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What
is RCBT? A short interpretation
By
Jurriaan Plesman BA(Psych), Post Grad Dip Clin Nutr
RCBT stands for Rational Cognitive Behaviour Therapy
a very powerful technique in psychotherapy to help people overcome emotional
problems.
In order to understand the origin and its rationale we need to have a
quick look at Behaviorism a school of of psychology
which aims at rendering psychology a purely scientific investigation.
The earlier approach was to study human behaviour or any behaviour for
that matter - including animal behaviour - in terms of references to consciousness
or mentalistic constructs. The Behaviourist school had its beginnings
in the work of JB Watson (1878-1958) in his many publications such as
Psychology as the Behaviorists Views it in the Psychological
Review in 1913 and many others.
Watson defines psychology as the science of behaviour. The
aim of behaviourism is to be able to predict behaviour (or more correctly
responses) from a knowledge of stimulus conditions, based on observation
rather than upon interpretations involving the concept of mind,
unconscious or consciousness. Thus he was able
to do research in a laboratory with animals without any reference to mentalistic
concepts. He believed in contrast to prevalent introspective
psychologists, that psychology was simply the observation of behaviour,
similar to those of physical scientist.
There is a principle in science that says that anything that can be measured
can become the subject of scientific investigation. So psychologists of
the school of behaviourism (learning psychology) look at the elements
of behaviour in terms of the following formula.
S ---> [-] ---> R
where
S = Stimulus
[-] = organism (also humorously called the empty box)
R = Response.
Scientists can observe stimuli and responses, but behaviourists claim
that you cannot observe what goes on inside the organism. Thus according
to behaviourists we are just a bundle of stimulus/response connections.
They would deny scientific access to what other psychologists call the
mind.
Cognitive therapists however believe that whatever goes on inside the
empty box affects the way you respond to stimuli.
Thus they have a formula that looks like this;
S ---> [Attitudes] ---> R
Thus if your mother falls under a bus, you may respond to this incidence
in a way that depends on your attitude towards your mother. If you hate
your mother and are looking forward towards a rich inheritance upon her
pending death, you will react in a completely different way, from the
position if you love your mother dearly.
Thus attitudes affect the way we react to events (stimuli) in our lives.
Thus RCBT therapists are interested in attitudes, which may be defined
as a semi-permanent pattern of reaction (responses) towards persons, objects,
institutions or issues.
These attitudes are learned responses and RCBT therapists believe that
by examining these attitudes (self-confrontation) we should be able to
change these beliefs and RELEARN the kind of positive attitudes
that are less destructive of behaviour.
And here we find differing theories cropping up among different psychologists.
Some will concentrate on negative thought processes alone,
how they were arrived at, and perhaps stemming from childhood experiences
in the family and so on. (Psychoanalysis).
From my experience it does not help a person one iota to know that ones
negative self-image stems from ones overly critical mother. You
cannot rationalize a negative self-image away by analysis. You can only
get rid of them in exactly the way you acquired it and by a RELEARNING
program.
Others look at what thought processes go on right in the here and now
(the here and now psychotherapists).
I belong to the latter kind of psychotherapists and start off with a fundamental
assumption (axiom as it were) - for which there is considerable scientific
support - that ones attitude to the self - or the self-image (ego)
is at the core ones personality.
The self-image is also a learned response, an attitude, that can be changed.
The advantage of this approach is that every one of us have direct access
to our self-image. We all know for instance, whether that self-image is
positive or negative. Thus you can be your own psychotherapist!!!
If we can change our own self-image, the hypothesis is that we can change
a host of other attitudes, which upon examination derive from the self-image.
Thus the formula becomes:
S ----> [Ego] ---> R
Now basically a self-image consists of a learned (that is automatic) statement
floating around inside your head saying:
I am .............
Here we are looking for an adjective that is either positive or negative.
You as a psychotherapist are interested only in negative adjectives such
as;
I am stupid
I am unlovable
I am no good etc etc etc.
The next step is; ask yourselves why???
Perhaps you may have an answer, but you will find that the answer may
have a negative adjective too! And then you have to ask an other why.
But from my experience most people have no answer as to why they feel
stupid. unlovable, no good or whatever
nasty things you are telling yourself.
If that is the case, then you know that you have been taught to believe
the idea from somewhere in the past. You have been indoctrinated to unquestioningly
accept that you are stupid. You may have internalized this
idea by constant repetition and self-talk. Not only that, because you
firmly believe that you are stupid, you may have acted in a way towards
other people that has reinforced THEIR belief about you that you
are stupid. You may have been on a defensive as a pattern of behaviour
that makes it very difficult for other people to understand you. They
may have lost their patience. You may have even triggered their hang-ups
and triggered their defensive mechanism.
THUS WE HAVE A SELF-FULFILLING PROPHESY.
People are inclined to reinforce your own ideas about yourself by your
behaviour towards them!
The answer is to UNLEARN these irrational ideas by again repetition and
repetition, by replacing these silly and childlike ideas repetitively
with a more positive idea, or simply by saying to your self STOP IT!!!!!
Dont analyze as to where these ideas have come from. Just catch
yourself thinking it and then STOP IT!!!
This approach has been elaborated in the self-help PSYCHOTHERAPY course.
By doing this course you can in fact participate in a RCBT course whereby
you play your own psychotherapist. You should be able to complete the
course in eight week (a chapter per week) and feel a different person
at the end of the road.
Of course I would like to add, that RCBT alone may not always help ones
depression, if you overlook the biochemical aspects of depression.
See The
Serotonin Connection.
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