously been addressed in the literature. Psychology trainees were higher in Big Five Openness and Agreeableness than non-therapists. Openness was negatively associated with ratings for solution focused and diagnostic questioning styles, replicating findings of previous analogue studies, in which undergraduate subjects preferred straightforward approaches to therapy.     

Introduction to the Special Issue on Advances in the Psychology of Workplace Coaching

This article introduces a special issue of Applied Psychology: An International Review that focuses on recent advances in the psychology of workplace coaching. To begin with, we briefly describe the current state of workplace coaching research, and we then outline the aims and objectives that had driven our motivation in editing this special issue. We set out two objectives for this special issue. First, to ensure that each of the contributions started with the relevant theoretical framework, and secondly, that the papers in this special issue utilized rigorous research design and methodology. We then provide an overview of each of the five articles making up the special issue, detailing their respective contributions to advancing workplace coaching research and theory. We conclude with recommendations for future workplace coaching research, building on the contributions in this special issue. We propose scholars should focus on three key areas: future coaching research should adopt a “start with theory” approach; that rigorous research design and methodology is prioritized, specifically in relation to utilizing multiple data sources and increasing the range of objective (hard) data as coaching outcome measures; and for coaching scholars to pay attention to and explore non-significant effects.     

Rational emotive behavior therapy successes and failures: Eight personal perspectives

Eight experts in Rational Emotive Behavior Therapy (REBT) provided personal examples of their own successes and failures in applying REBT to themselves. The experts actively talked to themselves both rationally and irrationally. Understandably, there were far more shoulds, oughts, musts, and have to’s in the narratives in which the experts described when they failed to use REBT than when they succeeded in using REBT. Rational self-talk was more prevalent in the examples of how REBT was successfully used by the experts. Reprinted from Journal of Counseling & Development, Summer 2001, Volume 79. ACA. Reprinted with permission. No further reproduction authorized without written permission from the American Counseling Association.     

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.

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.     

The Construct Of Personality In Rational Emotive Behavior Therapy (Rebt) Theory

In this article it is argued that, if Rational Emotive Behavior Therapy (REBT) is to survive and prosper in the next century, it will require a more comprehensive and detailed theory of personality at its base. Ideally, REBT personality theory preferably should avoid certain basic shortcomings of other personality theories. Toward these ends, an explicit definition of the term personality is proposed for REBT theory emphasizing psychological individuality, cognition, emotion, and behavior, and their interrelationships. The central concepts in the proposed definition are then explored along with related broad-based hypotheses generally amenable to empirical test. Finally, some implications of the proposed definition of personality for treatment are then discussed.