Rational Emotive Behavior Therapy for False or Self-Limiting Beliefs
Now that we have a better understanding of false and self-limiting beliefs, let’s look at some of the different therapeutic options for combating them, starting with Rational Emotive Behavior Therapy (REBT).
REBT has existed since the 1950s and is targeted at helping patients identify negative or irrational thought patterns that affect their behaviors (Albert Ellis Institute, 2014). Given this focus, it is a particularly well-suited treatment option for those struggling with false or self-limiting beliefs.
At the foundation of REBT is what is known as the ABC model. Using this model, REBT can help clients surface, trace, and challenge a range of self-limiting beliefs.
To illustrate, let’s consider another example.
Tom recently submitted a report for his boss to review. The following day, he receives the report back via email, and notices his boss has written many comments and made many changes.
Before looking at the feedback closely, Tom feels sad and worthless and experiences negative thoughts about his capabilities relative to his colleagues.
In reality, the feedback and adjustments made to Tom’s report may include a combination of useful and constructive suggestions for improving his work, as well as compliments on what he did well. Despite this, Tom has prematurely succumbed to false beliefs about his abilities.
We can track Tom’s experience of receiving his report using REBT’s ABC model as follows (Dryden, 2012):
- A is the (a)ctivating event that triggers negative thoughts. In this example, the activating event was Tom receiving the feedback from his boss.
- B is the false or irrational (b)elief that is formed following the activating event. In this example, Tom’s potentially false belief is that he is ineffective at his job.
- C is the (c)onsequence that flows from the irrational thoughts. In this example, the consequence is Tom’s experience of sadness, worthlessness, and ineffectiveness.
It is not hard to see how we can become the authors of our own misery when activating events trigger false or self-limiting beliefs unnecessarily.
Thankfully, REBT practitioners draw on a range of techniques to help interrupt the false and self-limiting beliefs that may flow from any of these three stages.
For instance, therapists can teach their clients strategies to address activating events (a), such as problem-solving skills or mindfulness exercises, to interrupt or bring attention to initial negative thoughts.
To address the irrational beliefs (b), therapists will often teach cognitive restructuring techniques (discussed next in relation to cognitive-behavioral therapy). And to address the consequences (c), such as negative emotions, they may teach relaxation or techniques to self-soothe.
For example, an REBT therapist might work with Tom to recognize when he is prematurely getting swept up in negative thoughts by teaching him to practice mindful awareness. That is, the therapist can teach Tom to catch himself having premature reactions to thoughts before a strong emotional response (c) sets in.
Doing so would serve to rectify the activating event (a) and hopefully spare Tom much unnecessary misery.
Cognitive Restructuring for False or Self-Limiting Beliefs
False and self-limiting beliefs often fall under the umbrella of cognitive distortions tackled via CBT.
Among these distortions are the acts of disqualifying positive events, overgeneralizing, and mind reading.
To tackle these, therapists will draw on a range of CBT techniques that facilitate cognitive restructuring (or cognitive reframing). These approaches form a core part of many CBT approaches that consider and amend how we attend, interpret, reason, reflect, and make sense of events (Mansell, 2008).
There are many different cognitive restructuring techniques, which you can read more about in our dedicated article. Here, we will consider one technique particularly relevant to addressing false and self-limiting beliefs—namely, Socratic questioning.
Socratic questioning of beliefs
Socratic questioning involves asking ourselves a series of focused, open-ended questions that encourage us to reflect on our thoughts (Clark & Egan, 2015). By doing this, we challenge black-and-white thinking and ensure that our thoughts are based on sound logic before allowing them to dictate our emotions and behaviors.
Examples of effective Socratic questions include:
- What is the evidence for this thought?
- Could I be making any assumptions here?
- Is this thought based on an emotional reaction or the evidence in front of me?
To illustrate the effectiveness of Socratic questioning, let’s return to the example of Haylee in the bar.
In this situation, Haylee might catch herself having doubts about her appearance and begin reflecting on them critically. For instance, she might pause to ask herself whether her judgments about her appearance are really accurate. In doing so, she might consider the evidence for and against and recall her friends telling her how nice she looks.
She might also stop to consider whether she is making preconceived assumptions about the man’s preferences, what his impression of her will be, or whether his opinion of her is even that important.
Turning to Tom and his report, he might pause to ask whether there is really any evidence that he is underperforming at his job and produced poor work or whether this is an assumption based on an emotional reaction.
Most CBT therapists will be skilled at Socratic questioning and can teach this technique to their clients struggling with false or self-limiting beliefs. They may also draw on the techniques of positive CBT, a narrower sub-discipline of CBT, when the aim of an intervention is specifically to replace clients’ self-limiting beliefs with more positive interpretations.