The effects of actors vocal exercises for relaxation on fluency: A preliminary study

PurposeTo determine the efficacy of treatment based on Kristin Linklater’s technique for vocal preparation for performance for use with people who stutter.MethodA protocol for a treatment for stuttering involving breathing exercises, relaxation techniques, and focus on awareness was designed by the first author from Linklater’s published exercises in her book Freeing the Natural Voice (2006). Four adults who stutter participated in a 12-week, single-case reversal design study. Treatment efficacy was determined by baseline and post-treatment measures on the OASES, self-report naturalness, tension and severity scale, and percentage of stuttering-like disfluency (SLD). Qualitative measures included a daily tension and practice log, a program completion questionnaire, and accounts from the clinicians administering the treatment protocol.ResultsThree of four participants scored lower on the OASES post-treatment, suggesting that the impact of stuttering on their daily lives had decreased. All four experienced a reduction in the number of SLD counted throughout treatment sessions compared to baseline data.ConclusionA treatment for stuttering based on Linklater’s work including regulation of breathing, relaxation, and awareness of breath may be effective in improving fluency and decreasing the impact of stuttering and warrants further study.     

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.     

The process of rational-emotive therapy

This paper describes the process of rational-emotive psychotherapy. Not a “how to do it” cookbook, it distinguishes RET as following four overlapping stages, called rational-emotive psychodiagnosis, rational-emotive insight, and rational-emotive working through I and II. The reader is encouraged to use this model of RET's process to understand what is done in RET and why.     

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.     

Mood-related self-schemata and mood-congruity effects in autobiographical memory: A study of women with premenstrual syndrome

Everyday autobiographical memory and mood interactions were explored in a small clinical sample of women with premenstrual syndrome (PMS) and a matched control group. Subjects kept daily records of memorable events for two consecutive menstrual cycles. Two recognition memory tests were given after a one-cycle delay. Mood, or affect, was self-assessed retrospectively over a week, at the end of each day during data collection and at testing, and when events occurred. Women with PMS were more depressed and more negative (angry) than positive (experiencing bursts of energy) in their daily moods than controls. Memory accuracy was poorer overall for PMS than control subjects, although no direct effects of menstrual cycle phase on memory were found. Instead, mood affected memory indirectly through moodrelated self-schemata which subsequently mediated mood-congruity effects. Memory accuracy for events experienced in negative mood states and associated with negative affective reactions was higher for PMS subjects when tested in negative mood states than for controls. No group differences were found on events associated with positive affect or positive daily moods when mood state at the time of testing was also positive. Women with PMS processed information selectively from negative events and events experienced in negative moods compared to controls. Negative events and negative moods appeared to interfere with remembering for control subjects. Women in the control group appeared to be biased towards selectively remembering positive events and events experienced on days when their mood states were relatively positive.     

The Relaxation Inventory: self-report scales of relaxation training effects

The development of a self-report measure to assess the effects of relaxation training was examined. A rigorous statistical method of scale construction consisting of a modification of the scale discrimination technique was employed, resulting in a 45-item questionnaire representing three orthogonally derived scales. The three scales, Physiological Tension, Physical Assessment, and Cognitive Tension, demonstrated adequate internal consistency with KR20 reliability coefficients of .89, .95, and .81, respectively. In a second study of predictive validity, 40 individuals were randomly assigned to one of four conditions: relaxation training, tension inducement, pre-postcontrol, or postcontrol. Univariate analysis of variance indicated significant findings for each of the three dimensions of the inventory. The Physiological Tension Scale detected significant increases in tension following tension inducement, whereas the Physical Assessment Scale and Cognitive Tension Scale detected increases in relaxation following relaxation training. Recommendations were made for future research on the inventory.     

The use of chaining in rational-emotive therapy

The focus of this paper is on the concept of chaining in rationalemotive therapy. Four types of chains are discussed and illustrated: (a) inference chains; (b) inference-evaluative belief chains; (c) disturbance about disturbance chains and (d) complex chains.Windy Dryden Ph.D. is a Lecturer in Psychology at Goldsmiths' College, University of London.     

A rational-emotive theory of marital dysfunction and marital therapy

This article first discusses some rational-emotive perspectives on marital and couples therapy, including what constitutes a good relationship, some important differences between rational-emotive and other couples therapy approaches, and an RET classification of relationship problems. Second, this article also sketches out ways in which social exchange principles can be integrated into rational-emotive couples therapy.This is a revised version of a paper that originally appeared in A. Ellis and M. Bernard's (Eds.) 1985 text,Applications of Rational Emotive Therapy, Plenum Publishing Co., New York.     

The effects of attentional shift training on the execution of soccer skills: A preliminary investigation

One of the most important skills in soccer is the ability to respond quickly and accurately to the changing demands of the competitive environment (i.e., position of ball, teammates, opponents). A multiple baseline design across 4 male collegiate soccer players was used to determine the effectiveness of an attentional training program on the execution of targeted soccer skills. The treatment included information and laboratory attentional shift exercises followed by practice of attentional shifting skills on the execution of different soccer exercises. Following treatment, the accuracy of execution of the experimental soccer drill improved.     

The efficacy of rational-emotive group therapy in psychiatric inpatients

The impact of rational-emotive theory and therapy upon the practice of clinical psychology has been profound, and many purportedly objective experimental tests of its efficacy as a mode of treatment have been reported. Yet the great majority of these reports have failed to utilize actual clinical populations. This study evaluated rational-emotive group therapy with psychiatric inpatients. Results supported the claim that irrational beliefs are related to emotional disturbance. It was also shown that patients undergoing rational-emotive group therapy changed their self-reported irrational beliefs more than did a control group. Finally, there was a trend for the experimental subjects to be more likely to have been discharged from the hospital during the 90-day follow-up period than were control subjects. However, this study failed to demonstrate that change in irrational beliefs was related to improvement in psychiatric symptoms or rates of discharge from the hospital. Some of the difficulties in conducting treatment evaluation research in a psychiatric hospital setting are discussed with respect to these results.     

The revised ABC's of rational-emotive therapy (RET)

Although I was perceptive enough to realize, in my first paper on rational-emotive therapy (RET) in 1956, that cognitions, emotions, and behaviors almost always are not pure or disparate but significantly include each other, I have appreciably added to this concept and have stressed forceful emotive and educative, as well as strong behavioral, techniques of RET in recent years. I have also increasingly pointed out that the ABC's of RET-A standing for Activating Events, B for Beliefs about these events, and C for emotional and behavioral Consequences of these Beliefs-also influence, include, and interact with each other. The present paper gives salient details of how A's, B's, and C's, as well as cognitions, emotions, and behaviors all importantly affect one another and how they become combined into dysfunctional, demanding core Basic Philosophic Assumptions that lead to neurotic disturbances. To change and to keep changing these dysfunctional basic assumptions, RET uses a number of intellectual, affective, and action techniques that often are applied in a forceful, persistent, active-directive manner. It is more cognitive than most of the other cognitive-behavior therapies in that it tries to help many (not all) clients to make an elegant or profound philosophic change (Ellis, 1979b, 1985b). But it is also more emotive and behavioral than most other popular therapies in that it assumes that neurotic individuals' core basic philosophies assumptions are, as Muran (in press) points out, tacit cognitive-affective-motoric structures that account for emotional experiences in the face of external stimuli, and that therefore therapists had better teach their clients (and the general public) several powerful cognitive-emotive-behavioral methods of helping themselves change.Albert Ellis is President of the Institute for Rational-Emotive Therapy, 45 East 65th Street, New York, NY, 10021     

The ongoing silencing of women in families: an analysis and rethinking of premenstrual syndrome and therapy

Traditionally, explanations for premenstrual symptomatology have focused on the individual woman as the site of difficulties, and as the sole target of intervention. In contrast, from the perspective of a material-discursive-intrapsychic model, this paper will focus on the ways in which 'PMS' is experienced, constructed and dealt with in family relationships. Drawing on in-depth narrative interviews conducted with women with moderate to severe premenstrual symptoms, it is argued that 'PMS' is closely tied to relationship difficulties and responsibilities; familial expectations and attributions for women's behaviour provide a discursive context for behaviour and emotions to be positioned as 'PMS'; and that the ongoing self-silencing and pathologization of women's emotions in families are key attributes of 'PMS'. This suggests that a consideration of relationship issues should be central to any assessment or intervention for premenstrual symptoms, and conversely, that attention should be given to premenstrual exacerbation of relationship difficulties in family or couples therapy.     

Reflections on the continuing evolution of rational-emotive therapy

Three basic contentions of RET are briefly discussed, with particular emphasis on their implications for psychotherapy. Personal responsibility is seen as a prime directive and the cornerstone of the other two contentions, which involve emphases on the present and on action. The philosophical and dialectical emphases of rational emotive behavior therapy are acknowledged as important aspects of its continuing evolution.