Showing posts with label cognitive-behavioral therapy. Show all posts
Showing posts with label cognitive-behavioral therapy. Show all posts

Thursday, July 26, 2007

Albert Ellis (1913 - 2007)

June 25, 2007

The founder of rational emotive behavior therapy, Albert Ellis, died Tuesday at the age of 93 following an extended illness. His work and theories provided the basis for what is today known as rational-emotive behavioral therapy (REBT) a form of cognitive behavior therapy, which has become an effective treatment approach for many different disorders.

His straight talk approach to cognitive therapy, with an underlying focus on general principles was groundbreaking in its day; in contrast today, many counselors apply many of his theories and therapeutic principles in therapeutic situations. It is interesting to note that while Ellis's ideas were initially met with resistance within the psychological community, a 1982 survey of clinical psychologists ranked Ellis as the second most influential therapist (behind Carl Rogers and ahead of Sigmund Freud).

Where the Freudians maintained that a painstaking exploration of childhood experience was critical to understanding neurosis and curing it, Dr. Ellis believed in short-term therapy that called on patients to focus on what was happening in their lives at the moment and to take immediate action to change their behavior. “Neurosis,” he said, was “just a high-class word for whining.” He was also quoted as saying, “the trouble with most therapy is that it helps you to feel better,” he said in a 2004 article in The New York Times. “But you don’t get better. You have to back it up with action, action, action.”

His basic message was that all people are born with a tendency to distort everyday perceptions that sabotage their ultimate quest for happiness. But he recognized that people also had the capacity to change themselves. The role of therapists according to REBT is to intervene directly, using strategies and homework exercises to help patients first learn to accept themselves as they are (unconditional self-acceptance, he called it) and then to retrain themselves to avoid destructive emotions — to "establish new ways of being and behaving,” as he put it.

In 2005, Ellis became involved in legal disputes with the institute that he had founded after he was removed from its board and his weekly Friday seminars were canceled. While he was reinstated last year after a judge ruled that he had been wrongly removed, his relationship with the institute remained strained.

Wednesday, July 18, 2007

Girls' Rumination on Problems Actually Causes Depression

Amanda Rose, in an study published in the July issue of Development Psychology has found that girls who talk very extensively about their problems with friends are likely to become more anxious and depressed (Prospective Associations of Co-Rumination With Friendship and Emotional Adjustment: Considering the Socioemotional Trade-Offs of Co-rumination)

The six-month study, which included boys and girls, examined the effects of co-rumination - excessively talking with friends about problems and concerns. Rose discovered that girls co-ruminate more than boys, especially in adolescence, and that girls who co-ruminated the most in the fall of the school year were most likely to be more depressed and anxious by the spring.

When girls co-ruminate, they're spending such a high percentage of their time dwelling on problems and concerns that it probably makes them feel sad and more hopeless about the problems because those problems are in the forefront of their minds. Those are symptoms of depression. In terms of anxiety, co-ruminating likely makes them feel more worried about the problems, including about their consequences. Co-rumination also may lead to depression and anxiety because it takes so much time - time that could be used to engage in other, more positive activities that could help distract youth from their problems. This is especially true for problems that girls can't control, such as whether a particular boy likes them, or whether they get invited to a party that all of the popular kids are attending.

The study involved 813 third, fifth, seventh and ninth grade students. The participants answered questionnaires that assessed co-rumination, depression, anxiety and the quality of their best friendship in the fall and spring of the school year.

Ironically, although co-rumination was related to increased depression and anxiety, Rose also found that co-rumination was associated with positive friendship quality, including feelings of closeness between friends. Boys who co-ruminated also developed closer friendships across the school year but did not develop greater depressive and anxiety symptoms over time.

What's intriguing about theses findings is that co-rumination likely represents too much of a good thing. Some kids, especially girls, are taking talking about problems to an extreme. When that happens, the balance tips, and talking about problems with friends can become emotionally unhealthy. Rose recommended adolescents should be encouraged to talk about their problems, but only in moderation and without co-ruminating.

This is an interesting study for several reasons. The most important is that it calls into question the utility of individual therapy for children (especially girls). If it can lead to further depression and anxiety, is it an ethical thing to do? Talking about the problem may be useful up to a degree and then it may become too dangerous.

Therapy effectiveness and efficacy studies point to activities that will engage the body as well as active solution focused therapy as better methods of dealing with these issues.

Thursday, May 03, 2007

Self-Efficacy

According to Albert Bandura, self-efficacy is “the belief in one’s capabilities to organize and execute the courses of action required to manage prospective situations” (1995, p.
2).

In other words, self-efficacy is a person’s belief in his or her ability to succeed in a particular situation. Bandura described these beliefs as determinants of how people think, behave, and feel (1994).

Since Bandura published his seminal 1977 paper, "Self-Efficacy: Toward a Unifying Theory of Behavioral Change," the subject has become one of the most studied topics in psychology. Why has self-efficacy become such an important topic among psychologists and educators? As Bandura and other researchers have demonstrated, self-efficacy can have an impact on everything from psychological states to behavior to motivation.

The Role of Self-Efficacy

Virtually all people can identify goals they want to accomplish, things they would like to change, and things they would like to achieve. However, most people also realize that putting these plans into action is not quite so simple. Bandura and others have found that an individual’s self-efficacy plays a major role in how goals, tasks, and challenges are approached. People with a strong sense of self-efficacy:
  • View challenging problems as tasks to be mastered.
  • Develop deeper interest in the activities in which they participate.
  • Form a stronger sense of commitment to their interests and activities.
  • Recover quickly from setbacks and disappointments.

People with a weak sense of self-efficacy:

  • Avoid challenging tasks.
  • Believe that difficult tasks and situations are beyond their capabilities.
  • Focus on personal failings and negative outcomes.
  • Quickly lose confidence in personal abilities (Bandura, 1994).

How does self-efficacy develop?

These beliefs begin to form in early childhood as children deal with a wide variety of experiences, tasks, and situations. However, the growth of self-efficacy does not end during youth, but continues to evolve throughout life as people acquire new skills, experiences, and understanding (Bandura, 1992).

According to Bandura, there are four major sources of self-efficacy.

1. Mastery Experiences“The most effective way of developing a strong sense of efficacy is through mastery experiences,” Bandura explained (1994). Performing a task successfully strengthens our sense of self-efficacy. However, failing to adequately deal with a task or challenge can undermine and weaken self-efficacy.

2. Social Modeling Witnessing other people successfully completing a task is another important source of self-efficacy. According to Bandura, “Seeing people similar to oneself succeed by sustained effort raises observers' beliefs that they too possess the capabilities master comparable activities to succeed” (1994).

3. Social Persuasion Bandura also asserted that people could be persuaded to belief that they have the skills and capabilities to succeed. Consider a time when someone said something positive and encouraging that helped you achieve a goal. Getting verbal encouragement from others helps people overcome self-doubt and instead focus on giving their best effort to the task at hand.

4. Psychological Responses Our own responses and emotional reactions to situations also play an important role in self-efficacy. Moods, emotional states, physical reactions, and stress levels can all impact how a person feels about their personal abilities in a particular situation. A person who becomes extremely nervous before speaking in public may develop a weak sense of self-efficacy in these situations.

However, Bandura also notes "it is not the sheer intensity of emotional and physical reactions that is important but rather how they are perceived and interpreted" (1994). By learning how to minimize stress and elevate mood when facing difficult or challenging tasks, people can improve their sense of self-efficacy.
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