REBT Flashcards

1
Q

Precursors of REBT

A
  • Greek and Roman stoic philosophers: “People are not disturbed by things, but the view in which they take them”
  • Adler came up with the S-O-R theory (stimulus-organism-response)
  • We determine ourselves by the meanings we give to situations
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2
Q

History of Albert Ellis

A
  • Claimed that client-centered/psychoanalytic therapies don’t help solve problems and are too passive (used to be a client-centered therapist)
  • People make dysfunctional, irrational demands that set them up for distress
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3
Q

Describe the theory of personality for REBT.

A
  • Biopsychosocial approach
  • ABC’s
  • Reindoctrination
  • We are born with the potential to be rational or irrational
  • Irrational thinking is exacerbated by culture and social groups
  • We create our own distress
  • Our emotions, perceptions, and behaviors relate to the way we think
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4
Q

Physiological element of the theory of personality

A
  • All humans are born with tendencies to want things
  • When we don’t immediately get these things, our immediate reaction is to condemn ourselves and others
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5
Q

Social element of the theory of personality

A
  • We place too much emphasis on what other people think of us + approval
  • Some only accept themselves when others accept them
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6
Q

Psychological element of the theory of personality

A
  • People needlessly upset themselves with irrational beliefs, extremeness, and absolutes (musturbation)
  • Irrational demands, by definition, will not be met
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7
Q

ABC’s of the theory of personality

A
  • A: activating event (what happened)
  • B: belief (how you define the event)
  • C: consequence (how you feel after the event)
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8
Q

Reindoctrination

A
  • Repeating the ABCs
  • Constantly condemning yourself
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9
Q

Describe the therapeutic relationship in REBT.

A
  • Active: therapist talks a lot
  • Directive: therapist teaches skills and leads activities
  • Confrontational
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10
Q

3 components of unconditional acceptance

A
  • Must accept the self (imperfections)
  • Must accept others (imperfections)
  • Must accept life (the ups and downs)
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11
Q

Difference between a “want” and a “demand.”

A
  • Want: desire that you are ok with not getting
  • Demand: facing distress when you don’t get what you want
  • Wanting means you are able to tolerate frustration
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12
Q

Healthy or unhealthy: rage

A

Unhealthy. Client is not able to tolerate distress and takes it out on the environment.

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13
Q

Temporary solution to demandingness: satisfaction of demands

A

Just because a demand isn’t satisfied now doesn’t mean it’s never satisfied. Your demands can’t always be met.

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14
Q

Temporary solution to demandingness: distraction

A

The redirecting of attention is temporary and can be harmful (i.e. drugs/alcohol).

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15
Q

Temporary solution to demandingness: magic + mysticism

A

Uses beliefs that there is a magical fix and puts demands on the therapist

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16
Q

Healthy or unhealthy: sadness

A

Healthy. Able to internally experience the emotion at a stable level.

17
Q

Healthy or unhealthy: annoyance

A

Healthy. Can keep the emotion internal and at a regulated level.

18
Q

Healthy or unhealthy: anxiety

A

Unhealthy. Incessant worrying about melodramatic things.

19
Q

Healthy or unhealthy: disappointment

A

Healthy. Can feel internally without an outburst.

20
Q

Healthy or unhealthy: regret

A

Healthy. Can feel internally and then move on.

21
Q

Healthy or unhealthy: jealousy

A

Unhealthy. Everyone is imperfect and jealousy indicates self-condemning behavior.

22
Q

2 main goals of REBT

A
  • Correct demandingness: recognize “musturbation”, irrational demands, and give up perfectionism
  • Develop high frustration tolerance: accept reality even when grim, stop catastrophizing, develop coping and self-soothing skills
23
Q

Healthy or unhealthy: depression

A

Unhealthy. Sadness to an extreme level.

24
Q

Healthy or unhealthy: concern

A

Healthy. Can be felt at stable levels.

25
Q

Healthy or unhealthy: frustration

A

Healthy. Indicates the ability to tolerate hard situations.

26
Q

Healthy or unhealthy: guilt

A

Unhealthy. Indicates self-condemnation.

27
Q

ABCDs model to dispute irrational beliefs (IADA)

A
  • Identify the activating event, belief, and consequence
  • Ask: does this serve me?
  • Dispute: dispute irrational, awfulizing, absolutist beliefs
  • Admit and face: admit to the role you play in reindoctrinating yourself
28
Q

What are some ways that the therapist helps the client address musts?

A
  • Role play: play out the demand from different perspectives
  • Humor: highlight how absurd the irrational demands are
  • Unconditional acceptance: to demand perfection is irrational
  • Strong disputing: actively disagree and try to persuade the client
29
Q

Experiential exercise: take risks

A
  • Do the things that make you the most scared
  • Knowing when there is room for imperfection
30
Q

Experiential exercise: seek pleasure

A

Are there opportunities to enjoy a meh situation and be optimistic?

31
Q

Experiential exercise: stay in poor circumstances

A

This helps the client practice tolerance

32
Q

Experiential exercise: take on hard tasks

A

Teaches clients that it’s ok to be imperfect and struggle a little

33
Q

What is disputing?

A
  • Challenge the patient to defend themselves
  • Demonstrate logical fallacies
  • Show why irrational beliefs do not work
  • Reduce irrational beliefs to absurdity
34
Q

Treatment modalities for REBT

A
  • Individual
  • Group
  • Workshops
  • Marriage/family therapy
  • Self-help
35
Q

Evidence base for REBT

A
  • Techniques that work: active-directive approach, activity-oriented HW, modifying beliefs can help propel behavior change, acceptance-based approaches
  • Findings: cognition, emotion, and behavior occur simultaneously and interdependently
36
Q

Cultural considerations for REBT

A

Therapists must dispute the belief that one must achieve conformity with a certain culture.

37
Q

Simple exclamatory sentences

A

Absolutist sentences/determinations that we say to “musturbate”

38
Q

Optimal therapy characteristics

A
  • Time and effort (should be brief)
  • Rapid symptom reduction
  • Lasting results (concern he has about other therapies is not stopping reindoctrination)
  • Generalizable
39
Q

Methods of psychotherapy

A
  • Help the client develop healthy levels of negative emotions
  • Directly tell the client what is wrong and try to persuade them