Unformatted text preview: between him and an anxious client who fears
failure and disapproval at work, especially over a testing procedure that she has developed for her company: •rational-emotive therapy•A cognitive therapy developed by Albert Ellis
that helps clients identify and change the
irrational assumptions and thinking that
help cause their psychological disorder. ComFun6e_Ch04_C!.indd 102 Client: I’m so distraught these days that I can hardly concentrate on anything for more
than a minute or two at a time. My mind just keeps wandering to that damn testing procedure I devised, and that they’ve put so much money into; and whether
it’s going to work well or be just a waste of all that time and money. . . .
Ellis: Point one is that you must admit that you are telling yourself something to start
your worrying going, and you must begin to look, and I mean really look, for the
specific nonsense with which you keep reindoctrinating yourself. . . . The false 12/10/09 11:16:09 AM Anxiety Disorders statement is: “If, because my testing procedure doesn’t work and I am functioning inefficiently on my job, my co-workers do not want me or approve of me,
then I shall be a worthless person.” . . .
Client: But if I want to do what my firm also wants me to do, and I am useless to them,
aren’t I also useless to me?
Ellis: No—not unless you think you are. You are frustrated, of course, if you want
to set up a good testing procedure and you can’t. But need you be desperately
unhappy because you are frustrated? And need you deem yourself completely unworthwhile because you can’t do one of the main things you want to do in life?
(Ellis, 1962, pp. 160–165) :// 103 BETWEEN THE LINES
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specifically guide clients with generalized anxiety disorder to recognize and change their
dysfunctional use of worrying (Ritter et al., 2010; Beck, 2008).They begin by educating
the clients about the role of worrying in their disorder and have them observe their
bodily arousal and cognitive responses across various life situations. In turn, the clients
come to appreciate the triggers of their worrying, their misconceptions about worrying,
and their misguided efforts to control their lives by worrying. As their insights grow,
clients are expected to see the world as less threatening (and so less arousing), try out
more constructive ways of dealing with arousal, and worry less about the fact that they
worry so much. Research has begun to indicate that a concentrated focus on worrying
is indeed a helpful addition to the traditional cognitive treatment for generalized anxiety
disorder (Ritter et al., 2010; Waters & Craske, 2005).
Treating individuals with generalized anxiety disorder by helping them to recognize their inclination to worry is similar to another cognitive approach that has gained
popularity in recent years. Th...
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