An experimental test of a core REBT hypothesis: evidence that irrational beliefs lead to physiological as well as psychological arousal

While numerous studies support Rational Emotive Behavior Therapy and Theory (REBT), they tend to be limited by their use of correlational designs, simulated scenarios and self-report measures. This study tested a core REBT hypothesis in an experimental design using multiple physiological as well as psychological measures. Ninety patients from a medical practice were placed in a real-life stressful situation while holding either a rational, an irrational, or an indifference belief. Those holding a rational belief reported the greatest increase in concern whereas those holding an irrational belief reported the greatest increase in anxiety. Of particular significance, those holding a rational belief showed a decrease in systolic blood pressure whereas those holding an irrational belief showed an increase (diastolic blood pressure increased in both conditions). These results not only support the core REBT hypothesis, but also suggest a way to differentiate between beliefs and emotions by measuring physiological as well as psychological changes.     

Responses to criticisms of Rational Emotive Behavior Therapy (REBT) by Ray Digiuseppe,Frank Bond,Windy Dryden,Steve Weinrach,and Richard Wessler

Responses to the criticisms of Rational Emotive Behavior Therapy (REBT) by Ray DiGiuseppe (1996), Frank Bond and Windy Dryden (1996), Steve Weinrach (1996), and Richard Wessler (1996). In particular their points about the untestabilility of the REBT hypotheses about the primacy of absolutistic musts and of the distinction between healthy and unhealthy emotions are considered and answered.     

The nature of irrational and rational beliefs: Progress in rational emotive behavior theory

This paper discusses some limitations of Ellis's Rational Emotive Behavior Therapy. It is suggested that the present definition of irrational and rational beliefs is inadequate. The present theory is unclear whether irrational beliefs are exaggerated negative evaluations or empirical distortions of reality. It is proposed that irrational beliefs are core schemes, and that the concept of schema replace the present definition of beliefs. Ellis's position that demandingness is at the center of irrational thinking and emotional disturbance is examined. Research has failed to support this theory. It is proposed that demandingness and self-downing may be separate types of core irrational schemes. Research strategies are suggested that could test Ellis's position on the centrality of demandingness and on the nature of irrational beliefs in general.It is also suggested that irrational beliefs differ on their level of abstraction. The present REBT theory fails to identify which level of abstraction is necessary to cause disturbance, at which level of abstraction therapists should seek change, and whether a therapist should intervene first at higher or lower levels of abstract beliefs. It is suggested that a therapist only seek change to the level of abstraction that matches the client's concerns and that therapists begin to intervene at lower levels of abstraction and move up to more abstract cognitions as therapy progresses.The Institute for Rational Emotive Therapy     

Developing decision making in Rugby Union match officials using rational emotive behavior therapy (REBT)

There is a dearth of applied research to inform psychological provision for match-officials. The application of rational emotive behavior therapy (REBT; Ellis, 1957) is becoming established as an effective psychological intervention with elite performers. This paper examined the effects of four one-to-one REBT sessions on irrational beliefs, anxiety, decision rumination and reinvestment, and match officiating performance with two elite rugby match officials. Using a single-case, staggered multiple-baseline across participants research design, visual and statistical analyses showed that the intervention brought about significant, immediate and maintained (12 week follow-up) reductions in irrational beliefs. Furthermore, participants also reported reductions in anxiety, and decision making reinvestment, alongside increased match official performance for one participant. The current study lends some initial support for the application of REBT with match officials, and develops understanding into potential links between irrational beliefs and decision making performance. The results are discussed in terms of theory, applied implications, limitations and future research.     

Alexithymia, Irrational Beliefs, and the Rational-Emotive Explanation of Emotional Disturbance

In recent discussions of Rational-Emotive Behavior Therapy (REBT), Ellis has argued that unconscious processes supplement irrational beliefs in explaining psychopathology. The hypothesis of this investigation was that these unconscious processes reflect alexithymia. University students responded to the three factors from the Toronto Alexithymia Scale, the Malouff and Schutte Belief Scale (MSBS), 5 subscales from the Survey of Personal Beliefs, and instruments recording depression, anxiety, and neuroticism. As hypothesized, alexithymia and irrational beliefs predicted greater emotional disturbance while also displaying some small positive correlations with each other. In multiple regressions, both types of variables combined to predict emotional disturbance, with alexithymia explaining the greater amount of variance. Alexithymic difficulties in identifying emotions had uniquely negative mental health implications. The MSBS and the Low Frustration Tolerance subscale were the most noteworthy measures of a pathogenic irrationality. These data supported the claim that the unconscious processes of REBT could be conceptualized in terms of alexithymia.     

Testing a Rebt Theory: The Effects of Rational Beliefs, Irrational Beliefs, and Their Control or Certainty Contents on the Functionality of Inferences: I. In a Social Context

This article presents two experiments that examine the validity of REBT's suggestion that contents do not influence the effect that rational and irrational beliefs (beliefs) have on the functionality of inferences (FI). Specifically, two role-playing experiments indicated that control and certainty contents that refer to rational and irrational beliefs influence the effect that those beliefs have on the FI. This finding was demonstrated when beliefs and their contents referred to either one's self or other people in a social context. Based upon the results of these two experiments, it may be prudent for REBT to modify its hypothesis that contents do not influence the effects that rational and irrational beliefs have on the FI. Specifically, it may wish to hypothesise that beliefs interact with contents to affect the FI.     

Assessing the Factorial Validity of the Attitudes and Belief Scale 2-Abbreviated Version: A Call for the Development a Gold Standard Method of Measuring Rational and Irrational Beliefs

Rational emotive behaviour therapy (REBT) does not possess a measure of rational and irrational beliefs that meets internationally recognised standards for acceptable psychometric properties. Without such a measure the theory/practice of REBT cannot be rigorously evaluated, thus undermining its scientific veracity. The current study investigates the validity and reliability of a recently developed measure of rational and irrational beliefs: the Attitudes and Belief Scale 2-Abbreviated Version (ABS-2-AV). University students from three countries completed the ABS-2-AV (N = 397). An alternative models framework using confirmatory factor analysis indicated that a theoretically consistent eight-factor model of the ABS-2-AV provided the best fit of the data. A number of post hoc modifications were required in order to achieve acceptable model fit results, and these modifications revealed important methodological limitations with the ABS-2-AV. Results indicated that the validity of the ABS-2-AV was undermined due to items measuring both the psychological process of interest (rational and irrational beliefs) and the context in which these beliefs processes are presented. This is a serious methodological limitation of the ABS-2 and all questionnaires derived from it, including the ABS-2-AV. This methodological limitation resulted in the ABS-2-AV possessing poor internal reliability. These limitations are discussed in relation to the broader REBT literature and the impact such problems have on research and practice. A call is made for REBT researchers to come together to develop a “gold standard” method of assessing rational and irrational beliefs that meets international standard for psychometric excellence.     

Irrational and Metacognitive Beliefs Mediate the Relationship Between Content Beliefs and GAD Symptoms: A Study on a Normal Population

Cognitive Behavioral Therapy (CBT), Rational Emotive Behavior Therapy (REBT) and Metacognitive Therapy (MCT) models show both similarities and differences in conceptualizing anxiety. This work assumes that REBT’s irrational and MCT’s metacognitive beliefs play a mediation role while CBT’s disorder specific content beliefs act as triggers. This hypothesis is tested using a regression model in which metacognitive and irrational beliefs play a mediation role while content disorder beliefs are independent variables. This paper applied this model to generalized anxiety disorder (GAD), a psychiatric diagnosis in which anxiety is the major feature. In GAD, the specific content beliefs are negative problem orientation and intolerance of uncertainty. Therefore, 149 non clinical subjects completed 4 self-report questionnaires: the Negative Orientation to the Problems Questionnaire and the Intolerance of Uncertainty Scale as measures for content cognitive beliefs, the Attitudes and Beliefs Scale for irrational beliefs, and the Metacognitive Questionnaire 30 Items Version for metacognitive beliefs. The generalized anxiety disorder questionnaire was chosen in order to measure anxiety as dependent variable. Regression analyses confirmed that irrational and metacognitive beliefs mediate the relation between cognitive content beliefs and GAD. We clinically interpret mediation as a second level regulation.     

The Primacy of the “Shoulds”: Where Is the Evidence?

A central tenet of rational emotive behaviour therapy (REBT) has always been that irrational beliefs which express demands through absolutistic shoulds, musts or oughts are the basic cause of emotional disturbance. This premise is characteristic of Ellis' theory but is not always supported by other REBT writers or other writers within the cognitive therapy field. This paper reviews a range of research findings which appear to call into question Ellis' tenet of the primacy of the shoulds and which, in turn, raise theoretical and methodological difficulties in the measurement of beliefs. This along with the current theoretical debate regarding irrational belief processes may preclude the possibility of testing the proposition that demandingness is the primary irrational or dysfunctional belief.     

A corrective note on O'Donohue and Szymanski's study of logical analysis and REBT's use of empirical hypothesis testing as well as logical analysis

This article acknowledges the contribution of O'Donohue and Szymanski's study showing that the logical analysis of irrational beliefs that rational emotive behavior therapy (REBT) favors may be more effective than the empirical hypothesis testing that cognitive therapy (CT) favors. It points out, however, that logical analysis and empirical hypothesis testing include overlapping concepts and procedures. REBT, though favoring logical analysis, actually uses empirical hypothesis testing too.     

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 and Cognitive Behavior Therapy for Elderly People

Several therapies have been adapted for use with elderly people, including Rational Emotive Behavior Therapy (REBT) and Cognitive Behavior Therapy (CBT). These two therapies emphasize the importance of irrational or dysfunctional beliefs in the creation of emotional disturbance, and tend to use a number of cognitive, emotive, and behavioral methods of disputing and changing these beliefs for more functional ones. Some of the main therapeutic techniques used in REBT and CBT are presented in this paper.     

Irrational Beliefs and Unconditional Self-Acceptance. II. Experimental Evidence for a Causal Link between Two Key Features of REBT

In a test of two key features of REBT, causal relationships between irrational beliefs and unconditional self-acceptance were experimentally investigated in a sample of 106 non-clinical participants using a priming technique. Priming participants with statements of irrational belief resulted in a decrease in unconditional self-acceptance whereas priming participants with statements of rational belief resulted in an increase in unconditional self-acceptance. In contrast, priming participants with statements about unconditional self-acceptance did not result in an increase in rational thinking and priming participants with statements about conditional self-acceptance did not result in an increase in irrational thinking. The present study is the first to provide evidence of a causal link between rational/irrational thinking and unconditional/conditional self-acceptance. The findings have important implications for the core hypothesis of REBT and underscore the advantages of experimental over correlational studies in theory-testing.     

Psychological well-being and exercise addiction: The treatment effects of an REBT intervention for females

Whilst there is growing research on the benefits of Rational Emotive Behaviour Therapy (REBT) for athletic performance and wellbeing, there has been little attention on the effectiveness of REBT for the exercising population. Recent evidence suggests that REBT may be helpful for males who show signs of exercise addiction, but the effects for females are currently unknown. The current study aims to build on the extant research by adopting a single-case research design to examine the effects of REBT on irrational beliefs, exercise addiction symptomology, psychological distress, and unconditional self-acceptance (USA) of three female exercisers. Self-report data were collected at pre-, during, and post-REBT timepoints. Visual analyses revealed reductions in irrational beliefs and psychological distress, and increases in USA, maintained two-weeks post-REBT. Exercise addiction symptomology also reduced during the intervention, and this was maintained for two out of the three exercisers post-REBT. Social validation data supported these findings. The study adds weight to the efficacy of REBT in improving exercise addiction and its comorbidities.     

Examining the Efficacy of Rational-Emotive Behavior Therapy (REBT) on Irrational Beliefs and Anxiety in Elite Youth Cricketers

The use of rational-emotive behavior therapy (REBT) in sport psychology has received scant research attention. Therefore, this study examines the efficacy of REBT (comprising three counselling sessions and two homework assignments) in decreasing irrational beliefs and cognitive-anxiety in four elite youth cricketers using a single-case multiple-baseline across-participants design. Visual and statistical analyses indicated that REBT reduced irrational beliefs and cognitive-anxiety in all participants. The applied issues surrounding the use of REBT in a youth sport context are discussed, along with guidance for its future use in sport psychology research.     

Idiosyncratic definitions and unsupported hypotheses: Rational emotive behavior therapy as pseudoscience

My concerns about Rational Emotive Behavior Therapy (REBT) began over a decade ago. I find its concepts lack adequate and consistent definitions, its distinctive hypotheses are not confirmed by empirical data and are untestable, and its scientific foundations fall outside mainstream psychology. Contrary to what it claims, its practice and philosophy are not consisten with the use of reason in psychotherapy. These criticisms are discussed and documented. Practitioners may not be aware of the unsubstantiated claims and theoretical assumptions inherent in REBT, and that they adopt these assumptions when practicing REBT.     

Self-Compassion,Self-Esteem,and Irrational Beliefs

Assumptions associated with Rational-Emotive Behavior Therapy (REBT) suggest that self-compassion, but not self-esteem, should be incompatible with irrational beliefs and with the emotional disturbances that they produce. In this study, 184 university students responded to a self-compassion scale along with measures of irrational beliefs, self-esteem, depression, and anxiety. As expected, self-compassion correlated negatively with irrationality, predicted better mental health, and explained inverse connections of self-esteem with irrational beliefs. In support of REBT, the irrationality of low frustration tolerance also partially mediated the inverse self-compassion relationship with anxiety. Other findings for self-esteem and for the irrational belief of self-worth, nevertheless, suggested complexities for the REBT conceptual framework. These data most importantly confirmed self-compassion as part of what REBT would describe as an effective personal philosophy.     

When REBT Goes Difficult: Applying ABC-DEF to Personality Disorders

ABC-DEF framework is at the core of rational emotive behavior therapy. It is a highly flexible framework and has proven to be applicable to many emotional disorders. We cannot take for granted, however, that this framework can be used successfully with all clients, particularly with those suffering from severe disorders or personality disorders. In fact, the difficulties of these clients in recognizing, naming and reflecting upon states of mind, their dysregulated emotions and self-defeating behavior, and their difficulty in establishing a strong working alliance with a therapist may hamper the correct implementation of the ABC-DEF framework and the disputing of their irrational beliefs. This paper aims to describe in detail the challenges that clients with personality disorders may pose during treatment and offer possible technical suggestions, derived from either REBT or non-REBT literature, that can help REBT and CBT practitioners adapting their interventions to resistant clients.     

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.     

The Effect of Rational Emotive Behavior Therapy on Irrational Career Beliefs of Students of Electrical Electronics and Other Engineering Trades in Technical Colleges in Nigeria

Irrational beliefs are factors that can explain students’ emotional and/or pragmatic problems. Irrational career beliefs are career myths, maladaptive cognitions and inaccurate beliefs regarding career and the work world which impact negatively on career decision-making. The present research investigated the effectiveness of rational emotive behavior therapy (REBT) on irrational career beliefs of students of electrical electronics, automobile trade, building/woodwork and mechanical trades in technical colleges in Nigeria. Using a pretest–posttest control group, 173 participants were assessed quantitatively at four time points. One-way ANOVA, repeated-measures ANOVA and paired sample t test were utilized for analysis of data. Posttest results indicated that the irrational career beliefs of the REBT participants declined significantly compared to a waitlist control group. Furthermore, results of both 3- and 6-months follow-up evaluations showed that the significant reduction in irrational career beliefs of the REBT participants was maintained. Therefore, supporting interventions which aim to promote functional career beliefs and thoughts among the citizens, beginning from the early school years to the graduate school level and in the workplaces, should be considered a top policy issue in Nigeria. Further studies are needed to examine whether exposing students to an REBT program can lead to less anxiety related to career decision-making and improved career self-efficacy beliefs.