When You Don't Know Where to Turn: A Self-Diagnosing Guide to Counseling and TherapyBartlett, Steven J.
Science
When You Don't Know Where to Turn: A Self-Diagnosing Guide to Counseling and Therapy
Bartlett, Steven J.
Consumer education; Counseling; Psychotherapy
During therapy, clients are very quickly challenged to give evidence
for their irrational beliefs. The rational-emotive therapist will
openly and ruthlessly oppose the foolish absolutes that clients express
and make it clear how they are upsetting themselves emotionally by
insisting on such nonsense. It is not considered essential that the
therapist be a kind, warm, {142} supportive person. In fact,
rational-emotive therapy encourages therapists to show their impatience
with irrational beliefs that cannot be defended empirically or
logically. Once clients are shown that many of their beliefs cause
them misery and disappointment, they are asked to _dispute_--silently,
in their own minds--their irrational beliefs whenever they find the old
habits taking over. It takes time to extinguish old habits; it doesn't
happen overnight. Clients need patience and tenacity to oppose their
old reflexes and replace them with rational, realistic beliefs.
An hour a week in rational-emotive therapy is really, then, like a
tutorial session with a teacher. The client-students talk about their
feelings; the therapist criticizes underlying irrational beliefs and
makes it clear to the clients what a rational response would be. Then
the clients are asked to practice applying rational beliefs on their
own, outside of therapy. Gradually, a more rational way of looking at
things takes the place of the old habits.
AN EXAMPLE
Joan Hendley is single, twenty-nine years old, and assistant manager of
a bank. She has come to Dr. Kovac because of chronic depression, a
sense of low self-worth, and feelings of insecurity and anxiety.
Lately, she has begun to drink heavily and regularly feels the need to
use sleeping tablets.
The following is a sample of their dialogue during their first session
of rational-emotive therapy:
DR. K.: Well, what would you like to start on?
JOAN: It's hard to put it into words. I guess it's that I've been
depressed a lot, about _everything_. I feel like there's no
purpose to my life. I don't know where to go or how to decide.
DR. K.: So, right now you don't know where you're headed. What's
so terrible about that? It would be _nice_ if you knew, but you
don't. Is that _awful_?
JOAN: Yes, it is! Everybody should have a purpose!
DR. K.: Why _should_ they? Most people go through life without
much of a sense of purpose.
JOAN: Well, that's what I believe in.
DR. K.: Look, Joan, you appear to me to be an intelligent person.
You and I can agree that it would be more satisfying for you to
have a sense of direction, but you take this {143} one more step,
and it's a _very_ big step! You think it's _terrible_ that you
don't feel there's a purpose to your life right now. You think you
_should_ have a purpose, and I suspect you're punishing yourself
because you don't live up to that _should_.
JOAN: But most people believe in things like that.
Public-domain text, read in full here on John Shaqi.
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