Advertisement

Future Research Directions for REBT

  • Daniel O. DavidEmail author
  • Silviu A. Matu
  • Ioana R. Podina
  • Răzvan M. Predatu
Chapter

Abstract

This chapter will build on the available evidence regarding Rational Emotive and Behavior Therapy (REBT) theory and practice and will outline future directions that research should follow in order to strengthen its status as an evidence-based approach to mental health promotion. The chapter will discuss in depth the challenges that should be overcomed, as well as the opportunities that stem from the integration with emerging fields such as cognitive neurosciences, genetics, technological developments, and cross-cultural research. The discussion will illustrate how these avenues could be used to strengthen the evidence-base for both REBT theory and applications, as well as developing more effective interventions for promoting mental health across multiple contexts.

Keywords

REBT Process-based REBT Pharmacotherapy Prevention and health promotion Therapeutic change Technology Psychotherapy integration Cross-cultural psychology 

References

  1. Amir, N., Beard, C., Burns, M., & Bomyea, J. (2009). Attention modification program in individuals with generalized anxiety disorder. Journal of Abnormal Psychology, 118(1), 28.PubMedPubMedCentralGoogle Scholar
  2. Andersson, G., Cuijpers, P., Carlbring, P., Riper, H., & Hedman, E. (2014). Guided Internet-based vs. face-to-face cognitive behavior therapy for psychiatric and somatic disorders: a systematic review and meta-analysis. World Psychiatry, 13(3), 288–295.PubMedPubMedCentralGoogle Scholar
  3. Beck, A. T. (1999). Prisoners of hate: The cognitive basis of anger, hostility, and violence. New York, NY: Harper Collins.Google Scholar
  4. Beck, A. T., Freeman, A., & Davis, D. D. (Eds.). (2015). Cognitive therapy of personality disorders. New York, NY: Guilford Publications.Google Scholar
  5. Brunet, A., Orr, S. P., Tremblay, J., Robertson, K., Nader, K., & Pitman, R. K. (2008). Effect of post-retrieval propranolol on psychophysiologic responding during subsequent script driven traumatic imagery in post-traumatic stress disorder. Journal of Psychiatric Research, 42(6), 503–506.PubMedGoogle Scholar
  6. Burton, C., Szentagotai Tatar, A., McKinstry, B., Matheson, C., Matu, S., Moldovan, R., … Serrano Blanco, A. (2016). Pilot randomised controlled trial of Help4Mood, an embodied virtual agent-based system to support treatment of depression. Journal of Telemedicine and Telecare, 22(6), 348–355.PubMedGoogle Scholar
  7. Chiao, J. Y., & Blizinsky, K. D. (2009). Culture–gene coevolution of individualism–collectivism and the serotonin transporter gene. Proceedings of the Royal Society of London B: Biological Sciences. rspb20091650.Google Scholar
  8. Costa, P. T., Jr., & McCrae, R. R. (1992). Revised NEO Personality Inventory (NEO-PI-R) and NEO Five-Factor Inventory (NEO-FFI) Professional Manual. Odessa, FL: Psychological Assessment Resources.Google Scholar
  9. Cristea, I., Gentili, C., Ricciardi, E., Rota, G., Bonino, D., David, D., Pietrini, P., & Guazzelli, M. (2011). Brain correlates of rational and irrational beliefs: an fMRI study of cognitive reappraisal. Poster presentation at the Organization for Human Brain Mapping, Quebec.Google Scholar
  10. David, D. (2015). Rational emotive behavior therapy (REBT). In R. L. Cautin & S. O. Lilienfeld (Eds.), Encyclopedia of clinical psychology. New Jersey: Wiley-Blackwell.Google Scholar
  11. David, D., Cotet, C., Matu, S., Mogoase, C., & Stefan, S. (2018). 50 years of rational-emotive and cognitive-behavioral therapy: A systematic review and meta-analysis. Journal of Clinical Psychology, 74(3), 304–318.PubMedGoogle Scholar
  12. David, D., Gherman, A., Podina, I., Mogoaşe, C., Sucală, M., & Voinescu, B. (2016). The added value of CBT in the genetic counseling process: concept development, state of the art and new directions. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 34(4), 310–331.Google Scholar
  13. David, D., Matu, S., Mogoaşe, C., & Voinescu, B. (2016). Integrating cognitive processing, brain activity, molecules and genes to advance evidence-based psychological treatment for depression and anxiety: From cognitive neurogenetics to CBT-based neurogenetics. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 34(3), 149–168.Google Scholar
  14. David, D., Matu, S. A., & David, O. A. (2013). New directions in virtual reality-based therapy for anxiety disorders. International Journal of Cognitive Therapy, 6(2), 114–137.Google Scholar
  15. David, D., Matu, S. A., & David, O. A. (2014). Robot-based psychotherapy: Concepts development, state of the art, and new directions. International Journal of Cognitive Therapy, 7(2), 192–210.Google Scholar
  16. David, D., Matu, S. A., David, O. A., & Terracciano, A. (2017). The role of cognitive discrepancy between perception of national character and personality in the functioning and adaptation of 46 Countries: An exploratory study. Cross-Cultural Research, 51, 412.Google Scholar
  17. David, D., & Montgomery, G. H. (2011). The scientific status of psychotherapies: A new evaluative framework for evidence-based psychosocial interventions. Clinical Psychology: Science and Practice, 18(2), 89–99.Google Scholar
  18. David, D., Szentagotai, A., Lupu, V., & Cosman, D. (2008). Rational emotive behavior therapy, cognitive therapy, and medication in the treatment of major depressive disorder: a randomized clinical trial, posttreatment outcomes, and six-month follow-up. Journal of Clinical Psychology, 64(6), 728–746.Google Scholar
  19. David, O. A., Capris, D., & Jarda, A. (2017). Online coaching of emotion-regulation strategies for parents: Efficacy of the online rational positive parenting program and attention bias modification procedures. Frontiers in Psychology, 8, 500.PubMedPubMedCentralGoogle Scholar
  20. David, O. A., Cardoș, R. A., & Matu, S. (2018). Is REThink therapeutic game effective in preventing emotional disorders in children and adolescents? Outcomes of a randomized clinical trial. European child & adolescent psychiatry.Advanced online publication. doi: 10.1007/s00787-018-1192-2Google Scholar
  21. David, O. A., & David, D. (2013). The “PsyPills” app: Emerging modalities for applying CBT in real life. In Poster presented at the 43rd Annual Congress of the European Association for Behavioral and Cognitive Therapies. Marrakech, Marocco.Google Scholar
  22. David, O. A., David, D., & Vanderborght, B. (2013, September). The efficacy of the RETMAN robot versus cartoons in helping children manage exam anxiety. Paper presented at the 43rd Annual Congress of the European Association for Behavioral and Cognitive Therapies, Marrakech, Morocco.Google Scholar
  23. David, O. A., & Digiuseppe, R. (2016). The rational positive parenting program. New York, NY: Springer International Publishing.Google Scholar
  24. Eley, T. C., Hudson, J. L., Creswell, C., Tropeano, M., Lester, K. J., Cooper, P., … Uher, R. (2012). Therapygenetics: the 5HTTLPR and response to psychological therapy. Molecular Psychiatry, 17(3), 236.PubMedGoogle Scholar
  25. Ellis, A. (1997). Extending the goals of behavior therapy and of cognitive behavior therapy. Behavior Therapy, 28(3), 333–339.Google Scholar
  26. Ellis, A., & Bernard, M. E. (Eds.). (2006). Rational emotive behavioral approaches to childhood disorders: Theory, practice and research. Boston, MA: Springer.Google Scholar
  27. Emmelkamp, P. M., David, D., Beckers, T., Muris, P., Cuijpers, P., Lutz, W., … Berking, M. (2014). Advancing psychotherapy and evidence-based psychological interventions. International Journal of Methods in Psychiatric Research, 23(S1), 58–91.PubMedGoogle Scholar
  28. Engels, G. I., Garnefski, N., & Diekstra, R. F. W. (1993). Efficacy of rational-emotive therapy: A quantitative analysis. Journal of Consulting and Clinical Psychology, 61(6), 1083–1090.PubMedPubMedCentralGoogle Scholar
  29. Garcia-Palacios, A., Botella, C., Hoffman, H., & Şi Fabregat, S. (2007). Comparing acceptance and refusal rates of virtual reality exposure vs. in vivo exposure by patients with specific phobias. Cyberpsychology & Behavior, 10(5), 722–724.Google Scholar
  30. Gaviţa, O. A., David, D., Bujoreanu, S., Tiba, A., & Ionuţiu, D. R. (2012). The efficacy of a short cognitive–behavioral parent program in the treatment of externalizing behavior disorders in Romanian foster care children: Building parental emotion-regulation through unconditional self-and child-acceptance strategies. Children and Youth Services Review, 34(7), 1290–1297.Google Scholar
  31. Gentili, C., Cristea, I.A., Podina, I.R., David, D., Vanello, N., & Pietrini, P. (2015). Caudate resting state activity predicts impulsivity performance in subsequent Balloon Analogue Risk Task. Poster presentation at the Organization for Human Brain Mapping, Honolulu, Hawaii.Google Scholar
  32. Giosan, C., Cobeanu, O., Mogoaşe, C., Szentagotai, A., Mureşan, V., & Boian, R. (2017). Reducing depressive symptomatology with a smartphone app: study protocol for a randomized, placebo-controlled trial. Trials, 18(1), 215.PubMedPubMedCentralGoogle Scholar
  33. Hayes, S. C., & Hofmann, S. G. (2017). The third wave of cognitive behavioral therapy and the rise of process-based care. World Psychiatry, 16(3), 245–246.PubMedPubMedCentralGoogle Scholar
  34. Insel, T. R., Cuthbert, B. N., Garvey, M. A., Heinssen, R. K., & Pine, D. S. (2010). Research Domain Criteria (RDoC): Toward a new classification framework for research on mental disorders. American Journal of Psychiatry, 167(7), 748.PubMedGoogle Scholar
  35. Kazdin, A. E. (2007). Mediators and mechanisms of change in psychotherapy research. Annual Review of Clinical Psychology, 3, 1–27.PubMedGoogle Scholar
  36. Kieling, C., Baker-Henningham, H., Belfer, M., Conti, G., Ertem, I., Omigbodun, O., … Rahman, A. (2011). Child and adolescent mental health worldwide: evidence for action. The Lancet, 378(9801), 1515–1525.Google Scholar
  37. Klarreich, S. H., Digiuseppe, R., & Dimattia, D. J. (1987). Cost effectiveness of an employee assistance program with rational-emotive therapy. Professional Psychology: Research and Practice, 18(2), 140–144.Google Scholar
  38. Kredlow, M. A., Unger, L. D., & Otto, M. W. (2016). Harnessing reconsolidation to weaken fear and appetitive memories: A meta-analysis of post-retrieval extinction effects. Psychological Bulletin, 142(3), 314.PubMedGoogle Scholar
  39. Landrø, N. I. (2014). Towards personalized treatment of depression: A candidate gene approach. Scandinavian Journal of Psychology, 55(3), 219–224.PubMedGoogle Scholar
  40. Merrifield, C., & Şi Merrifield, R. (1979). Call me RetMan and have a ball. New York, NY: Institute for Rational Living.Google Scholar
  41. Meulders, A., Van Daele, T., Volders, S., & Vlaeyen, J. W. (2016). The use of safety-seeking behavior in exposure-based treatments for fear and anxiety: Benefit or burden? A meta-analytic review. Clinical Psychology Review, 45, 144–156.PubMedGoogle Scholar
  42. Mogoașe, C., Cobeanu, O., David, O., Giosan, C., & Szentagotai, A. (2017). Internet-based psychotherapy for adult depression: What about the mechanisms of change? Journal of Clinical Psychology, 73(1), 5–64.PubMedGoogle Scholar
  43. Najmi, S., & Amir, N. (2010). The effect of attention training on a behavioral test of contamination fears in individuals with subclinical obsessive-compulsive symptoms. Journal of Abnormal Psychology, 119(1), 136.PubMedPubMedCentralGoogle Scholar
  44. National Institute of Mental Health. (2015). Any Mental Illness (AMI) Among U.S. Adults. Retrieved from https://www.nimh.nih.gov/health/statistics/prevalence/any-mental-illness-ami-among-us-adults.shtml
  45. Oltean, H. R., Hyland, P., Vallières, F., & David, D. O. (2017). An empirical assessment of REBT models of psychopathology and psychological health in the prediction of anxiety and depression symptoms. Behavioural and cognitive psychotherapy, 45(6), 600–615.Google Scholar
  46. Ougrin, D. (2011). Efficacy of exposure versus cognitive therapy in anxiety disorders: systematic review and meta-analysis. BMC Psychiatry, 11(1), 200.PubMedPubMedCentralGoogle Scholar
  47. Palmer, S., & Gyllensten, K. (2008). How cognitive behavioural, rational emotive behavioural or multimodal coaching could prevent mental health problems, enhance performance and reduce work related stress. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 26(1), 38–52.Google Scholar
  48. Podina, I., Popp, R., Pop, I., & David, D. (2015). Genetic correlates of maladaptive beliefs: COMT VAL 158 MET and irrational cognitions linked depending on distress. Behavior Therapy, 46(6), 797–808.PubMedGoogle Scholar
  49. Podina, I. R., Koster, E. H., Philippot, P., Dethier, V., & David, D. O. (2013). Optimal attentional focus during exposure in specific phobia: a meta-analysis. Clinical Psychology Review, 33(8), 1172–1183.PubMedGoogle Scholar
  50. Pop, C. A., Pintea, S., Vanderborght, B., & David, D. (2014). Enhancing play skills, engagement and social skills in a play task in ASD children by using robot-based interventions. Interaction Studies, 15(2), 71–91.Google Scholar
  51. Powers, M. B., Sigmarsson, S. R., & Emmelkamp, P. M. G. (2008). A meta-analytic review of psychological treatments for social anxiety disorder. Interational Journal of Cognitive Therapy, 1, 94–113.Google Scholar
  52. Raichle, M. E. (2015). The brain’s default mode network. Annual Review of Neuroscience, 38, 433–447.PubMedGoogle Scholar
  53. Robbins, T. W., Gillan, C. M., Smith, D. G., de Wit, S., & Ersche, K. D. (2012). Neurocognitive endophenotypes of impulsivity and compulsivity: towards dimensional psychiatry. Trends in Cognitive Sciences, 16(1), 81–91.PubMedGoogle Scholar
  54. Schiller, D., Monfils, M. H., Raio, C. M., Johnson, D. C., Ledoux, J. E., & Phelps, E. A. (2010). Preventing the return of fear in humans using reconsolidation update mechanisms. Nature, 463(7277), 49.PubMedGoogle Scholar
  55. Shelley, A. M., Battaglia, J., Lucey, J., Ellis, A., Opler, L. A., & Center, B. P. (2001). Symptom-specific group therapy for inpatients with schizophrenia. Einstein Quarterly Journal of Biology and Medicine, 18(1), 21–28.Google Scholar
  56. Steinert, C., Hofmann, M., Kruse, J., & Leichsenring, F. (2014). The prospective long-term course of adult depression in general practice and the community. A systematic literature review. Journal of Affective Disorders, 152–154, 65–75.PubMedGoogle Scholar
  57. Szentagotai, A., David, D., Lupu, V., & Cosman, D. (2008). Rational emotive behavior therapy versus cognitive therapy versus pharmacotherapy in the treatment of major depressive disorder: Mechanisms of change analysis. Psychotherapy: Theory, Research, Practice, Training, 45(4), 523.Google Scholar
  58. Terracciano, A., Abdel-Khalek, A. M., Adam, N., Adamovova, L., Ahn, C. K., Ahn, H. N., … Meshcheriakov, B. (2005). National character does not reflect mean personality trait levels in 49 Cultures. Science, 310, 96–100.PubMedPubMedCentralGoogle Scholar
  59. Vernon, A., & Bernard, M. E. (2006). Applications of REBT in schools: Prevention, promotion, intervention. In A. Ellis & M. E. Bernard (Eds.), Rational emotive behavioral approaches to childhood disorders: Theory, practice and research (pp. 415–460). Boston, MA: Springer.Google Scholar
  60. Vîslă, A., Flückiger, C., Grosse Holtforth, M., & David, D. (2016). Irrational beliefs and psychological distress: a meta-analysis. Psychotherapy and Psychosomatics, 85(1), 8–15.PubMedPubMedCentralGoogle Scholar
  61. Wang, C., Jia, F., Fang, R., Zhu, Y., & Huang, Y. (1999). Comparative study of rational-emotive therapy for 95 patients with dysthymic disorder. Chinese Mental Health Journal, 13, 172–183.Google Scholar
  62. Wang, P. S., Lane, M., Olfson, M., Pincus, H. A., Wells, K. B., & Kessler, R. C. (2005). Twelve-month use of mental health services in the United States: Results from the national comorbidity survey replication. Archives of General Psychiatry, 62(6), 629–640.PubMedGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Daniel O. David
    • 1
    • 2
    Email author
  • Silviu A. Matu
    • 1
  • Ioana R. Podina
    • 3
  • Răzvan M. Predatu
    • 4
  1. 1.Department of Clinical Psychology and Psychotherapy and The International Institute for the Advanced Studies of Psychotherapy and Applied Mental HealthBabeș-Bolyai UniversityCluj-NapocaRomania
  2. 2.Department of Oncological SciencesIcahn School of Medicine at Mount SinaiNew YorkUSA
  3. 3.Laboratory of Cognitive Clinical Sciences, Department of PsychologyUniversity of BucharestBucharestRomania
  4. 4.Evidence-Based Assessment and Psychological Interventions Doctoral School and The International Institute for the Advanced Studies of Psychotherapy and Applied Mental HealthBabeș-Bolyai UniversityCluj-NapocaRomania

Personalised recommendations