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W Dryden

Publications and source records attributed to W Dryden.

10 recordsLinked to original sources

Testing two mechanisms by which rational and irrational beliefs may affect the functionality of inferences.

This article describes a role playing experiment that examined the sufficiency hypothesis of Rational Emotive Behaviour Therapy (REBT). This proposition states that it is sufficient for rational and irrational beliefs to refer to preferences and musts, respectively, if those beliefs are to affect the functionality of inferences (FI). Consistent with the REBT literature (e.g. Dryden, 1994; Dryden & Ellis, 1988; Palmer, Dryden, Ellis & Yapp, 1995) results from this experiment showed that rational and irrational beliefs, as defined by REBT, do affect FI. Specifically, results showed that people who hold a rational belief form inferences that are significantly more functional than those that are formed by people who hold an irrational belief. Contrary to REBT theory, the sufficiency hypothesis was not supported. Thus, results indicated that it is not sufficient for rational and irrational beliefs to refer to preferences and musts, respectively, if those beliefs are to affect the FI. It appears, then, that preferences and musts are not sufficient mechanisms by which rational and irrational beliefs, respectively, affect the FI. Psychotherapeutic implications of these findings are considered.

Adult↗

Body dysmorphic disorder: a cognitive behavioural model and pilot randomised controlled trial.

A cognitive behavioural model of body image is presented with specific reference to body dysmorphic disorder (BDD). We make specific hypotheses from the model for testing BDD patients in comparison with: (i) patients with "real" disfigurements who seek cosmetic surgery; (ii) subjects with "real" disfigurements who are emotionally well adjusted; and (iii) healthy controls without any defect. There have been no randomised controlled trials of treatment for BDD and therefore the model has clear implications for the development of cognitive behavioural therapy. This was evaluated in a pilot controlled trial. Nineteen patients were randomly allocated to either cognitive behaviour therapy or a waiting list control group over 12 weeks. There were no significant pre-post differences on any of the measures in the waiting list group. There were significant changes in the treated group on specific measures of BDD and depressed mood. Cognitive behaviour therapy should be further evaluated in a larger controlled trial in comparison with another psychological treatment such as interpersonal therapy and pharmacotherapy.

Adult↗

Body dysmorphic disorder. A survey of fifty cases.

BACKGROUND: Body dysmorphic disorder (BDD) consists of a preoccupation with an 'imagined' defect in appearance which causes significant distress or impairment in functioning. There has been little previous research into BDD. This study replicates a survey from the USA in a UK population and evaluates specific measures of BDD. METHOD: Cross-sectional interview survey of 50 patients who satisfied DSM-IV criteria for BDD as their primary disorder. RESULTS: The average age at onset was late adolescence and a large proportion of patients were either single or divorced. Three-quarters of the sample were female. There was a high degree of comorbidity with the most common additional Axis l diagnosis being either a mood disorder (26%), social phobia (16%) or obsessive-compulsive disorder (6%). Twenty-four per cent had made a suicide attempt in the past. Personality disorders were present in 72% of patients, the most common being paranoid, avoidant and obsessive-compulsive. CONCLUSIONS: BDD patients had a high associated comorbidity and previous suicide attempts. BDD is a chronic handicapping disorder and patients are not being adequately identified or treated by health professionals.

Adult↗

Reason and emotion in psychotherapy: Albert Ellis.

To summarise then, in 1962 RET displayed important features still current. These include the interrelatedness of cognitive, emotive and behavioural processes, the important role that cognition plays in psychological problems, its humanistic view of the self, and the futility and dangers of self-rating. The emphasis on perpetuation rather than acquisition processes of emotional disturbance holds good now as it did then, and the core view of therapeutic change is essentially the same now as it was in 1962, despite further, more recent elaborations. Significant change has occurred in RET since 1962 that updates several of Ellis' original ideas. These include the distinction between interpretations (or inferences) and evaluations, the primary of musts in accounting for psychological disturbance, the clear distinction between healthy and unhealthy negative emotions and the greater role according to force and energy in the change process. In addition, a greater emphasis is placed on biological aspects of emotional disturbance now than 30 years ago. Finally, a greater range of cognitive, imaginal, emotive and behavioural methods are found in current RET literature than in Reason and Emotion in Psychotherapy, where Ellis restricts himself to illustrating a few cognitive and behavioural techniques. RET, then, has grown and developed over the past 30 years. In large part, this reflects the theory's flexibility and the competent people who have worked to make RET one of the most viable and widely used cognitive-behaviour therapies.

History, 20th Century↗

The status of expectancy-arousal theory: comparative credibility of systematic desensitization and rational-emotive therapy in the treatment of anxiety about study.

96 university students were asked to imagine that they were suffering from study anxiety to the point of wishing to receive help with the problem. They were then asked to read a booklet detailing either (a) the rationale for systematic desensitization or Rational-Emotive Therapy and (b) told that counselling lasted for 5 or 15 weeks. They then assessed the credibility of the therapy using Borkovec's credibility rating method. Meta-analysis has shown that systematic desensitization has superior outcomes when compared to other treatments, but this could be attributed to the different expectations of benefit that the therapies arouse. This notion has been called the expectancy-arousal hypothesis. Results from the present experiment did not support Shapiro's 1981 findings that systematic desensitization was more credible than Rational-Emotive Therapy, which disconfirms the expectancy-arousal hypothesis, but the basis for this remains unclear.

Adult↗

Beliefs and inferences: a test of a rational-emotive hypothesis: 2. On the prospect of seeing a spider.

96 subjects were asked to imagine that they were about to enter a room in which there may have been one or more spiders. They were also asked to imagine that (a) they either held a rational or an irrational belief about spiders, (b) they were about to enter the room either alone or with someone, and (c) that the room was either dark or light. Having absorbed their assigned role, the subjects were then asked to make inferences about various elements of their situation. The results supported the hypothesis that holding an irrational belief leads to more negative inferences. It was also found that the lighting conditions in the room and whether the subject was alone or with someone affected the negativity of the inferences made. In addition, there were several two-way and three-way interactions between the independent variables which indicated that entering a light room or being with someone else tended to moderate the negativity of inferences made by those holding a rational belief rather than the opposite, amplifying the negativity of inferences made by those holding an irrational belief. The results supported Ellis's (1985) recent formulation concerning the complex relationship between events and inferences (A), beliefs (B), and emotional and behavioral consequences of beliefs (C).

Adolescent↗

Rational-emotive therapy: an excellent counseling theory for NPs.

Rational-emotive therapy (RET) is a comprehensive, multimodal, active-directive and relatively brief form of psychotherapy that is particularly suited for use by nurse practitioners. RET theory assumes that people have innate tendencies to think rationally and irrationally; therefore, people have the ability to fulfill and actualize themselves and to easily upset and defeat themselves. The basic tenets of RET help people distinguish between their own rational and irrational beliefs, and their consequent appropriate and inappropriate emotions and behaviors. Many cognitive, emotive and behavioral methods are used to help clients minimize their symptoms of anxiety, depression, self-hatred and rage. Nurse practitioners using RET can help their clients make profound philosophic changes that prevent future emotional problems and encourage maximum health and self-actualization.

Counseling↗

Teaching counselling skills to non-psychologists.

This paper is concerned with the training of medical and paramedical personnel in the use of counselling skills. It begins by considering the definition of counselling both in terms of the skills involved and the process. Particular attention is given to the framework elaborated by Gerard Egan. A number of questions are then examined which include the selection of trainees, the methods of teaching to be used, the timing and venue of courses and their effectiveness. It is concluded that in Britain this is a very new area, in which there remain many more questions than answers, but that the prospects for exciting research are good.

Attention↗