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 Possible Place of Cognitive Appraisal in the ABC Model Underlying Rational Emotive Behavior Therapy

In a critique of Ellis' Rational Emotive Behavior Therapy (REBT) theory of personality, it has been argued that, among other strategies, REBT personality theory could be significantly advanced by attempting to incorporate within it already established theoretical constructs compatible with the cognitive-behavioral movement. Richard Lazarus' prominent, well-articulated, and extensively studied theoretical construct of cognitive appraisal seems ideal in this regard. In the present article, the relevant and salient aspects of Lazarus' construct are described. An attempt is then made to delineate the possible place of cognitive appraisal in the ABC model underlying REBT. Finally, the clinical implications of this proposed ABC model refinement are then explored, and an additional REBT therapeutic strategy based upon the cognitive appraisal construct, reappraisal training, is suggested and briefly described.     

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.     

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.     

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

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

Rational emotive behavior therapy: A Tough-Minded therapy for a Tender-Minded profession

Objections to Rational-Emotive Behavior Therapy (REBT) seem to exceed the mere rational preference for one approach over another. Ziegler suggested that James’s dichotomy between Tough- and Tender-Mindedness might explain REBT’s appeal to some and its failure to attract others. REBT is a predominantly Tough-Minded therapy, but the counseling profession is largely Tender Minded. In this article, the author examines why Tender-Minded counselors may not accept REBT, what common misperceptions of REBT may contribute to this rejection, and how the two might be reconciled. Intervention strategies for Tender-Minded counselors are suggested. Reprinted from Journal of Counseling & Development, January/February 1995, Volume 73. 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. He died in 2004. This article was based in part upon a presentation entitled, “Obstacles to a Wider Acceptance of RET,” given at the World Congress on Mental Health Counseling/35th Anniversary Conference on Rational-Emotive Therapy, Keystone, Colorado, June, 1990. The author extended his appreciation to his copresenters, Albert Ellis, Janet L. Wolfe, and Daniel J. Ziegler, as well as Michael E. Bernard, Joanne Christopher, Windy Dryden, Gerald L. Gandy, Martin Gerstein, and Allen Ivey.     

Rational Emotive Behavior Coaching

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

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.     

Logotherapy-Enhanced REBT: An Integration of Discovery and Reason

Viktor Frankls Logotherapy and Albert Elliss Rational Emotive Behavior Therapy (REBT) are at seemingly opposite ends of the psychotherapeutic spectrum. However, a close review of the assumptions and philosophy of each school of therapy reveals that these two systems are compatible. We propose that a Logotherapy-enhanced REBT can increase human achievement and happiness by balancing the individual discovery of meaning with the pursuit of reason. This integrated and enhanced therapy will help human beings participate in positive life experiences and take greater responsibility for change. Fruitful and beneficial aspects of a Logotherapy enhanced-REBT are explored with respect to cognitions, emotions, and the reduction of rumination. Conclusions are drawn, limitations are discussed, and future recommendations are outlined.     

Overcoming Self-Negation in Women

The significant overrepresentation of women in depression and a seeming addiction to self-downing are viewed as heavily influenced by internalized gender role messages and further compounded by societal discrimination. The healthy self is defined, and ways of helping women in therapy move toward greater self-acceptance are described, with an emphasis on REBT women's groups. A case study illustrates the process.     

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.     

The Albert Ellis Institute: Past,Present and Future

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

The Interface Between Rational Emotive Behavior Therapy (REBT) and Zen

While Rational Emotive Behaviour Therapy (REBT) highlights the norm of people's dogmatic, fanatical, and rigid religious beliefs, it has always favoured several aspects of Zen-Buddhism as a modus vivendi. Scientifically-based REBT and wisdom-oriented Zen have more in common than one might think at first sight. In this chapter, I, Albert Ellis and Maurits Kwee show how REBT and Zen have significant commonalities as well as differences. “What are these commonalities?”, and “What are the issues of mutual interest for REBT and Zen?” are the main questions that we deal with here. It is submitted that most of REBT theory and practice are in keeping with the spirit of Zen. We note that East and West may in some ways cross-fertilise each other in the interface between these two proposed ways of living. The narrative techniques of Zen by means of koans (e.g., analogies, metaphors, parables) and of REBT (its many cognitive, emotive, and behavioural methods derived from its phenomenological view of human neurosis) are somewhat complementary to each other. Zen practice, if stripped of its mystical and Utopian aspects, particularly by omitting the non-verifiable concepts of the ostensible “higher” (non-thinking) state of consciousness, can often even be merged with REBT. One main (cultural) difference is that Zen attempts to go beyond rationality/relativity by striving for a certain kind of self-realisation (the irrational experience of satari) through paradoxically abolishing the self. The end result of this is not that the Zen adept becomes a “better” human being, but often becomes more aware of the hassles of life and how to cope with them from day to day. Something like the REBT practitioner, who practices what she or he preaches, the Zen practitioner remains the ordinary (though unique) imperfect human being as she or he was before, sadder but a little wiser. REBT had better be integrated with the most useful of other therapies, including Zen, so that it becomes and remains effective with many (not all) people much (not all) of the time. Due to cultural differences, the practice of Zen is not always compatible with the practice of Zen. However, the practice of REBT does fit with (post)modern Zen as an open living system. This chapter is laced with two dozen classic and modern koans that are to be used readily in therapy by the reader.     

Effectiveness of Rational Emotive Behavior Therapy on Psychological Well-Being of People with Late Blindness

The aim of the present study was to investigate the effectiveness of Rational Emotive Behavior Therapy (REBT) on improving the psychological wellbeing of people with late blindness. The design of this study was organized into pre-test, post-test and follow-up with two groups; experimental and control. After choosing qualified individuals, they were replaced into experimental and control groups at random (30 clients in each group). Pre-test was conducted for both groups. Thereafter, the experimental group received REBT training. Both groups, took part in post-test at the end of the training course. After 1 month, follow-up test was taken. Tools such as demographic particulars, IBT questionnaire, depression, anxiety and stress 21 inventory, Eysenck questionnaire were used for gathering information of the study. All the analytical process has been done by SPSS18 program. The scores of both groups (experimental and control groups) were not different significantly in pre-test. The scores gained by the experimental group in post-test showed a significant increase compared with the pre-test result. It proved the effectiveness of REBT with experimental group. And also, in comparing post-test with follow-up experimental group no significant difference were yield. So, as a result the effectiveness interference through group training of REBT with experimental group can be evaluated as constant. In control group there were no significant difference among the scores gained in pre-test, post-test and follow up. The findings of this research indicate the effectiveness of group coaching of REBT with enhancing the indices of psychological well being of people with late blindness.     

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 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.     

Exploring the Effects of Rational Emotive Behavior Therapy on the Irrational Beliefs and Self-Determined Motivation of Triathletes

The present study addresses proposals that Rational Emotive Behavior Therapy (REBT) can influence self-determined motivation. Triathletes received REBT education, followed by either Rational Emotive Personal-Disclosure Mutual-Sharing (REPDMS) or Personal-Disclosure Mutual-Sharing. Measurements of irrational beliefs and self-determined motivation were collected prior to REBT (baseline), during the REBT education period, and after the REPDMS session (postintervention). An ABC single-case design was adopted, allowing for statistical and visual analysis of data over time and between groups. Findings indicate that REBT led to decreased irrational beliefs and increased self-determined motivation. REPDMS appeared to have no influence on irrational beliefs over and above REBT education.     

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

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

Can the REBT theory explain loneliness? Theoretical and clinical applications

Loneliness is a common psychological experience affecting a significant minority of the general population. Loneliness may in part be related to the existence of dysfunctional cognitive evaluations. To date, however, loneliness has yet to be explicitly assessed within a cognitive-behavioural theoretical framework. The current study sought to determine the association between negative cognitions, within the context of Rational Emotive Behaviour Therapy (REBT), and the experience of loneliness. A multinational sample of university students (n = 397) completed self-report assessments of rational and irrational beliefs, and loneliness. Structural equation modelling results found that the REBT model of psychopathology, and the REBT model of psychological health, provided satisfactory representations of loneliness, explaining 36% and 23% of variance in loneliness, respectively. Several dysfunctional (“Demandingness”, “Catastrophising” and “Self-Downing” beliefs) and functional (“Preferences” and “Self-Acceptance” beliefs) cognitions were directly and indirectly associated with loneliness. These results highlight that cognitions and loneliness are meaningfully related, and indicate that cognitive-behavioural models may be useful in understanding loneliness. More specifically, current results suggest that REBT may offer a viable psychotherapeutic approach to treating loneliness.     

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

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