Strategies for Breaking Approval Dependence (BAD)

You have Serious Approval Dependence (SAD) and you know how you got it! By dint of your biological inheritance and how you were socialised you have constructed the very debilitating core belief that your worth depends on how others view you or how well you perform in your work, study, sex etc. If you have concocted this warped and destructive belief then you can deconstruct it and replace it with USA, Unconditional Self Acceptance. How do you do this? By self-awareness, vigilance and hard work, that’s how!

1. Know how you are feeling.
2. Understand that your feelings and behaviour are connected to your thinking.
3. Identify your habits of believing.
4. Decide whether or not your thinking is helpful, rational.
5. Challenge your beliefs with vigour.
6. Be forever vigilant.

Activating event (A)

You are a member of a parent group at your child’s school and you are generally happy to sit and listen at meetings. There are times when you have been inclined to say something about an issue of interest to you but you always stop yourself from saying what you want to say. You notice how anxious you feel; your heart races and you begin to sweat a little. You stop yourself from commenting as the opportunity goes by, and you castigate yourself for wimping out. Typical you think.

Is this scenario a repeat of many over the years where opportunity has gone begging and been missed, when the nettle was there to be grasped and you chose to avoid it. Is this a case of Serious Approval Dependence (SAD)? You bet it is and it’s nigh time you had a one on one with your enemy YOU!

How do you feel and act (C)?

Strategy one: Identify how you were feeling around the time you wanted to say something and how strong? (8/10 anxious). Determine whether this is a healthy negative emotion or a helpful one – does it help or hinder you achieving what you want? Answer: Not healthy because you didn’t do what you wanted to do, share your ideas with the group.

What are you thinking (B)?

Strategy two: Identify your self-talk at the time, what were you saying to yourself? Answer: ‘if I make a mistake, what would they think of me? My views are not that important, they seem more knowledgeable than me. It would be awful if I sounded confused or hesitant. I couldn’t stand it if they thought badly of me.’ This is irrational as it is stopping you from doing what you want to do.

Challenge your thinking (D)

Strategy three: Identify a particular statement and challenge it’s veracity (start a diary and record how you thought, felt and acted in various situations). Lets consider the statement:

‘I couldn’t stand it if they thought badly of me.’

Q. If they disagreed with my views would that equate to them damning me as a person?

A. No. A particular viewpoint is not ‘me’. I am more than what I say.

Q. If they disagreed with me would it be ‘so awful that I couldn’t stand it!’

A. No. It would hardly be catastrophic that someone would disagree with me. Breaking my leg could possibly be worse but even that is not catastrophic or so awful that I couldn’t stand it.

Q. Must others always agree with me? Should they see things as I do for me to be worthwhile?

A. Of course not. My worth is not at question here; my ideas and views may be but they are not ‘me’.

Q. Do I need others to agree with me for me to be worthwhile?

A. No. My worth is not given to me and cannot be taken away. I can only be worth – less if I believe I absolutely must have the approval of others to be worthwhile. I am worthwhile because I exist not because someone else thinks I am!

Q. What benefits could I gain by risking the disapproval of others?

A. I will see that the sun will rise again and the birds will continue to twitter in the treetops. Those who care for me and approve of me unconditionally will continue to do so. Even if I stumble and stutter I will not drop dead. I can practice my public speaking skills if I choose to do so. I will accept that sometimes I will stuff up because I am human and that’s what humans do.

Q. What will happen if I continue not to risk the disapproval of others?

A. I will perpetuate the mythological belief that somehow others views of me determine my worth. I will continue to practice Serious Approval Dependence and remain a ‘wall flower’ at the ball, waiting for someone to pick me!

Eleanor Roosevelt said

No one can make you feel inferior without your permission.

Don’t give anyone or anything permission to determine whether you are worthwhile or not. You don’t need it, you exist and that’s that!

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 ….

APPROVALISM – the philosophy of the ‘love slob’

An approvalist is one who practices the philosophy of Approvalism. An approvalist lives life for the service of others seemingly without thought for self, ministering to the needs of others, making life ‘better’ for them. A good approvalist needs to do for others and her worth is measured according to how others view her and how helpful she can be to others. Approvalists say ‘yes’ to others demands and requests and are ultra sensitive to the needs of others (they must be rescued and saved). If they don’t perform to their own lofty expectations or (quelle catastrophe!) others don’t seem to value them (as they should) then they tend to harshly judge themselves as being ‘bad’ and may down themselves harshly! They will think, ‘I should have known that he needed support. I should have been there. I should have done better. I am a loser. It’s my fault he is in such a mess.’ They may also experience deep anger and direct it towards those ‘who do not appreciate me, after all shouldn’t they be grateful for what I am doing for them?’ (‘They are not good like me they are bad!’).

The approvalist has a ‘help’ compulsion, seeking out others to help even when not invited to. They tend to over empathise with the other, feeling what they feel, experiencing ‘their pain’. Such ‘empaths’ seek to be continuously approved of. They will forever revisit the bottomless ‘well of approval’ as each fix of affirmation is never enough. They don’t believe that they are that worthy of others appreciation and will find it difficult to accept their thanks and praise.

Why would this be so? How could it be that a person would become so dependent on others for their quick and fleeting ‘feel good’ fix? How does one become an approval junkie?

Dr Albert Ellis, the creator of Rational Emotive Behaviour Therapy refers to ‘love slobbism’ to describe a person’s self-defeating tendency to think they need the approval of others to be worthwhile. This behaviour is driven by a ‘must’ or a ‘should’ belief based philosophy internalised over years of socialisation amid role models who may have themselves suffered the debilitating effects of ‘musturbation’ i.e. ‘My son/daughter should always ‘make’ me proud and they should always be highly regarded by others. They must not let me down as that would shame me.’ If any of these irrational demands are not met it’s considered to be catastrophic and awful, so awful ‘it cannot be tolerated.’

The approvalist has been taught as a young person that she is 'good' when she does good. When she does as she is told, follows instructions and conforms to rules and expectations she is rewarded and she feels good. She works hard at school and gets good grades but when they are sometimes not good enough, she feels she has let others down and she must try harder next time so they will be pleased. She believes doing bad is being bad!

'The codependent-in-training is taught to walk on eggshells. To ensure survival, the child learns to be extraordinarily sensitive in reading the moods and thoughts of others. The child learns very early to pay attention to and tiptoe around the dysfunctional family members - at the child's expense. These interactions take place silently, implicitly. The child learns to ignore the self's inner needs, instead pretending that all is OK.' Why Be Codependent? by Dr. Irene Matiatos

Her mentors comment on the behaviour of others, expressing approval when they behave correctly, as they should do. They will scoff at those who don’t behave accordingly and may judge them unfairly. They may even feel angry and aggressive when someone happens to be driving in ‘their’ lane on the highway or feel unfairly treated if the person they open the door for does not acknowledge them as they should!

She will notice how her mentors will feel aggrieved when things don’t go their way. The weather, the government, their in-laws etc appear the ‘make’ them so unhappy. She will be harshly criticised when she doesn’t live up to the expectations of her role models and may be compared to other siblings who ‘always do the right thing.’ She will try harder to be the person others want her to be because she believes her value is dependent on the views of others.

In time our subject will have constructed a set of philosophical beliefs that will undermine her efforts to be happy and successful. She believes she must achieve the lofty goals she sets herself, she must meet others approval (or she is hopeless/worthless/a dud). She will often feel overly anxious as she tries to solve the problems of others who must be saved (as she is the only one who can save them!)

The approvalist has learned to be co-dependent, needing, not preferring the approval of significant others. She needs someone to need her, someone to rescue and to depend on her, someone who needs to be needed. If someone needs her then she can indulge her own need to needed. Co-dependency …

'… is a dysfunctional relationship with the self characterized by living through or for another, attempts to control others, blaming others, a sense of victimization, attempts to "fix" others, and intense anxiety around intimacy.' http://www.veteransoftruth.com

REBT deems this irrational to the extreme, as the person who has this affliction will feel and act in ways that are self-defeating. She will continue to be at risk as long as she believes that her worth is inextricably linked to the approval of others. What are the options for the approvalist to rehabilitate herself? How can she be delivered from self-sabotaging Conditional Self Acceptance to the light of self helpful Unconditional Self Acceptance?

The approvalist may question how she feels when she doesn’t get the recognition she ‘must’ have. Or maybe not as she may already ‘know’ that she feels angry because a significant other has made her angry. Maybe she doesn’t know at all why she feels as she feels as her only focus has been on others feelings and never her own. She perhaps will direct anger at them either overtly and/or passively. After all someone else has made her angry and therefore he/she deserves to be treated accordingly. What makes her anxious or angry? It is those who don’t agree with her, who don’t acknowledge her, as she believes they should! They are not feeding her addiction to be needed or approved and are therefore a threat to her well being. If they are making her feel this way then it would be logical to remove them from her environment (if they are not there they can’t hurt her however this is not a practical option). Just like a splinter makes inflammation and infection, just remove the splinter and all is well!

Alas physical hurt and emotional hurt are different. In a physical sense if I pinch you, you feel hurt and this would be true of the majority of people. If I don’t acknowledge you, you may feel some degree of emotional hurt. An approvalist will experience more extreme emotional discomfort than a person who is not when they don’t win the approval of significant others. Why? Because the approvalist needs approval and the self-accepting person does not! If the belief that ‘I need the approval of others to be worthwhile’ can be constructed over time then it can be deconstructed and replaced with Unconditional Self Acceptance and as Dr Albert Ellis would say this will deliver the sufferer from the despair of ‘shithood’ to the hope of ‘self worthyness.’

Whilst the co dependent has learned over time to control others and her environment and minister to the needs of others she could now turn her attention to something that has been hitherto ignored: her needs.

This is a major undertaking and the beginning of a journey that will require a lot of hard work and support to get well. The process will be enlightening and challenging and will be explored in a blog to be posted soon.

Adelaide REBT Theory and Practice Workshop

Dr. Debbie Joffe Ellis and I again had the opportunity to spread the ‘Gospel of St Albert ‘ to a group of enthusiastic folk. They hailed from as far afield as Karcultaby on the Eyre Peninsula and Canberra, the nations capital. It was a fine and sunny September day at the Education Development Centre in Hindmarsh and the day turned out to be a great success.

The group comprised people from many walks of life - educators, counsellors, psychologists and other individuals interested in their own development and the well being of others.

Dr. Debbie Joffe Ellis told us about the life and times of her husband Dr. Albert Ellis. She brought along some DVD footage of Dr. Ellis doing his ‘stuff’ at various stages of his life. One particular scene of Dr Ellis hosting a group of enthusiastic students in the ER of a major New York hospital was testament to the REBT principle that ‘nothing is so awful that you can’t stand it!’ One appreciative and somewhat surprised student asks Dr. Ellis why did he not cancel the appointment. His reply was that he wanted to help as many people as he could to be happy and successful by using REBT. Dr. Ellis was at the time suffering from a multitude of serious health conditions and had survived a major mishap that morning! He was not just talking the talk he was walking it and he invited interested others to walk along side him.

A highlight of the day was Dr. Debbie’s demonstration to the group of the therapeutic application of REBT. A group member volunteered to be her client. It was a valuable learning experience to see REBT in action and to see how in a relatively short time, the client had largely resolved her problems. Our volunteer related how the session had been of great benefit to her and that she had successfully dealt with a personal issue of many months standing.

In the last session group members practiced their Rational Emotive Behaviour Counselling skills. They cherchez’d les shoulds, les oughts and les musts that lurk somewhere in our sub conscious and are expressed in behaviours and emotions that are not very helpful to ourselves or others. In a role-play we considered the plight of ‘Sharon’ who would often feel angry when other people weren’t as courteous as she would like them to be. Did this lack of due respect ‘make’ her angry? Or was there something else at work here? Did Sharon have a ‘should’ rule that wasn’t being adhered to and was it so awful that she couldn’t stand it? Was the perpetrator of this bad deed a bad person who deserved the ire of a self-righteous Sharon?

Group members successfully helped Sharon understand that it was her rigid belief that others should always treat her as she would like to be treated that drove her anger and aggression. When this rule was broken (as inevitably it will be) Sharon would deem this totally unacceptable and unfair and she would act (and feel) accordingly. Group members commented that it was quite a knack to help someone first identify a should/ought/must belief and then to successfully challenge (dispute) the veracity of such beliefs. It will take practice to improve of course but I think participants had a lot to go on and will bring their new learning and skills to their respective work places (Dr. Ellis would be pleased about this!)

We also looked at ways in which REBT principles and practices can be incorporated into the everyday learning of students in our schools through Rational Emotive Behaviour Education. Dr Ellis noted very early in the piece that all children would benefit greatly from understanding the relationship between their thinking, feeling and behaving so that they could learn to manage their self defeating behaviours and emotions successfully. We all agreed that it would be a useful endeavour to train our teachers to be Rational Emotive Behaviour Educators.

All Out! An autobiography by Dr. Ellis is an interesting read about the life and work of a very significant innovator and thinker. It provides great detail about the early influences of other people and events in his life that he reflected on and used to formulate his own philosophies about himself, others and the world. He acknowledges the legacy of the great philosophers of the past (Epictetus, Marcus Aurelius) whose ideas stimulated his own thinking and also the influence of other more contemporary thinkers like Alfred Korzybski and Karen Horney. Ellis was respected by many and though his ideas and methods were criticised and vehemently denied by the psychoanalytic establishment, he held firm and vigorously maintained his position even in the harshest of times. Today he is considered to be a ‘giant’ of psychotherapy. It’s published by Prometheus Books and is well worth a read.

Sofia's Progress

Thanks to Dr. Albert Ellis’ ABC Theory of Emotional Disturbance we have helped Sofia understand the relationship between thinking, feeling and behaving. She understands that beliefs like, ‘someone I like should like me,’ ‘I need her approval to be worthwhile,’ ‘I am worthless,’ are self defeating because they cause undue sadness, anger and depression, which get in the way of her achieving her goals. These beliefs can be challenged and disproved with evidence.

Dr. Ellis invites us to ‘cherchez le should, cherchez le must’ as we did with Sofia. We determined that Sofia’s sadness and anxiety was caused by her ‘shoulding’ i.e. ‘she should like me. I should get what I want.’ We challenged these self-defeating shoulds and replaced them with self – helpful ‘preferences’ i.e. ‘I would prefer to get what I want but I accept this will not always be so.’

Let’s look at the components of Sofia’s journey so far according to Ellis’ ABC Theory of Emotional Disturbance.

A= Activating event (the issue, what happened). In Sofia’s case the issue is ‘She ignores me.’

B= Beliefs. Sofia believed that she could only be happy if she won her classmates approval. Irrationally she believed that she needed her classmates’ approval to be worthwhile and she should like her. She believed she was worthless because she could not win her approval and this was so awful that she couldn’t stand it.

C= Emotional and behavioural Consequences of A. Sofia felt depressed and anxious (She needed someone’s approval which she believed she must get to feel worthwhile). These feelings were strong (7 – 9 on the Emotional Thermometer)

In Sofia’s story she believed that someone else (her classmate) caused her sadness. She was preoccupied with thoughts like, ‘she should like me, I need her to like me’ etc. According to Ellis’ model Sofia was apportioning blame to someone or something i.e. C is made by A and I can only feel better if A is changed. According to this logic Sofia would like the world to be modified or changed according to her wishes. Can we make Sofia’s classmate like her? Of course we can’t! So it then becomes a matter for Sofia to consider the situation realistically i.e. ‘my classmate ignores me. I am disappointed she doesn’t seem to want my friendship and I accept that. It is not a catastrophe. My worth does not depend on her approval of me. I accept myself.’ In so doing Sofia begins to understand that A does not make C but rather A+B makes C (my beliefs/thinking play a key role in how I feel and behave).

In ‘The Practice of Rational Emotive Behaviour Therapy’ by Dr Albert Ellis and Windy Dryden intellectual insight in REBT is defined as:

‘an acknowledgement that an irrational belief frequently leads to emotional disturbance and dysfunctional behaviour and that a rational belief always abets emotional health.’

It can be said that Sofia has attained Intellectual Insight, that is she understands and accepts the premise that A + B makes C and not solely A, the activating event. For Sofia her journey towards sustained emotional and behavioural well-being has just begun and will be work in progress for the rest of her life. Dr. Ellis says that Sofia will continue to develop herself to the point of achieving Emotional Insight, which in REBT is defined as:

‘a strong and frequently held belief that a rational idea is helpful (Ellis, 1963). When a person has achieved Emotional Insight he or she will tend to THINK, FEEL and BEHAVE according to the rational belief.’

We have looked at A, B and C of Dr Ellis’ Theory of Emotional Disturbance but now it is timely to consider D and E in relation to Sofia’s personal development.

D = Disputation of irrational beliefs, the rigorous challenging of ingrained and well practiced unhelpful habits of thinking that undermine our confidence and ability to function in a healthy way. Dr. Ellis would encourage his students to, ‘work, work, work’ at challenging and changing those beliefs that were harmful and self-defeating. So how is D used to help Sofia on her onward journey to Emotional Insight? Sofia believed she needed the approval of her classmate to feel worthwhile. Thinking she must have the approval of someone she liked, was causing her anxiety and deep sadness because her sense of wellbeing depended so much on how a significant other viewed her. What others thought about Sofia mattered more than what Sofia thought about herself and this placed her in a very vulnerable position. She would continue to be at the mercy of significant others for her sense of well-being and happiness unless she learned how to unconditionally accept herself. Dr. Ellis’ Unconditional Self Acceptance (USA) would rid Sofia of the need to be approved of by others and hence become more confident and self reliant.

I spoke to Sofia about the damage that can be caused by believing that it is ‘absolutely necessary to have the approval of people we like and if not we cannot be happy and that we must be liked by them or it is awful and we cannot stand it!’ Sofia could relate to this unrealistic demand she made of herself and she asked where it came from, ‘why do I think like this?’ REBT theory says that we are born with the tendency to think rationally and irrationally. The environment in which we are raised is a strong determinant of our patterns of thinking and behaving. I explained to Sofia that she had learned some unhelpful rules from the environment in which she was/is raised. I explained that the idea that we can ‘be’ good or ‘be’ bad is a faulty way of thinking (Dr Ellis cautioned us about retaining the self defeating belief in ‘being’ good and bad). I had talked to Sofia before about USA (Unconditional Self Acceptance), the belief that we are made up of many different traits and capabilities and this being the case it is impossible to ‘be’ good or bad. In other words being good would mean a person has no bad traits or negative characteristics at all, a proposition that can be challenged. Conversely being bad would mean a person could have no positive traits or positive characteristics, which again can be challenged. I suggested that she would possibly have been told what a good girl she was whenever she did something ‘good’ like completing a task or using her manners etc. Logically Sofia may have determined that if she ‘is good’ when she ‘does good’ then it follows that she must ‘be bad’ when she ‘does bad!’ So Dr Ellis invites us to view ourselves as being neither good nor bad but worthwhile (I accept myself warts and all).

Sofia and I talked about how it would be to believe that our worth did not depend on how others viewed us. How more confident would we be knowing that another’s rejection of us could never take away our worth? I asked Sofia how much a $50 note was worth. She said it could buy certain things and this was proof of its $50 value. I agreed and then asked Sofia to scrunch the note as tightly as she could. She thought this was an odd request but she humored me and proceeded anyway. I then asked her to stand on the note and she did. I asked her to unfurl the note as it was very wrinkled and twisted. It was intact but was not as smooth as it had been and I asked Sofia what it was worth. She said it retained its worth of $50 and that it had not changed. I suggested that our worth could be viewed similarly in that even when we are ‘wrinkled and twisted and battered and bruised’ our worth is never diminished i.e. we can be criticized, rejected and even fail at some things but we retain the worth we already had, we are worthwhile no matter what. Sofia understood this and found it a useful illustration of what we had been talking about. She said she would remind herself often and with conviction that she was always worthwhile no matter what and she would unconditionally accept herself. Dr. Ellis would have been most pleased to know that Sofia had made so much progress in her journey towards Unconditional Self Acceptance which would allow her to achieve her goals to live with less (unhealthy) anxiety and extreme sadness and with more healthy concern and regret. Dr Ellis says:

"To help people gain unconditional self-acceptance and to believe that they are okay or are good just because they exist had better be taught to all children in the course of their schooling, from early childhood onward."

For Sofia to achieve Emotional Insight it is essential that her school has the capacity to further Sofia’s development throughout her education. How can this be done? What can schools do?

Sofia's Story

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 an REBTer (Rational Emotive Behaviour Therapy counsellor) I used some of the strategies I learned from Dr. Albert Ellis (creator of REBT). According to Ellis Sofia was ‘musturbating,’ 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 errant 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!’

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!

Dr Ellis would say that Sofia’s errant, irrational ‘musturbatory’ 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.

Sofia continued to make progress but she would need the support of her teachers and mentors to reinforce the insights she has made so that she would move beyond intellectual insight onto emotional insight. We will discuss these ideas and more in my next blog entry about Sofia’s progress.

useful links: www.haveagospaghettio.com.au www.debbiejoffeellis.com http://www.rebtresources.info/

REBT and Constructivism

Constructivist theory says we learn to behave according to what we observe going on around us. Our models of behaviour show us how to get what we want, how to respond to situations and how we can interact with others. If these models are helpful they will teach us that we can wait for things if we have to, that we can respect others (even when we don’t wish to associate with them) and we can remain confident even when we fail at something or suffer the rejection of others. If we live amongst such role models we will internalize (construct) some very useful ‘rules for living.’

Conversely if those around us show low frustration tolerance, who may get what they want through aggression and who take failure and rejection to heart then we are likely to internalise a different set of ‘rules for living.’

Such habits of thinking and behaving (helpful or unhelpful) will determine how successful or not we may be in achieving our goals in life. According to Dr Albert Ellis we can deconstruct those unhelpful ‘habits of thinking’ with a lot of hard work.

For example a person who has learned (believes) that his or her worth is measured according to how well he/she does or how others regard him/her will often experience unhelpful, self destructive feelings such as anger and depression or feel highly anxious a lot of the time. What philosophical ideas lay behind these feelings? What would motivate a person to harm self or others in a pique of anger? Why would a person tend to defer to others in the hope of obtaining, sustaining a ‘must have’ relationship (I need to be liked)?

At my school I observe those who go along with others, who don’t seem to offer any opinion or ideas. Some will give things away to ‘buy’ friendship and others are easily ‘bought’ under the threat of exclusion or dismissal. Others would handle things differently, they don’t seem to be easily intimidated by others and accept that it’s OK when others may not regard them as friends. For these people rejection can be hurtful and disappointing but rarely is it a catastrophe or so awful that it will ‘ruin their lives!’

Dr. Albert Ellis created the ABC Theory of Emotional (and behavioural) Disturbance used by counsellors and therapists the world over. This therapy embraces the ‘wisdom of the ages’ like that of Epictetus in 100AD who observed that ‘events and people don’t make us feel and act as we do but it is the view we take of them.’ Or Buddha who said, ‘what we think we become.’ Many other learned people have made similar assertions over the millennia.

Ellis’ ABC Theory allows us to work with people who have constructed unhealthy and destructive philosophies that cause anger, anxiety and depression in their lives. In doing so he has helped millions of people learn how to better manage themselves behaviourally and emotionally, people who may believe that feelings and behaviour are ‘made’ by other people and other things. Take the case of Sofia, a 12-year-old primary school student from Africa (see the next blog).

For more information about Dr Albert Ellis and REBT visit http://www.rebtresources.info/index.php www.debbiejoffeellis.com www.rebtnetwork.org

NEWSFLASH! Workshop titled REBT Theory and Practice to be held in Adelaide, September 24th. Dr. Debbie Joffe Ellis will be co presenting. Don't miss this PD opportunity. Please visit: http://www.psychology.org.au/Events/EventView.aspx?ID=6548 for more details.