Chapter 15: Ellis and Beck: Cognitive-Behavior Therapy and Acceptance Therapy
Chapter 15: Ellis and Beck: Cognitive-Behavior Therapy and Acceptance Therapy
Part 2: Rational Emotive Behavior Therapy
In order to understand Ellis’ perspective on therapy, one must first understand his perspective on the basis of psychological disturbances, whether they are minor problems with personal adjustment or more serious forms of mental illness. Individuals with problems typically have a long history related to the disorder. Using the same example as Ellis (1957), suppose a woman is chronically depressed because she has been rejected by men she really liked and with whom she wanted to have long-term relationships. She understandably concludes that the activating event of being rejected leads to the consequence of being depressed. However, this conclusion is wrong! According to Ellis, it is not the rejection that causes her depression, it is the belief system that arises within her, particularly irrational beliefs, that cause her depression. For example, if she rationally believed that it was unfortunate that someone she liked rejected her, or that it was frustrating that she was rejected, she might not become depressed. However, if she irrationally believes that it is awful that she has been rejected, or that she should have been more beautiful so that he wouldn’t have rejected her, then she is quite likely to become depressed. This is what Ellis referred to as the A-B-C’s of emotional disturbance or self-defeating behaviors and attitudes. A refers to the activating event (being rejected), B refers to the person’s beliefs (this is awful, I’m not pretty), and C is the consequence of the beliefs: depression. The basis for therapy in such situations can be found by extending the A-B-C’s to the D-E’s: disputing (D) the irrational beliefs, which hopefully leads to the cognitive effect (E -effective new philosophies, emotions, and behaviors) of disrupting the self-defeating patterns of behavior (Ellis, 1957, 1973, 1996). More recently, Ellis has proposed one more letter for his ABC theory of personality, the letter G for goals (*note: there is no “F”). Goals consist of a person’s purposes, values, standards, and hopes. When these goals are thwarted by an activating event, the person can respond by choosing healthy or unhealthy alternatives, and the nature of that choice is based on one’s beliefs (Ellis, 1994). Ellis considered the ABC theory to be so straightforward that it could prove helpful to anyone.
When an individual has become trapped by unhealthy belief systems and the corresponding self-defeating behavior patterns that accompany them, the potential need for psychotherapy arises. The therapy that Ellis developed has come to be known as rational emotive behavior therapy, or REBT (the name went through several permutations over Ellis’ career, and he finally settled on REBT). The primary task of the therapist using REBT is to challenge the client’s irrational beliefs and, in so doing, to help the client change their belief systems. In es