cognitive behavior therapy - REBT - counseling exam 3

who founded REBT?

albert ellis

A, B, C model

activating event, belief, emotional consequence

D, E, F model

what does REBT stand for?

rational emotive behavior therapy

therapist’s role directive

directive (therapist leads), confrontational, persuasive, warmth not essential, educate client

REBT view of human nature

potential for both rational & irrational thinking, self-talk keeps us disturbed, capacity to change, dysfunctional negative thoughts are negative, except for in hypomania/mania, narcissistic PD, substance abuse

disputing irrational beliefs (3 components)

1. discriminate - between irrational (self-defeating) versus rational (adaptive) beliefs

2. detect irrational beliefs - (e.g., “shoulds”, “musts”, “awfulizing)

3. debate dysfunctional beliefs - by logically, empirically (what’s the evidence?), and pragmatically questioning them - “I want it, therefore I must have it.”

rational

• Disputing irrational beliefs 

• Homework 

• Change lanuage: perferences vs. demands 

• Humor

• Shoulding

• I can’t stand it itis

• awfulizing

emotive

• rational - emotive imagery

  • Imagine the worst outcome, unhealthy ways to think about it, how this would affect emotions

  • Replace with more healthy thoughts

role playing

• Role play the behavior to see what emotions come out: (ex: nervous to public speak: role play asking someone out to see what thoughts come up),

• Then can challenge these 

shame-attacking exercises

• Use of force and vigor

• Client convinces therapist of maladaptive thinking (reverse role play)

client goals

• Clients differentiate between:

  • Realistic & unrealistic goals

  • Self-defeating & life-enhancing goals 

• Assist clients in the process of achieveing the following:

  • Unconditional self-acceptance (USA)

  • Unconditional other-acceptance (UOA)

  • Unconditional life-acceptance (ULA)