iPsychology

Rational-emotive Therapy

Rational Emotive Behavior Therapy (REBT) is a form of psychotherapy and a philosophy of living created by Albert Ellis in the 1950's. REBT (pronounced R.E.B.T. — it is not pronounced rebbit) is based on the premise that whenever we become upset, it is not the events taking place in our lives that upset us; it is the beliefs that we hold that cause us to become depressed, anxious, enraged, etc. The idea that our beliefs upset us was first articulated by Epictetus around 2,000 years ago: "Men are disturbed not by events, but by the views which they take of them." Rational Emotive Behavior Therapy (REBT), was developed by Dr.Albert Ellis in 1955. It has since flourished and spawned a variety of other cognitive-behavior therapies. REBT's effectiveness, short-term nature, and low cost are major reasons for its popularity.

The Goal of Happiness

According to Albert Ellis and to REBT, the vast majority of us want to be happy. We want to be happy whether we are alone or with others; we want to get along with others—especially with one or two close friends; we want to be well informed and educated; we want a good job with good pay; and we want to enjoy our leisure time.

Of course life doesn't always allow us to have what we want; our goal of being happy is often thwarted by the "slings and arrows of outrageous fortune." When our goals are blocked, we can respond in ways that are healthy and helpful, or we can react in ways that are unhealthy and unhelpful.

The ABC Model

Albert Ellis and REBT posit that our reaction to having our goals blocked (or even the possibility of having them blocked) is determined by our beliefs. To illustrate this, Dr. Ellis developed a simple ABC format to teach people how their beliefs cause their emotional and behavioral responses:

A. Something happens.
B. You have a belief about the situation.
C. You have an emotional reaction to the belief.

For example:

A. Your employer falsely accuses you of taking money from her purse and threatens to fire you.
B. You believe, “She has no right to accuse me. She's a bitch!”
C. You feel angry.

If you had held a different belief, your emotional response would have been different:

A. Your employer falsely accuses you of taking money from her purse and threatens to fire you.
B. You believe, “I must not lose my job. That would be unbearable.”
C. You feel anxious.

The ABC model shows that A does not cause C. It is B that causes C. In the first example, it is not your employer's false accusation and threat that make you angry; it is your belief that she has no right to accuse you, and that she is a bitch. In the second example, it is not her accusation and threat that make you anxious; it is the belief that you must not lose your job, and that losing your job would be unbearable.

The Three Basic Musts

Although we all express ourselves differently, according to Albert Ellis and REBT, the beliefs that upset us are all variations of three common irrational beliefs. Each of the three common irrational beliefs contains a demand, either about ourselves, other people, or the world in general. These beliefs are known as "The Three Basic Musts."

1. I must do well and win the approval of others for my performances or else I am no good.
2. Other people must treat me considerately, fairly and kindly, and in exactly the way I want them to treat me. If they don't, they are no good and they deserve to be condemned and punished.
3. I must get what I want, when I want it; and I must not get what I don't want. It's terrible if I don't get what I want, and I can't stand it.

The first belief often leads to anxiety, depression, shame, and guilt. The second belief often leads to rage, passive-aggression and acts of violence. The third belief often leads to self-pity and procrastination. It is the demanding nature of the beliefs that causes the problem. Less demanding, more flexible beliefs lead to healthy emotions and helpful behaviors

Disputing

The goal of REBT is to help people change their irrational beliefs into rational beliefs. Changing beliefs is the real work of therapy and is achieved by the therapist disputing the client's irrational beliefs. For example, the therapist might ask, "Why must you win everyone's approval?" "Where is it written that other people must treat you fairly?" "Just because you want something, why must you have it?" Disputing is the D of the ABC model. When the client tries to answer the therapist's questions, s/he sees that there is no reason why s/he absolutely must have approval, fair treatment, or anything else that s/he wants.

Insight

Albert Ellis and REBT contend that although we all think irrationally from time to time, we can work at eliminating the tendency. It's unlikely that we can ever entirely eliminate the tendency to think irrationally, but we can reduce the frequency, the duration, and the intensity of our irrational beliefs by developing three insights:

1. We don't merely get upset but mainly upset ourselves by holding inflexible beliefs.
2. No matter when and how we start upsetting ourselves, we continue to feel upset because we cling to our irrational beliefs.
3. The only way to get better is to work hard at changing our beliefs. It takes practice, practice, practice.

Acceptance

Emotionally healthy human beings develop an acceptance of reality, even when reality is highly unfortunate and unpleasant. REBT therapists strive to help their clients develop three types of acceptance: (1) unconditional self-acceptance; (2) unconditional other-acceptance; and (3) unconditional life-acceptance. Each of these types of acceptance is based on three core beliefs:

Unconditional self-acceptance:

1. I am a fallible human being; I have my good points and my bad points.
2. There is no reason why I must not have flaws.
3. Despite my good points and my bad points, I am no more worthy and no less worthy than any other human being.

Unconditional other-acceptance:

1. Other people will treat me unfairly from time to time.
2. There is no reason why they must treat me fairly.
3. The people who treat me unfairly are no more worthy and no less worthy than any other human being.

Unconditional life-acceptance:

1. Life doesn't always work out the way that I'd like it to.
2. There is no reason why life must go the way I want it to
3. Life is not necessarily pleasant but it is never awful and it is nearly always bearable.

REBT Today

Clinical experience and a growing supply of experimental evidence show that REBT is effective and efficient at reducing emotional pain. When Albert Ellis created REBT in the 1950's he met with much resistance from others in the mental health field. Today it is one of the most widely-practiced therapies throughout the world. In the early days of REBT, even Dr. Ellis did not clearly see that consistent use of its philosophical system would have such a profound effect on the field of psychotherapy or on the lives of the millions of people who have benefited from it.

REBT's comprehensive approach works best for individuals desiring a scientific, present-focused, and active treatment for coping with life's difficulties, rather than one which is mystical, historical, and largely passive.

REBT is based on a few simple principles having profound implications:

1. You are responsible for your own emotions and actions,
2. Your harmful emotions and dysfunctional behaviors are the product of your irrational thinking,
3. You can learn more realistic views and, with practice, make them a part of you,
4. You'll experience a deeper acceptance of yourself and greater satisfactions in life by developing a reality-based perspective.

REBT distinguishes clearly between two very different types of difficulties: practical problems and emotional problems. Your flawed behavior, unfair treatment by others, and undesirable situations, represent practical problems. Regrettably, your human tendency is to upset yourself about these practical problems, thereby unnecessarily creating a second order of problems--emotional suffering. REBT addresses the latter by helping you:

1. Take responsibility for your distress. The first lesson in healthy emoting and relating was stated by the Roman philosopher Epictetus more than 2000 years ago: only you can upset yourself about events--the events themselves, no matter how undesirable, can never upset you.

Recognize that neither another person, nor an adverse circumstance, can ever disturb you--only you can. No one else can get into your gut and churn it up. Others can cause you physical pain--by hitting you over the head with a baseball bat, for example--or can block your goals. But you create your own emotional suffering, or self-defeating behavioral patterns, about what others do or say.

1. Identify your "musts." Once you admit that you distort your own emotions and actions, then determine precisely how. The culprit usually lies in one of the three core "musts:"
   • "Must" #1 (a demand on yourself): "I MUST do well and get approval, or else I'm worthless." This demand causes anxiety, depression, and lack of assertiveness.
   • "Must" #2 (a demand on others): "You MUST treat me reasonably, considerately, and lovingly, or else you're no good." This "must" leads to resentment, hostility, and violence.
   • "Must" #3 (a demand on situations): "Life MUST be fair, easy, and hassle-free, or else it's awful." This thinking is associated with hopelessness, procrastination, and addictions.

Ascertain what you're demanding of yourself, of your significant others, or of your circumstances. Not until you have discovered the "must" can you then go on effectively to reduce your distress.

1. Dispute your "musts." The only way you can ever remain disturbed about adversity is by vigorously and persistently agreeing with one of these three "musts." Thus, once you've bared them, then relentlessly confront and question your demands.

Begin by asking yourself: "What's the evidence for my `must?' " "How is it true?" "Where's it etched in stone?" And then by seeing: "There's no evidence." "My `must' is entirely false." "It's not carved indelibly anywhere." Make your view "must"-free, and then your emotions will heal.

1. Reinforce your preferences. Conclude, therefore:
   • Preference #1: "I strongly PREFER to do well and get approval, but even if I fail, I will accept myself fully,"
   • Preference #2: "I strongly PREFER that you treat me reasonably, kindly, and lovingly, but since I don't run the universe, and it's a part of your human nature to err, I, then, cannot control you,"
   • Preference #3: "I strongly PREFER that life be fair, easy, and hassle-free, and it's very frustrating that it isn't, but I can bear frustration and still considerably enjoy life."

Assuming that you take the above suggestions to heart and thereby greatly reduce your anxiety, hostility, depression, and addictions, what remains? Will you exist robot-like, devoid of human feeling and motivation? Hardly! Without your turmoil, you'll more easily experience love, involvement, and joy. And without your addictions, you'll be freer to engage in the gratifying experiences of spontaneity, commitment, and self-actualization.

As you can see, REBT will appeal to you if you relish quickly taking control of your own life, rather than remaining dependent upon a therapist for years. By giving you tools for identifying and overcoming the true source of your difficulties, it will prepare you to act in many ways as your own therapist. And by helping you to reinforce realistic, self-benefitting beliefs, it will enable you to eliminate present emotional and behavioral problems, and to avoid future ones.

Underlying Theory of Rational Emotive Behaviour Therapy

Rational emotive behaviour therapy (‘REBT’) views human beings as ‘responsibly hedonistic’ in the sense that they strive to remain alive and to achieve some degree of happiness. However, it also holds that humans are prone to adopting irrational beliefs and behaviours which stand in the way of their achieving their goals and purposes. Often, these irrational attitudes or philosophies take the form of extreme or dogmatic ‘musts’, ‘shoulds’, or ‘oughts’; they contrast with rational and flexible desires, wishes, preferences and wants. The presence of extreme philosophies can make all the difference between healthy negative emotions (such as sadness or regret or concern) and unhealthy negative emotions (such as depression or guilt or anxiety). For example, one person’s philosophy after experiencing a loss might take the form: “It is unfortunate that this loss has occurred, although there is no actual reason why it should not have occurred. It is sad that it has happened, but it is not awful, and I can continue to function.” Another’s might take the form: “This absolutely should not have happened, and it is horrific that it did. These circumstances are now intolerable, and I cannot continue to function.” The first person’s response is apt to lead to sadness, while the second person may be well on their way to depression. Most importantly of all, REBT maintains that individuals have it within their power to change their beliefs and philosophies profoundly, and thereby to change radically their state of psychological health.

REBT employs the ‘ABC framework’ — depicted in the figure below — to clarify the relationship between activating events (A); our beliefs about them (B); and the cognitive, emotional or behavioural consequences of our beliefs (C). The ABC model is also used in some renditions of cognitive therapy or cognitive behavioural therapy, where it is also applied to clarify the role of mental activities or predispositions in mediating between experiences and emotional responses.