Resolving a difference between cognitive therapy and rational emotive behaviour therapy: towards the development of an integrated CBT model of psychopathology

Resolving a difference between cognitive therapy and rational emotive behaviour therapy: towards... Purpose– The field of cognitive-behavioural therapy contains many different theoretical models of psychopathology, with each discipline ascribing greater emphasis to a particular cognitive process or organisation of beliefs. This paper seeks to propose a method of integrating the two most widely practiced and researched schools of CBT; Beck's cognitive therapy (CT) and Ellis's rational emotive behaviour therapy (REBT). Design/methodology/approach– Although there exist a large degree of similarity between the two therapeutic approaches, the two models do differ in relation to their respective hypothesises regarding the core psychological variable in psychopathology. Cognitive theory hypothesises that negative representational beliefs are of central importance whereas rational emotive behaviour theory hypothesises that negative evaluative demands lie at the core of psychological disturbance. This paper evaluates these competing predictions on the basis of the available empirical literature. Results– The empirical literature provides greater support for the organisation and interrelations of the irrational beliefs proposed by REBT theory over CT theory, however the research data clearly indicate the importance of the cognitive variables stressed by CT theory in the pathogenesis of psychological distress. Based on the available evidence an integrated CBT model which incorporates elements of both CT and REBT theory is presented. It is proposed that this integrated model can serve as the stepping-stone toward a larger, single, coherent CBT model of psychopathology. Research limitations/implications– Few empirical studies have directly compared the competing predictions of CT and REBT theory. If future research supports the findings presented in this paper, the proposed model can serve as a template for the development of a unified, general-CBT theory of psychopathology. Practical implications– The integrated model presented in this paper can serve as a guiding theoretical model for therapeutic practice which takes into account therapeutic methods from both CT and REBT. Originality/value– This paper proposes the first theoretical model which incorporates the competing theoretical conceptualizations of psychological distress from the two main schools of CBT. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Mental Health Review Journal Emerald Publishing

Resolving a difference between cognitive therapy and rational emotive behaviour therapy: towards the development of an integrated CBT model of psychopathology

Mental Health Review Journal, Volume 17 (2): 13 – Jun 22, 2012

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Publisher
Emerald Publishing
Copyright
Copyright © Emerald Group Publishing Limited
ISSN
1361-9322
D.O.I.
10.1108/13619321211270425
Publisher site
See Article on Publisher Site

Abstract

Purpose– The field of cognitive-behavioural therapy contains many different theoretical models of psychopathology, with each discipline ascribing greater emphasis to a particular cognitive process or organisation of beliefs. This paper seeks to propose a method of integrating the two most widely practiced and researched schools of CBT; Beck's cognitive therapy (CT) and Ellis's rational emotive behaviour therapy (REBT). Design/methodology/approach– Although there exist a large degree of similarity between the two therapeutic approaches, the two models do differ in relation to their respective hypothesises regarding the core psychological variable in psychopathology. Cognitive theory hypothesises that negative representational beliefs are of central importance whereas rational emotive behaviour theory hypothesises that negative evaluative demands lie at the core of psychological disturbance. This paper evaluates these competing predictions on the basis of the available empirical literature. Results– The empirical literature provides greater support for the organisation and interrelations of the irrational beliefs proposed by REBT theory over CT theory, however the research data clearly indicate the importance of the cognitive variables stressed by CT theory in the pathogenesis of psychological distress. Based on the available evidence an integrated CBT model which incorporates elements of both CT and REBT theory is presented. It is proposed that this integrated model can serve as the stepping-stone toward a larger, single, coherent CBT model of psychopathology. Research limitations/implications– Few empirical studies have directly compared the competing predictions of CT and REBT theory. If future research supports the findings presented in this paper, the proposed model can serve as a template for the development of a unified, general-CBT theory of psychopathology. Practical implications– The integrated model presented in this paper can serve as a guiding theoretical model for therapeutic practice which takes into account therapeutic methods from both CT and REBT. Originality/value– This paper proposes the first theoretical model which incorporates the competing theoretical conceptualizations of psychological distress from the two main schools of CBT.

Journal

Mental Health Review JournalEmerald Publishing

Published: Jun 22, 2012

Keywords: Cognitive therapy; Irrational beliefs; Cognitive‐behavioural therapy; Rational emotive behaviour therapy; Individual psychology; Mental illness; Beliefs

References

  • Cognitive therapy: current status and future directions
    Beck, A.T.; Dozois, D.J.A.
  • Validation of the general attitudes and belief scale
    Bernard, M.E.
  • The information processing approach to the human mind: basic and beyond
    David, D.; Miclea, M.; Opre, A.
  • A synopsis of rational‐emotive behavior therapy (REBT): fundamental and applied research
    David, D.; Szentagotai, A.; Kallay, E.; Macavei, B.
  • Rational psychotherapy
    Ellis, A.
  • Individualized measurement of irrational beliefs in remitted depressives
    Solomon, A.; Arnow, B.A.; Gotlib, I.H.; Wind, B.

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