Sofi's Choice - helpful or unhelpful?

Sofia was new to the country and was vivacious and good humoured. She was an enthusiastic student, who worked hard at her studies and had a wide circle of friends. She had a ready smile and a caring nature, sensitive to the needs of others, a delight to teach.

On many occasions she would accompany me on yard duty and we would talk about things and inevitably the topic of discussion would turn to friendships and her concern about a particular student who did not seem to like her. This student would generally ignore her and chose not to associate with her in the classroom or in the yard. Sofia would become tearful and I would ask why she felt so sad. She said that she didn’t understand why this student didn’t seem to want to be her friend as ‘everyone else liked me, why doesn’t she?’ On another occasion Sofia said she wasn’t happy because this student wasn’t her friend and she would say ‘she makes me sad.’ As a Rational Emotive Behaviour Therapy counsellor I used some of the REBT strategies I had learned. According to REBT Sofia was ‘musting, oughting and shoulding,’ that is believing that her fellow student ‘must’ like her and that it was so awful (awfulising) that she couldn’t stand it. To add to her sadness Sofia believed that there must be something wrong with her! There must be something about her that the other student didn’t like and that this was all Sofia’s fault!

And so our discussions began to take on a philosophical note. I asked Sofia how this other person ‘made’ her sad. Sofia said that she ‘should’ be my friend and if she was then she could be happy. So I said, ‘you feel sad because she won’t be your friend and that you can only be happy if she becomes your friend.’ Sofia agreed that this was so and this became the basis of our further talks. We talked about a ‘perfect world’ and what that meant. We agreed that it would be nice if everyone we liked liked us in return and that everything we wanted to achieve we achieved. We talked about perfectionism and how it was unrealistic to expect that everything should go our way all the time. We can work hard to get an A+ and fall short, we can try to make friends with others we like but we may not always meet their approval. This is the way the world works. Sofia agreed and could see the wisdom of what we were talking about. So we returned to what Sofia believed, what her philosophy about herself, others and the world was. Sofia understood that her unrealistic oughting, shoulding and musting were making her sadness (‘she should like me’, ‘I must get her approval’, ‘she is bad because she won’t be my friend’, ‘I am unlikeable, I can’t stand this and it’s awful’). This insight was the turning point for Sofia, as she understood that her desire for a perfect world was an unrealistic expectation. I asked her, ‘must other people you like always like you in return?’ ‘Is it awful when you don’t get an A+ for your assignments even when you tried your best?’ ‘Are others bad if they don’t approve of you or like you?’ ‘Are you an unlikeable no good person because she doesn’t approve of you?’ Sofia answered with a resounding ‘NO!’

So we talked about helpful, rational thinking that would be healthier. I asked Sofia to challenge and change some of the unhelpful beliefs she held to be true.

I said, ‘must you always do well and achieve your goals.’ Sofia said, ‘No. It is better to believe that, ‘I will work hard to achieve my goals. I would like to achieve my goals but I don’t always have to.’ Why is this better?’ I asked. ‘It is not realistic to always get what you want. That is not how the world works!’ she said. She added that she would keep trying anyway.

What about the belief that, ‘people you like must like you in return and always approve of you?’ Sofia said, ‘this is not realistic either. People don’t have to like me. They can make their own choices.’

What about the belief, ‘you are unlikeable; you have nothing to like. You are a nerd.’ Sofia said, ‘this is not true. I have other friends. I have many positive qualities so I can’t be worthless or unlikeable!’

Construction in progress

So it transpired that Sofia became more comfortable with herself and the world and she could now accommodate and accept that her fellow student did not want to be her friend, that it was OK, that it was disappointing but not awful and she was still OK. She didn’t need her approval at all!

Sofia’s errant, irrational philosophical beliefs have been challenged and modified to become more rational (self and other helpful). Thus Sofia is not unhealthily anxious, angry or depressed (unhealthy negative emotions) because she hasn’t got what she wants (to have her fellow class member as a friend). She now tends to be healthily concerned and disappointed (healthy negative emotions) as she would have preferred (and not demanded) to have the friendship and approval of her classmate.

Sofi likes elephants

Rational Emotive Behaviour Therapy- a new book by Dr. Albert Ellis and Dr. Debbie Joffe Ellis

Dr Ellis’ latest work is a book called Rational Emotive Behaviour Therapy. Co authored by his wife Dr Debbie Joffe Ellis, it is part of the Theories of Psychotherapy Series, edited by Jon Carlson and Matt Englar-Carlson and published by the American Psychological Association.

This gem comes hot on the heels of Dr Ellis' autobiography All Out! which was published in 2010, with contributions by Dr. Debbie Joffe Ellis.

Ellis created REBT and developed it, promoted it and practiced it until his death in 2007. REBT is often said to be an offshoot or subsidiary of CBT but as this publication reminds us, REBT is the original cognitive therapy. Indeed Ellis is regarded as the father of REBT and the grandfather of CBT by those in the know.

Dr. Ellis’ motivation was to provide useful information to the general public on issues relating to mental health, offer a model (ABC Theory of Emotional Disturbance) that could explain why people feel and behave as they do and suggest strategies that they could use and practice in their lives.

Of course the ABC model is used the world over by mental health practitioners to support people in their desire to address their behavioural and emotional disturbance and to attain positive mental health.

Ellis challenged the psychoanalytic establishment and weathered the criticism and ostracism of those who wanted to preserve the elite status of the role of therapist. Ellis in time understood that psychoanalysis was a long and drawn out process, much too focused on past events and though the client may have felt better it didn’t necessarily mean she got better in the longer term.

As Ellis said:

‘Many psychoanalysts refused to let me speak at their meetings. They were exceptionally vigorous because I had previously been an analyst and they were very angry at my flying the coop.’

Ellis met this petulance with his usual wit and intellect and forged ahead anyway! He practiced what he taught and as he unconditionally accepted himself he declared:

‘By not caring too much about what people think, I'm able to think for myself and propagate ideas, which are very often unpopular. And I succeed.’

Ellis surely put the ‘REBT cat’ amongst the ‘psychoanalytic pigeons’ and the field of psychotherapy was challenged and transformed for good and for the better!

The book contains much for the layperson and the practitioner alike and remains true to the Ellis’ philosophy of helping people to help themselves. A DVD accompanies the book, which illustrates the therapeutic application of REBT.

Drs. Albert Ellis and Debbie Joffe Ellis acknowledge early in the book those who give and have given due recognition to his influence on their work. For instance William Glasser has respectfully given Dr Ellis due regard. Unfortunately others who have benefitted greatly by his work have not been so considerate.

Drs Ellis and Debbie Joffe Ellis again reinforce the importance of teaching children in schools from a very early age the basic principles and practices of REBT. Students and teachers would benefit greatly by understanding the link between thinking, feeling and behaving. The ‘wisdom of the ages’ ring long and loud through Ellis’ work. Consider the words of Epictetus in around 100 AD:

‘Events don’t make us act and feel as we do but it is our interpretation (appraisal) of those events that cause us to do what we do and feel what we feel.’

Helping people explore and understand this philosophy and apply it in their lives through Ellis’ ABC Theory is achieved in seven clearly written and informative chapters, which cover the life and work of Dr Ellis. Dr Debbie Joffe Ellis as co author continues to help spread the 'gospel of St Albert' widely and most successfully! The book talks about:

REBT History
REBT Theory
The REBT process
Future Directions of REBT

This book is a great reference for teachers and mental health practitioners alike and will be enjoyed by anyone who is interested in their own personal development. Indeed, a book for everyone!

Well done Drs Albert Ellis and Debbie Joffe Ellis on this wonderful REBT resource!

Breaking Approval Dependence (BAD)

Approval addict, empath, love slob, approvalist, co dependent, need junkie are terms that come to mind to describe those who suffer from conditional self-acceptance (CSA). Dr. Albert Ellis’ REBT explains that when an individual has a compulsive need to secure another’s approval it is self defeating. The antidote is unconditional self-acceptance (USA).

USA - the belief that self worth is not diminished by failure or rejection i.e. I have failed= I am not a failure. I have been rejected = I am not a reject (I am always worthwhile).

Roses are red
Violets are blue
I’d like you to like me
But I don’t need you to!

CSA- the belief that self worth is diminished by failure and rejection i.e. I have failed = I am a failure. I have been rejected = I am a reject (I’m worthwhile if you think I am).

Roses are red
Violets are blue
Please like me
As I need you to!

Where do we start to help the person who needs to be needed, who absolutely must have the approval of significant others? If she seeks help this would be a useful place to start. She may be aware that she has a help compulsion that is both self defeating and also not helpful to others (deny them opportunities to do for themselves for instance). She may say that she feels anxious a lot of the time and is obsessive about doing excellent work and helping others too readily, even when there doesn’t seem to be enough hours in the day to fit everything in. You may ask what is wrong with wanting to do excellent work? Nothing at all if you don’t damn yourself when things don’t turn out as you believe they must! The perfectionist believes failing to do things perfectly equates to being a failure, being imperfect and that’s terrible! She may say she feels angry when others don’t acknowledge her appropriately as she believes they should. She may also comment on others who may not do things properly or who aren’t capable enough and who therefore need to be rescued. Who else can do things better and is more capable of doing the job? She is of course.

She may relate that in childhood she never seemed to do the right thing and was never good enough. Her dad would say that she was hopeless and her siblings were favoured over her (her sister was better, prettier). She tried so hard to get the approval of her dad but she never seemed to measure up. (I must try harder! I’m such a failure!) She learned that she was not worth much if her dad didn’t think she was. She believed if her dad didn’t approve of her then she was unworthy and worthless. She had developed Sustained Habits of Inflexible Thinking Syndrome and one such habit was to believe that her worth absolutely depended on the approval of significant others. More flexible and realistic thinking can accommodate her very human tendency to make mistakes and to deal with rejection in a healthy way such as believing that her worth is not given to her or taken away by others. She can work on Flexible and Realistic Thinking Skills.

Counselling scenario excerpt.

Cl = client Cr=counsellor

Cl: My colleague makes me so angry. He doesn’t show me any gratitude for what I do.

Cr: You say your colleague makes you angry and that he doesn’t appreciate your work.

Cl: Exactly. I only want to make things easier. I am just helping. He should be more gracious.

Cr: So your colleague is making you angry because he doesn’t show you his appreciation as you think he should?

Cl: He is so unprofessional and disrespectful.

Cr: Can you give me an example of something you have done for him?

Cl: I organised a meeting for clients and made sure that refreshments were available. I prepared a program and everything!

Cr: Was he not happy with what he asked you to do?

Cl: He didn’t ask me. That’s the point. I did it so that he wouldn’t have to do it. He’s so ungrateful.

Cr: So what would make things better for you? What would help you feel better?

Cl: He should acknowledge my efforts and appreciate the things I do. I am so unappreciated and it’s not fair!

Albert Ellis’ ABC Theory of Emotional Disturbance explains that behavioural and emotional disturbance (C) is generated by the bullshit we tell ourselves (B) not because of the activating event i.e. what happens (A). The client above is clearly blaming her feelings and actions on A, the unfair colleague who doesn’t appreciate her. You can hear the blame in statements like: ‘He makes me so angry.’ How does he make her angry? Is she not in some way responsible? It would be very unfortunate if others always determined how she felt and behaved. Do others control her? Clearly she is not taking responsibility for her actions and emotions. So what is making these feelings of anger and depression? Is her colleague the culprit? Is he to blame?

Ellis’ ABC model incorporated B, the beliefs we hold to be true. Our client above has constructed a set of rules for life (B) and the question is what are they? Are they helpful?

The excerpt above contains key words that tell us what our clients’ rules are. You may have noticed some ‘shoulds’ dispersed throughout the dialogue.

‘He should be more gracious.’

‘He should acknowledge my efforts and appreciate the things I do.’

This kind of thinking is irrational in the sense that no matter how much you demand something the reality is you may never get what you want. What’s the use of demanding what you can’t have? Now you can healthily prefer that your colleague gives you his approval but that is different to demanding it. Her rule is:

‘People I respect absolutely should treat me well.’

You may also have noticed that our client is damning her colleague in absolute global rating terms like:

‘He is so unprofessional and disrespectful.’

His actions may be deemed unprofessional and disrespectful but is he unprofessional and disrespectful? He is and he does are different terms with different meanings. Our client is making a judgement that her colleague is bad for doing bad. Her rule is:

‘He should acknowledge me and because he doesn’t he is unprofessional and disrespectful.’

Our client also shows signs of low frustration tolerance because she is not getting what she must have. Consider:

‘I am so unappreciated and it’s not fair!’

It would appear that when she doesn’t get what she needs and must have she can’t stand it and it is awful. Her rule is:

‘When I don’t get what I must have (his approval) I can’t stand it and it it’s awful.’

An REBC (Rational Emotive Behaviour Counsellor) would help the client understand the B-C link, B meaning the thinking that drives the behaviour and emotions (anger/hostility) at C. Whilst there are a few irrational core beliefs that can be challenged as outlined above the one to focus on as a priority is the clients belief that:
‘I need the approval of others to be worthwhile.’

To be continued ….

REBT and Bullying

Recent research by Giulio Bortolozzo and Dr. Ken Rigby has shown that low self worth is associated with a tendency to be victimised. Dr. Ellis' Unconditional Self Acceptance (USA) helps individuals understand that others’ views of them don't define who they are. These individuals understand that rejection and failure cannot diminish their worth - they can be rejected but can never be a reject, they can fail but are never a failure. The research also shows that bullies tend not to accept others. They may view others who are different as being losers or nerds and decide it's ok to bully them because they are not 'normal'. Ellis calls this Conditional Other Acceptance (COA). The research establishes that there is a relationship between how people view themselves and others and bully and victim behaviour.

Ellis invites educators to teach the self-helpful rational beliefs of Unconditional Self/Other Acceptance. If children develop (construct) the belief that they are only worthwhile when they are approved by significant others then they will be vulnerable to the negative opinions of others. If children construct a belief that others are OK only when they satisfy certain conditions e.g. look a certain way, behave a certain way they may tend to bully others.

These irrational beliefs can be challenged and children can 'unlearn' the harmful ideas that underpin how they behave (victim or bully). This can be done by applying REBT principles via all school processes and practices, through BEHAVIOUR EDUCATION.

Harmful, irrational ideas undermine our capacity to make healthy decisions and to manage unhealthy negative emotions like anger and anxiety. Dr. Rigby recently made the point that whilst bullying remains a major concern in schools and beyond we would be wise not to believe that it's out of control and to think that a punitive approach would solve the problem. In fact, there is now reliable evidence that (i) the prevalence of bullying in schools is becoming less frequent and (ii) well-evaluated interventions have demonstrated that some programs have led to significant reductions in peer victimisation. Irrational and unsubstantiated claims to the contrary can prevent the adoption of such programs. These are examined in detail in Ken Rigby's new book: 'Bullying Interventions: Six Basic Approaches'. Melbourne, ACER, 2010.

The poem below by Giulio Bortolozzo was inspired by Ellis' ideas of Unconditional Acceptance of Self and Others.

Bully for You

Do you think you have nothing to offer?
Use self-talk which is negative and untrue
And you don’t think you amount to much?
Then I have just the thing for you!

Bully for you, bully for you
I have a bully for you!

I look for people to victimise
My admiring buddies think I’m great
I like to see fear in your eyes
You deserve to suffer mate!

Bully for you, bully for you
I’m the bully for you.

I will persist, never let up
I don’t consider how you feel
My life’s work is to see you suffer
You don’t matter; you’re no big deal

Bully for you, bully for you
I’m the bully for you!

We control our thoughts
We are what we perceive
We can choose to be powerless victims
Until we change what we believe

Victim for you, victim for you
Will I be the victim for you?

I’m a worthwhile person
I have qualities unique to me
We are all different from each other
That makes us the same you see?

No, I will not allow you to bully
You don’t have my permission you see
I will not be your sporting obsession
You are not the bully for me!

Bully for me, bully for me.
You are not the bully for me.

The cloak of silence
Is the bully’s best friend
So speak out, everybody!
It’s the cloak that’s specially tailored
For you and for me!