Change mechanisms in cognitive therapy of a simple phobia: Logical analysis and empirical hypothesis testing

The effectiveness of two hypothesized change mechanisms in cognitive therapy was investigated: logical analysis and empirical hypothesis testing. Thirty-eight spider phobics, as determined by performance on a behavioral avoidance test, were randomly assigned to either one of these two conditions or to a no-treatment control condition. Subjects participated in three group sessions. Outcome phobia questionnaire data suggested that both mechanisms produced desirable changes in a short period of time, with stronger evidence that logical analysis was superior to the control. Outcome from the behavior avoidance test and self-efficacy ratings failed to reach statistical significance but the trends were in the direction of positive change. Results are discussed in terms of the tripartite response dessynchrony hypothesis. Suggestions for future process research in cognitive therapy are provided.William O'Donohue, Ph.D., is an assistant professor of psychology at Northern Illinois University.Jeff Szymanski is a graduate student in clinical psychology at Northern Illinois University.The authors would like to thank Christine Casselles, Melissa McKelvie, Thomas M. Brown, Jill C. Rudman, Bonnie Schrieber, Amy Ray, Anne Valle, Lisa Herold, Jacqueline Ryan, Heather Barta, and Angela Leek for their assistance in this project. Moreover, the authors are grateful to Sol Feldman and Jane Fisher for their comments on an earlier version of this paper.     

A Logical Foundation for Rational Emotive Behaviour Therapy

Rational emotive behaviour therapy (REBT) depends on the implications A ? B and B ? C where A is an activating event, B is a belief and C is an emotional consequence. We use this idea to present a logical theory for REBT, and show how it can be used to create a computer program that can be used as a therapist’s aid.     

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.     

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.     

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.     

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.     

Limiting logical pluralism

In this paper I argue that pluralism at the level of logical systems requires a certain monism at the meta-logical level, and so, in a sense, there cannot be pluralism all the way down. The adequate alternative logical systems bottom out in a shared basic meta-logic, and as such, logical pluralism is limited. I argue that the content of this basic meta-logic must include the analogue of logical rules Modus Ponens (MP) and Universal Instantiation (UI). I show this through a detailed analysis of the ‘adoption problem’, which manifests something special about MP and UI. It appears that MP and UI underwrite the very nature of a logical rule of inference, due to all rules of inference being conditional and universal in their structure. As such, all logical rules presuppose MP and UI, making MP and UI self-governing, basic, unadoptable, and (most relevantly to logical pluralism) required in the meta-logic for the adequacy of any logical system.

     

Grammatical analysis and logical analysis in France

It is well known that, in France, this important movement, which originated in Port-Royal, did not remain exactly on the same basis during its development. In this paper we attempt to show how a new concept (the logical analysis of sentence from phrase) was proposed by Du Marsais (see grammatical articles of the Encyclopédie), Beauzée (1767) and, finally, Letellier (1805, 1811).     

The Distinction Between Quantitative and Qualitative Dimensions of Emotions: Clinical Implications

REBT theoreticians and practitioners describe two sets of emotions (and behaviors) as a reaction to adversity, whether these are functional or dysfunctional. This article deals with the ways in which REBT practitioners and theoreticians interpret these two sets of reactions, using either a quantitative or qualitative method. It favors the qualitative approach and illustrates it with a graphical representation of the two sets. The use of graphs turns out to be particularly useful for explaining certain phenomena to clients and for teaching novice practitioners. It also provides a framework for establishing an effective new thought or rational belief.     

Development of logical reasoning: children's ability to verbally explain the nature of the distinction between logical and nonlogical forms of argument

Previous research by D. Moshman and B. Franks (1986) supported the hypothesis that children do not explicitly understand the nature of the distinction between logical and nonlogical forms of argument. This research examined the performance of 8-11-year-olds (N = 220) on Moshman and Franks's experimental tasks when the children were cued to apply particular comprehension strategies. Findings from 2 experiments indicated that a significant number of children are capable of explicitly recognizing the necessity of logical forms and the indeterminacy of nonlogical forms and that this competence must be distinguished from their tendency to fail to attend to structural relationships between propositions and to monitor the intrusion of extraneous personal knowledge in assessing the validity of an argument. The findings suggest that all of these competencies are important components of the ability to distinguish logical and nonlogical arguments.     

The logical and empirical bases of conservation judgements

It is argued that conservation judgements are based on a particular combination of logical necessity and empirical belief. The empirical belief is that a given transformation will not alter a particular quantity (Elkind's conservation of identity). The logical aspect is a transitive deductive argument containing an initial equivalence of two quantities and the conservation of identity belief as premises which lead to the conclusion of maintained equivalence (Elkind's conservation of equivalence). In two experiments, it is shown that conservation of identity beliefs can be manipulated in subjects who have long since developed the capacity for transitive deductive inference. Untrained 10 year olds were unaware of how sublimation acts to alter certain quantities over particular transformations of shape. And untrained adults incorrectly believed that both the area and perimeter of a closed figure would be conserved over transformations which elongated the figure. Both groups of subjects could be trained in the correct conservation of identity beliefs and this affected their conservation of equivalence judgements in predicted ways. It is suggested that the locical aspect of conservation is developmentally stable and that the empirical aspect varies widely across problems and individuals because of its dependence on relevant experience.     

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.     

Evidence that logical reasoning depends on conscious processing

Humans, unlike other animals, are equipped with a powerful brain that permits conscious awareness and reflection. A growing trend in psychological science has questioned the benefits of consciousness, however. Testing a hypothesis advanced by [Lieberman, M. D., Gaunt, R., Gilbert, D. T., & Trope, Y. (2002). Reflection and reflexion: A social cognitive neuroscience approach to attributional inference. Advances in Experimental Social Psychology, 34, 199-249], four studies suggested that the conscious, reflective processing system is vital for logical reasoning. Substantial decrements in logical reasoning were found when a cognitive load manipulation preoccupied conscious processing, while hampering the nonconscious system with consciously suppressed thoughts failed to impair reasoning (Experiment 1). Nonconscious activation (priming) of the idea of logical reasoning increased the activation of logic-relevant concepts, but failed to improve logical reasoning performance (Experiments 2a-2c) unless the logical conclusions were largely intuitive and thus not reliant on logical reasoning (Experiment 3). Meanwhile, stimulating the conscious goal of reasoning well led to improvements in reasoning performance (Experiment 4). These findings offer evidence that logical reasoning is aided by the conscious, reflective processing system.     

Children’s solutions of logical versus empirical problems: What’s missing and what develops?

This research examined the development of the ability to differentiate logical from empirical problems and the different ways in which children solve these problems. Thirty-two 4- and 5-year-olds, thirty-four 8- and 9-year-olds, and thirty-five 11- and 12-year-olds were given five questions regarding an imaginary character’s predictions as to where a ball would land after being dropped through a ‘tautology machine’. The questions examined encoding and recall of problems, children’s understanding of when evidence was necessary, and children’s evaluation of form and evidence. Data were analyzed in two ways: (1) by comparing differences across participants on component questions and (2) an individual analysis examining the consistency of responses to component questions across the problem set. Overall, the results indicated that: (1) sixth graders tended to differentiate logical from empirical problems while preschool and third grade children rarely did; (2) young children tend to ignore both the logical connective and the second half of problems-termed a ‘cut;’ (3) these cuts are less frequent when a problem is compatible with one empirical possibility; (4) cuts do not stem from encoding or recall errors, but seem to be the product of incomplete problem processing and (5) from third to sixth grade, children’s understanding of logical form increased as the rate of cuts decreased.     

Elementary schoolchildren know a logical argument when they see one

Both empirical data and theoretical approaches suggest that argumentation is an important component of development of reasoning skills. We argue that if argumentation does have a primary role, then children should be able to distinguish more from less logical justifications even when they are incapable of determining the correct conclusion by themselves. We asked 8- and 11-year-old children to choose one of two conclusions for abstract reasoning problems, based on justifications from authority (friends and teacher) or logical ones (probability and counterexamples). Although there was a clear age-related increase, even the younger children considered logical justifications to be better than authority, irrespective of the specific conclusion endorsed. Thus, children can distinguish logical and non-logical justifications even when they cannot easily arrive at the correct conclusion by themselves.     

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.     

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.     

The practice of rational emotive and cognitive behavior therapy with offenders

The case for rational emotive behavior therapy (REBT) and cognitive behavior therapy (CBT) with offenders is reviewed. Philosophical and practical problems in conducting REBT assessment and treatment with this population are identified. Suggestions regarding offender treatment address goals and content of therapy, the therapeutic relationship, overcoming client resistance, and self-care for the practitioner. Therapists of offenders are encouraged to apply REBT to themselves to increase effectiveness and reduce risk. In this regard, clinicians are offered suggestions regarding accepting the offender, maintaining a goal-oriented focus, and taking responsibility for the quality but not the outcome of their work.     

An Idiographic Single-Case Study Examining the Use of Rational Emotive Behavior Therapy (REBT) with Three Amateur Golfers to Alleviate Social Anxiety

Performance anxiety has been studied in relation to golf performance, but one phenomenon that has received scant attention is social anxiety. One potential intervention that could reduce social anxiety in golfers is rational emotive behavior therapy (REBT), a cognitive-behavioral approach for which research interest is growing. The current study used an idiographic single-case study design to assess the effects of REBT on the social anxiety of 3 male amateur golfers. REBT was employed both on and off the golf course to ensure integration of REBT into the golfers’ performance, offering a methodological advancement of past research. Data were collected prior to, during, and after the REBT intervention. Visual analysis following single-case guidelines revealed substantial reductions in irrational beliefs and social anxiety in all three golfers. Social validation data indicated the positive receipt of REBT by the golfers and supported the visual analysis findings. This current study supports the effectiveness of REBT and extends the research by applying REBT in a “real-world” performance setting, offering methodological advances and 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.