Another Search for the “Hot” Cognitions: Appraisal, Irrational Beliefs, Attributions, and Their Relation to Emotion

One study examined the hypothesized status of appraisal and irrational beliefs relative to attributions, as proximal antecedents of emotion. In our study, which looked at 4 pairs of functional and dysfunctional negative emotions (i.e., concern/anxiety, sadness/depression, remorse/guilt, annoyance/anger), undergraduates (N = 120) reported on their attributions, appraisal, irrational beliefs, and emotions during past encounters associated with various negative events. Congruent with both Smith and Lazarus' (1993) appraisal theory and Ellis' (1994) cognitive theory of emotion, the results of this study indicate that the emotions (both functional and dysfunctional negative emotions) were more directly associated with appraisal and with irrational beliefs (dysfunctional negative emotions only) than they were with attributions. Also, irrational beliefs were strongly associated with appraisal; while demandingness (DEM) was associated more with primary appraisal, awfulizing/catastrophizing, low frustration tolerance, and global evaluation of human worth (including self-downing) were associated more with secondary appraisal. Dysfunctional emotions seem to involve primary appraisal associated with DEM while functional emotions involve primary appraisal associated with preferences. These findings lend to support the status of appraisal and irrational beliefs as the proximal cognitive antecedents of emotion and the status of irrational beliefs as a differencing factor between functional and dysfunctional emotions.     

Parents’ Beliefs about Children’s Emotions and Parents’ Emotion-Related Conversations with Their Children

The goals of the current study were to describe parents’ emotion socialization patterns and to assess relations between parents’ emotion-related beliefs and socialization behaviors during conversations with their children. Participants were 125 parents and their 9- and 10-year-old children from three ethnic groups in the southeastern United States. Parents reported beliefs about children’s emotions. Parents and children were videotaped playing a board game to evoke emotion-related conversations, which were then coded for parents’ labeling, teaching, and encouragement of emotion. Parents used less labeling and teaching for positive than negative emotions, and greater encouragement for positive than negative emotions. Parents with stronger beliefs about the value of positive emotions engaged in less labeling of positive emotions, less teaching of all emotions, and less encouragement of negative emotions. Parents with stronger beliefs about the value of negative emotions engaged in more encouragement of negative emotions. Parents with stronger beliefs that all emotions are dangerous engaged in less labeling of negative emotions. The results of this study have potential clinical implications in helping clients to understand the foundational structures of their behaviors and how both beliefs and behaviors are distinct, yet interrelated constructs.     

A study of “Belief” and “Non-belief” items from the jones irrational beliefs test with implications for the theory of RET

Evidence supporting the fundamental position of Rational-Emotive Therapy (RET) that dysfunctional emotions and behaviors are heavily influenced by irrational beliefs has been questioned due to the fact that many measures of beliefs contain items that actually refer to emotions and behaviors. In this study individual items on the Jones Irrational Beliefs Test (IBT) (Jones, 1968/69) were rated by a panel of experts in RET as to whether they referred to beliefs, behaviors, emotions, or were ambiguous. Then Belief items and Non-belief items from the responses of 368 participants were extracted and scored separately. The Non-belief scores, based on items mostly referring to emotions and behaviors, were strongly related to measures of distress, as would be expected. But scores based on items unequivocally referring to beliefs were also significantly related to measures of emotional distress, psychosomatic symptoms, and suicidal contemplation. These findings are interpreted as clear support for RET's position on the relationship between irrational beliefs (B's) and dysfunctional emotions and behaviors (C's).Co-Editor of thisJournal, is a Fellow of the Institute for Rational-Emotive Therapy in New York City, a Professor of Psychology at Hollins College, and a Licensed Psychologist in independent practice in Roanoke, Virginia.     

Sleep-Related Safety Behaviors and Dysfunctional Beliefs Mediate the Efficacy of Online CBT for Insomnia: A Randomized Controlled Trial

Several trials have demonstrated the efficacy of online cognitive behavioral therapy (CBT) for insomnia. However, few studies have examined putative mechanisms of change based on the cognitive model of insomnia. Identification of modifiable mechanisms by which the treatment works may guide efforts to further improve the efficacy of insomnia treatment. The current study therefore has two aims: (1) to replicate the finding that online CBT is effective for insomnia and (2) to test putative mechanism of change (i.e., safety behaviors and dysfunctional beliefs). Accordingly, we conducted a randomized controlled trial in which individuals with insomnia were randomized to either online CBT for insomnia (n = 36) or a waiting-list control group (n = 27). Baseline and posttest assessments included questionnaires assessing insomnia severity, safety behaviors, dysfunctional beliefs, anxiety and depression, and a sleep diary. Three- and six-month assessments were administered to the CBT group only. Results show moderate to large statistically significant effects of the online treatment compared to the waiting list on insomnia severity, sleep measures, sleep safety behaviors, and dysfunctional beliefs. Furthermore, dysfunctional beliefs and safety behaviors mediated the effects of treatment on insomnia severity and sleep efficiency. Together, these findings corroborate the efficacy of online CBT for insomnia, and suggest that these effects were produced by changing maladaptive beliefs, as well as safety behaviors. Treatment protocols for insomnia may specifically be enhanced by more focused attention on the comprehensive fading of sleep safety behaviors, for instance through behavioral experiments.     

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 relationship of clients’ social class to early therapeutic impressions

Using case vignettes that differed in the presentation of the client's social class, the influence of social class on therapeutic impressions was studied in the context of just-world beliefs. Results suggested that (1) participants with higher levels of belief in a just world saw poor and working-class clients as more unpleasant to work with and more dysfunctional and (2) working-class vignettes were associated with the lowest predictions of session depth and smoothness. The findings suggest that counselors may respond differently to clients based on their social class, and in a way that negatively predisposes them toward work with poor and working-class clients.     

BRIEF REPORT Functional and dysfunctional feelings in Ellis' cognitive theory of emotion: An empirical analysis

This study is to our knowledge the first to investigate how rational and irrational beliefs (RBs and IBs) generate qualitatively different feelings/emotions based on the same physiological arousal when the immediate environment is devoid of relevant cues. Participants in this study (N = 120) were evaluated for and primed with rational or irrational beliefs. Next, they exercised or sat still, and either immediately or after a delay, rated their emotional state. Consistent with the bifactorial theory of emotion and with Ellis' cognitive theory of emotion, participants in the exercise delayed‐rating condition, who lacked an obvious explanation for their residual arousal, interpreted their arousal in terms of primed beliefs. RBs were associated with positive emotions, while IBs were associated with dysfunctional negative emotions and their corresponding functional negative emotions (e.g., both depressed and sad). Participants in the exercise immediate‐rating condition and those in the no‐exercise condition were not influenced by their primed beliefs. Implications for Ellis' cognitive theory of emotion are discussed.     

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.     

Therapeutic Practices and Ethical Beliefs of Professionals Working With Adolescents in Residential Treatment

The authors investigated dual relationships between 2 groups of staff (direct care and professional) and adolescent clients in 2 residential treatment programs. Staff were surveyed on their behavior and corresponding ethical beliefs regarding interactions they believed to be acceptable with minor clients specifically at termination of the treatment program. Direct care staff were more likely than were professional staff to have inconsistencies in behaviors and ethical beliefs. The American Counseling Association's (1995) Code of Ethics would prohibit some of the staff beliefs regarding acceptable behavior. Both groups were uncertain about the ethical appropriateness of certain interactions with adolescent clients. Implications are discussed.     

Chronic Fatigue Syndrome Severity and Depression: The Role of Secondary Beliefs

Chronic fatigue syndrome (CFS) is a poorly understood illness that is characterized by profound and prolonged exhaustion and has no clear pathological marker. This study investigated the role of illness severity and secondary beliefs in depression among a CFS cohort, using the A–B–C framework of Rational Emotive Behavioral Therapy. Empirical research has consistently found that CFS patients tend to hold more negative cognitions about their illness, which could be associated with greater severity and emotional deficits. Specifically, secondary beliefs were explored as a mediating factor; as evidence suggests that secondary beliefs can result in dysfunctional emotions and/or behaviors, such as depression. Furthermore, it is estimated that up to 80% of CFS patients concurrently have depression. There were 156 participants with CFS who completed a questionnaire pack, which included the revised version of the Illness Perception Questionnaire, the Secondary Beliefs Scale (SBS), and the Cardiac Depression Scale. Hierarchical regression analysis revealed that secondary beliefs mediated the relationship between illness severity and depression. Specifically, the approval and comfort subscales of the SBS were significantly associated with depression. The current findings indicated that secondary beliefs could be an important focus in treatment of depression in chronic illness. As the mediating role of secondary beliefs is a new research finding, it is advised that further exploratory research is required.     

Personality Traits Predict Irrational Beliefs

Irrational beliefs are the focus of many psychological theories, since research has shown that holding irrational beliefs often leads to unhealthy emotions, dysfunctional behaviors, and psychological disturbances. The aim of such therapies as rational emotive behavioral therapy and cognitive behavioral therapy is to dispute irrational beliefs to promote more rational ways of thinking; however they do not take into account individual personality differences. The aim of this study was to determine whether personality traits predict rational and irrational beliefs in a mixed student and clinical sample. It was hypothesized that the domains of the five factor model of personality would predict rational beliefs as well as a range of irrational beliefs. Our findings supported the hypothesis, showing distinct associations between personality traits and each specific irrational belief. Neuroticism predicted rational beliefs as well as six out of the seven types of irrational beliefs measured. Additionally, extraversion predicted rationality and self-downing, openness predicted need for comfort and total irrationality, and conscientiousness predicted need for achievement and demand for fairness. Agreeableness did not predict any type of rational or irrational beliefs. Knowledge of these distinct relationships may increase a clinician’s ability to conceptualize a therapy case and determine the best approach to treatment.     

Emotion Beliefs,Emotion Regulation,and Emotional Experiences in Daily Life

One potential factor that could influence how individuals with at least moderate symptoms of depression cope with upsetting events in their daily lives is the beliefs that these individuals hold about whether emotions are malleable or fixed. The current study adopted an experience sampling approach to examine how the beliefs about emotion’s malleability related to daily positive and negative affect and daily emotion regulation efforts among individuals with at least moderate symptoms of depression (N = 84). Results demonstrated that individuals having at least moderate symptoms of depression who held more malleable beliefs about emotions reported decreased negative affect both overall during the day and specifically in response to daily upsetting events. Additionally, these individuals who held more malleable beliefs about their emotions also reported more daily use of cognitive reappraisal to regulate their emotions in response to upsetting daily events. Results from the current study extend previous work examining the relationship between emotion malleability beliefs, emotional experiences, and emotion regulation to examine these relationships in people who are moderately depressed as they navigate the emotional landscape of their daily lives.     

A dictionary of rational-emotive feelings and behaviors

Rational-emotive therapy (RET) hypothesizes that people mainly make themselves emotionally disturbed and dysfunctional in their behavior by starting with rational Beliefs (rBs) about their Goals (G) and then by consciously or unconsciously converting these into irrational Beliefs (iBs) or dogmatic, absolutistic musts and commands. To help clients and others to clearly see the differences between their rational Beliefs and their irrational Beliefs, to understand the disordered feelings and behaviors to which the latter lead, and to help them become more rational, less disturbed, and less dysfunctional in their activities, the authors have constructed and herewith present a dictionary of rational-emotive equivalents.Ted Crawford is a Consultant on Communication and Group Processes in Santa Barbara, California. Albert Ellis, Ph.D., is the Executive Director of the Institute for Rational-Emotive Therapy in New York City.     

Iranian Psychotherapists’ Behaviors and Beliefs Toward Sexual Orientation and Gender Identity

The aim of this study is to investigate Iranian psychotherapists’ behaviors and beliefs toward sexual orientation and gender identity. The sample consisted of 358 Iranian psychotherapists, of whom 29.3% (n = 105) were male and 67% (n = 24) were female. Results from the chi-square analyses showed that more male participants reported accepting homosexual clients and treating them as having a pathological disorder than their female counterparts; and licensed respondents reported engaging more in accepting only male or female clients, accepting more homosexual and transgender clients for treatment, and treating them as having a pathological disorder when compared with their unlicensed counterparts. Furthermore supervised respondents reported accepting more homosexual clients than their unsupervised counterparts. However results from the multivariate analysis of variance has indicated that the female participants reported “accepting homosexuals or transgender clients for treatment” more often than the male participants; unsupervised participants reported “accepting homosexual or transgender clients for treatment” and “treating homosexuality per se as a pathological disorder” more often than their supervised counterparts.     

Beliefs about emotion: implications for avoidance-based emotion regulation and psychological health

People’s beliefs about their ability to control their emotions predict a range of important psychological outcomes. It is not clear, however, whether these beliefs are playing a causal role, and if so, why this might be. In the current research, we tested whether avoidance-based emotion regulation explains the link between beliefs and psychological outcomes. In Study 1 (N?=?112), a perceived lack of control over emotions predicted poorer psychological health outcomes (increased self-reported avoidance, lower well-being, and higher levels of clinical symptoms), and avoidance strategies indirectly explained these links between emotion beliefs and psychological health. In Study 2 (N?=?101), we experimentally manipulated participants’ emotion beliefs by leading participants to believe that they struggled (low regulatory self-efficacy) or did not struggle (high regulatory self-efficacy) with controlling their emotions. Participants in the low regulatory self-efficacy condition reported increased intentions to engage in avoidance strategies over the next month and were more likely to avoid seeking psychological help. When asked if they would participate in follow-up studies, these participants were also more likely to display avoidance-based emotion regulation. These findings provide initial evidence for the causal role of emotion beliefs in avoidance-based emotion regulation, and document their impact on psychological health-related outcomes.     

From Puddles to Potholes: The Role of Overvalued Beliefs in Emotional Problems

The bygone notion of a “fixed idea” has evolved into an appreciation for overvalued beliefs, automatic thoughts, irrational beliefs, and dysfunctional attitudes and the role they can play in the lives of many clients. Overvalued beliefs are common and can be destructive when they guide the client toward extreme emotional reactions, disruptive behavioral patterns or create negative views of self or others. Overvalued beliefs become problematic when they are not aligned with commonly accepted views of reality, they are rigidly maintained despite insufficient evidence, and they create maladaptive self-perpetuating patterns. A metaphor is used to explain how minor puddles can evolve into major potholes, creating lasting damage. The destructive power of puddles shares some similarities with the subtle influence of overvalued beliefs on a client’s emotional and interpersonal functioning. Psychotherapy can help clients to confront the misguided accuracy, limited utility, and exaggerated potency of their beliefs. Therapy can help clients to disengage from the directive power of their beliefs, learning to tolerate various thoughts without reacting at an emotional or behavioral level.     

Power and control in the male antisocial personality

In this article, “cognitive analysis” and interviews are used to identify specific irrational processes and beliefs which underlie the behavioral patterns defining antisocial personality disorder. The antisocial often acts aggressively without overt anger, emotional distress or provocation. It is hypothesized that he is compelled to antisocial behavior by the belief that he can and must obtain power and control over others. When others conform to his desires due to his intimidation and aggression, then the antisocial believes that he can control them. Oppositional behavior occurs when the antisocial believes that those in authority will control him if he follows their orders. Antisocials are empowered when they are taught the ABC's of emotions and understand that they can only control their own thoughts, feelings and behaviors. Oppositional behavior is also curtailed because they learn that no one can control them. The REBT therapist can be most effective with antisocial clients by confronting the irrational processes and beliefs that lead to antisocial behavior and by encouraging them to take responsibility for their own emotional and behavioral choices.     

Unanswered Prayers: Religiosity and the God-Serving Bias

Two self-report experiments examined how religiosity affects attributions made for a target person’s death. Online adults (Study 1, N = 427) and undergraduate students (Study 2, N = 326) read about Chris who had a heart attack, used religious or health behaviors, and lived or died. Participants made attributions to Chris and God (both studies), and reported their emotions (Study 2). Participants made more attributions to Chris when he lived than when he died, but only when he used health behaviors. The highly religious made more attributions to God, but not when Chris used religious behaviors and died (the God-serving bias); they reported the most positive emotions when Chris lived after using religious behaviors (the Hallelujah effect). Directions for future research in terms of implicit religious beliefs and normative evaluations of religion are discussed.     

Cognitive-Behavioral Processes Based on Using the ABC Analysis by Trainees’ for Their Personal Development

As cognitive-behavior therapy (CBT) has proven to be an evidence-based intervention for many mental health problems, the requirement for training programs has increased. Although there is promising data on the skills outcomes of such programs, trainees’ affective/behavioral changes mechanisms and in their faulty thinking patterns during the personal development of such training are unknown. The aim of this study is to investigate which are the most common irrational/dysfunctional beliefs of trainees during a cognitive-behavioral intervention training and their maladaptive consequences, as well as the methods of restructuring that they prefer to change these beliefs into rational/functional ones and achieve more adaptive consequences. 94 participants in a cognitive-behavioral interventions training program filled out 340 ABC, forms related to negative events at work and in personal life, as part of the personal development component in the training program. The obtained qualitative data was coded by three trained ratters in accordance to the current cognitive model of CBT. Contingencies analysis showed that demandingness, awfulizing and global evaluation (GE) are most frequently associated with anxiety, while low frustration tolerance is associated with anger. Comfort, affiliation, achievement themes were most frequently associated with anxiety, while fairness was most frequently associated with anger. Pragmatic cognitive restructuring was the most frequently used by trainees. We found evidence that confirmed many of the theoretical predictions form the cognitive model of CBT in respect to the associations between irrational/dysfunctional cognitions and dysfunctional emotions as well as some particularities for this specific population.     

The Role of Maturity in the Cognitions that Govern Love Relationships and Sexual Satisfaction

This article discusses the Stage Climbing model, a cognitive behavioral therapy based system designed to identify the beliefs and attitudes typical of different developmental life stages that may explain or identify obstacles to resolving present day relationship issues. We suggest that self-defeating beliefs and behaviors characteristic of dysfunctional couples give evidence of one or both partners operating from a stage of development or level of maturity in that aspect of the relationship that is different from what would be optimal given their presenting issues and therapeutic goals.