Abstract
In 1977, DiGiuseppe and Miller provided a review of the literature assessing the effectiveness of Rational-Emotive Therapy (RET). In 1984, McGovern and Silverman completed a similar review for outcome studies conducted from 1977 through mid-1981. This present study is meant as a continuation of those reviews. The 89 studies reviewed are divided into three sections: outcome studies that do not compare Rational-Emotive Therapy with other types of treatment; a review of outcome studies that do compare RET with other types of psychotherapy; and a review of Rational-Emotive outcome studies that either combine RET with other therapies or are not appropriate for the first two sections. There does appear to be some increased sophistication in the research conducted since 1982. Increases were noted in the number of control groups used in the current research as well as in the number of follow-up studies. There also appears to be an improvement in the comparison of RET with other forms of therapy, and the number of problem areas in which RET has been tested has increased. A decrease in post-test only studies and an increased variety of subjects have also improved the current research. Issues such as socioeconomic status and I.Q. of subjects, duration of treatment, and lack of longitudinal studies remain unaddressed. It is suggested that future researchers concentrate on these specific problems to improve the credibility of RET. This review coincides with the previous findings that RET is a valuable, effective therapy that warrants increased research to broaden its application.
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References
Ayres, J., & Hopf, T.S. (1987). Visualization, systematic desensitization and rational emotive therapy: A comparative evaluation.Communication Education, 36, 236–240.
Baker, R.L. (1985). Evaluating temperament changes that occur during psychotherapy as measured by the T-JTA.Dissertation Abstracts International, 45, 3611.
Becherer, J.J. (1985). The effects of rational emotive therapy on academic achievement for community college probation students participating in a study skills class.Dissertation Abstracts International, 45, 3279.
Beher-Zimmerman, U. (1982). The treatment of a woman with fear of intercourse: Case Report.Rational Living, 17, 37–39.
Bernard, M.E., Kratochwill, T.R., & Keefauver, L.W. (1983). The effects of rational emotive therapy and self instructional training on chronic hair pulling.Cognitive Therapy and Research, 7, 273–279.
Billotti, T.J. (1985). The effects of rational emotive imagery and rationalemotive therapy plus hypnosis in reducing public speaking anxiety.Dissertation Abstracts International, 46, 633–634.
Bohlmann, N.R. (1986). Use of RET bibliotherapy to increase self acceptance and self actualization levels of runners.Dissertation Abstracts International, 46, 2191.
Bowin, R.B. (1983). An empirical study of rational emotive therapy in management of stress.Psychological Reports, 53, 196–198.
Brian, T.J. (1985). Ego stage and psychologically-oriented treatments of incipient alcohol abuse.Dissertation Abstracts International, 45, 2302–2303.
Briggs, B.H. (1986). A study of the correlation between assertiveness and anxiety as experienced by physician assistant students.Dissertation Abstracts International, 47, 2660–2661.
Buckley, P.D. (1983). Rational emotive affective education with socially and emotionally disturbed children.Dissertation Abstracts International, 47, 2660–2661.
Buldas, J.J. (1985). Using group psychotherapy for enhancing late adolescent self-concept: Comparing the effects of hypnosis and rational emotive therapy.Dissertation Abstracts International, 44, 110–111.
Caraway, M., & Hayslip, B. (1985). Facilitating rational thinking in older persons.Clinical Gerontologist, 4, 48–50.
Carayannis-Schneider, N.H. (1987). A rational emotive group treatment approach to problem solving with dually diagnosed adults.Dissertation Abstracts International, 47, 3364.
Cirrillo, J.M. (1985). Effects of method of presentation on rational-emotive therapy content acquisition in adults with varying levels of emotional adjustment.Dissertation Abstracts International, 46, 637.
Conoley, C.W., Conoley, J.C., & McConnell, J.A. (1983). The effect of the ABCs of rational-emotive therapy and the empty-chair technique of gestalt therapy on anger reduction.Psychotherapy Theory, Research and Practice, 20, 112–117.
Dana, R.O. (1985). Pretreatment assertion levels as they relate to treatment outcome in an alcohol abusing sample.Dissertation Abstracts International, 46, 956.
Dekker, J., Dronkers, J., & Staffeleu, J. (1985). Treatment of sexual dysfunctions in male-only groups: Predicting outcome.Journal of Sex and Marital Therapy, 11, 80–90.
DiGiuseppe, R.A., & Miller, N.J. (1977). A review of outcome studies on rational-emotive therapy. In A. Ellis & R. Grieger (Eds.),Handbook of rational emotive therapy. New York: Springer.
Ellis, A. (1962).Reason and emotion in psychotherapy. Secaucus, N.J.: The Citadel Press.
Ellis, A. (1973).Humanistic psychotherapy. New York: McGraw-Hill.
Ellis, A. (1977). The basic clinical theory of rational emotive therapy. In A. Ellis & R. Grieger (Eds.),Handbook of rational emotive therapy. New York: Springer.
Ellis, A. (1984). Treating the abrasive client with rational-emotive therapy (RET).Psychotherapy Patient, 1, 21–25.
Ellis, A. (1987a). Integrative developments in rational-emotive therapy (RET).Journal of Integrative and Eclectic Psychotherapy, 6, 470–479.
Ellis, A. (1987b). Treating the bored client with rational-emotive therapy.Psychotherapy Patient, 3, 75–86.
Ellis, A. (1989). Using rational emotive therapy (RET) as crisis intervention: A single session with a suicidal client. Special Issue: Varieties of Brief Therapy.Individual Psychology Journal of Adlerian Theory Research and Practice, 45, 75–81.
Emmelkamp, P.M., Brilman, E., Kuiper, H., & Mersch, P.P. (1986). The treatment of agoraphobia: A comparison of self-instructional training, rational-emotive therapy, and exposure in vivo.Behavior Modification, 10, 37–53.
Emmelkamp, P.M., Mersch, P.P., & Vissia, E. (1985). The external validity of analog outcome research evaluation of cognitive and behavioral intervention.Behavior Research and Therapy, 23, 83–86.
Emmelkamp, P.M., Mersch, P.P., Vissia, E., & Vander-Helm, M. (1985). Social phobia: A comparative evaluation of cognitive and behavioral interventions.Behavior Research and Therapy, 23, 365–369.
Emmelkamp, P.M., Visser, S., & Hoekstra, R.J. (1988). Cognitive therapy vs. exposure in vivo in the treatment of obsessive-compulsives.Cognitive Therapy and Research, 12, 103–114.
Everaerd, W., & Dekker, J. (1985). Treatment of male sexual dysfunction: Sex therapy compared with systematic desensitization and rational emotive therapy.Behavior Research and Therapy, 23, 13–25.
Farley, R.C. (1987). Rational behavior problem-solving as a career development intervention for persons with disabilities.Journal of Rational Emotive Therapy, 5, 32–42.
Fenigsohn, G.I. (1983). Examining the effects of three methods of study skill group intervention with middle school underachievers.Dissertation Abstracts International, 43, 2892.
Finn, T.F. (1983). Comparison of relaxation training, rational emotive therapy, and non-specific treatment effects in the reduction of muscle contraction headache symptoms.Dissertation Abstracts International, 44, 2241.
Floyd, D., & Floyd, W.A. (1985). Bulimia: The secretive cycle of shame/superiority.Journal of Human Behavior and Learning, 2, 6–12.
Fosterling, F. (1985). Rational emotive therapy and attribution theory: An investigation of the cognitive detriments of emotions.British Journal of Cognitive Psychotherapy, 3, 12–25.
Friedburg, F. (1982). Shaping new arousal patterns in the treatment of ejaculatory incompetence.Behavior Therapist, 5, 82–83.
Gerber, G. (1985). Modifying impulsivity in handicapped children through the development of rational thinking.Dissertation Abstracts International, 46, 1248.
Gitlin, D.E., & Tucker, C.M. (1988). Ability to discriminate rational responses to items on the irrational beliefs test as a predictor of rationality and trait anxiety.Psychological Reports, 62, 483–487.
Gombatz, M.W. (1983). The effectiveness on problem resolution of different treatment modalities: Client-centered, rational emotive therapy, and paradoxical directives.Dissertation Abstracts International, 44, 1237.
Grassi, R. (1985). Effects of self instructional training and rational emotive education on emotional adjustment in elementary school children.Dissertation Abstracts International, 46, 1730–1731.
Greenwald, E.K. (1985). Effects of rational emotive education, imagery and bibliotherapy on self concept, individual achievement, responsibility, and anxiety in sixth grade children.Dissertation Abstracts International, 46, 979.
Greven, G.L. (1986). Effects of a rational emotive therapy program on the irrational beliefs of inpatient alcoholics.Dissertation Abstracts International, 47, 2166.
Gunn, L.K. (1986). An analysis of self-reported personality changes following a rational behavior therapy program.Dissertation Abstracts International, 47, 2166.
Higgins, N.C. (1986). Occupational stress and working women: The effectiveness of two stress reduction programs: I and II.Dissertation Abstracts International, 47, 1274.
Ivey, A.E., & Simek-Downing, L. (1980).Counseling and psychotherapy: Skills, theories and practice. Englewood Cliffs, NJ: Prentice Hall, Inc.
Jacobsen, R.H., Tamkin, A.S., & Blount, J.B. (1987). The efficacy of rationalemotive group therapy in psychiatric inpatients.Journal of Rational-Emotive Therapy, 5, 22–31.
Jasnow, M. (1983). Effects of relaxation training and rational emotive therapy on anxiety reduction in sixth grade children.Dissertation Abstracts International, 43, 4149.
Jedlicka, W.J. (1985). The effects of two different stress reduction interventions on five psychological variables.Dissertation Abstracts International, 45, 2722.
Kelly, L.M. (1982). Rational emotive therapy versus Lewinsohnian-based approaches to the treatment of depression.Dissertation Abstracts I ternational, 43, 1986.
Leaf, R.C., Gross, P.H., Todres, A.K., Marcus, S., & Bradford, B. (1986). Placebo-like effects of education about rational-emotive therapy.Psychological Reports, 58, 351–370.
Lee-Gilmore, C.A. (1982). A cognitive behavioral group approach to assertiveness training for nurses.Dissertation Abstracts International, 42, 4197.
LeVine-Welsh, P.C. (1983). The effects of three treatments which incorporate rational emotive techniques and assertion skills training upon locus of control and assertive behavior in adult women.Dissertation Abstracts International, 44, 990–991.
Lo-Fuang, L.G. (1986). The effects of a rational emotive education program on self-concept and locus of control among learning disabled adolescents.Dissertation Abstracts International, 46, 2973.
Lyons, L.G. (1983). The effects of a human-relations and rational emotive peer group counseling program upon high school students.Dissertation Abstracts International, 44, 1244-B.
Maes, S. (1987). Reducing emotional distress in chronic patients: A cognitive approach.Communication and Cognition, 20, 261–275.
Maes, S., & Schlosser, M. (1988). Changing health behavior outcomes in asthmatic patients: A pilot intervention study. Special Issue: Stress and Coping in Relation to Health and Disease.Social Science and Medicine, 26, 359–364.
Mahrer, A.R., Nadler, W.P., Stalikas, A., & Schachter, H.M. (1988). Common and distinctive therapeutic change processes in client-centered, rational emotive and experiential psychotherapies.Psychological Reports, 62, 972–974.
Malouff, J.M., Lanyon, R.I., & Schutte, N.S. (1988). Effectiveness of a brief group RET treatment for divorce-related dysphoria.Journal of Rational Emotive & Cognitive Behavior Therapy, 6, 162–171.
Marrazo, M.J., Hickling, E.J., & Sison, G.F. (1984). The combined use of rational-emotive therapy and biofeedback in the treatment of childhood migraine.Journal of Rational Emotive Therapy, 2, 27–31.
Martin, J., Martin, W., & Slemon, A.G. (1987).Cognitive mediation in personcentered and rational emotive therapy.Journal of Counseling Psychology, 34, 251–260.
Mathews-Larson, J., & Parker, R.A. (1987). Alcoholism treatment with biochemical restoration as a major component.International Journal of Biosocial Research, 2, 92–104.
Maxwell, J.W., & Wilkerson, J. (1982). Anxiety reduction through group instruction in rational therapy.Journal of Psychology, 112, 135–140.
McGee, P.D. (1985). Cognitive-behavioral intervention in stress management.Dissertation Abstracts International, 45, 3765.
McGovern, T., & Silverman, M. (1984). A review of outcome studies on rational emotive therapy.Journal of Rational-Emotive Therapy, 2, 7–18.
McPherson, S.L. (1986). An investigation of the components of anger management as applied to an incarcerated population.Dissertation Abstracts International, 47, 1731.
Meyer, D.J. (1982). Effects of rational emotive group therapy upon anxiety and self-esteem of learning disabled children.Dissertation Abstracts International, 42, 4201.
Morse, R.N. (1983). Test anxiety reduction workshops for black college students.Journal of College Student Personnel, 24, 567–568.
Munjack, D.J., Schlak, A., Sanchez, V.C., Usigli, R., Zulueta, A., & Leonard, M. (1985). Rational-emotive therapy in the treatment of erectile failure: An initial study.Journal of Sex and Marital Therapy, 10, 170–175.
Murray, S. (1983). Differential effectiveness of stress reduction strategies for hospital staff experiencing multiple diffuse Stressors.Dissertation Abstracts International, 43, 4157.
Neuman, J. (1986). Exposure in imagery, thought stopping and rational emotive therapy in the treatment of obsessions.Dissertation Abstracts International, 47, 1734.
Oldman, M. (1987). The application of rational-emotive therapy to the middle-aged woman's distress about looking older.Dissertation Abstracts International, 47, 4333-A.
Omizo, M.M., Cubberly, W.E., & Omizo, S.A. (1985). The effects of rationalemotive education groups on self concept and locus of control among learning disabled children.Exceptional Child, 32, 13–19.
Omizo, M., Lo-Fuang, G., & William, R.E. (1986). Rational-emotive education, self-concept, and locus of control among learning disabled students.Journal of Humanistic Education and Development, 25, 58–69.
Pauley, L.L. (1986). A rational emotive case study in the treatment of obesity.Journal of Obesity and Weight Regulation, 5, 185–193.
Presby-Kodish, S. (1988). Rational emotive therapy with women in second marriages. Special Issue: Cognitive Behavior Therapy with Women.Journal of Rational-Emotive & Cognitive-Behavior Therapy, 6, 118–128.
Prochaska, J.O. (1979).Systems of psychotherapy: A transtheoretical analysis. Chicago: The Dorsey Press.
Ram, U. (1983). Use of RET with client having inhibition in heterosexual communication.Indian Journal of Clinical Psychology, 10, 27–33.
Ray, J.B., Friedlander, R.B., & Solomon, G.S. (1984). Changes in rational beliefs among treated alcoholics.Psychological Reports, 55, 883–886.
Reed, R.C. (1983). Effects of cognitive presentation of rational-emotive therapy components on performance anxiety and altruism.Dissertation Abstracts International, 44, 389.
Richards, C.L. (1982). An investigation of the therapeutic preferences of Jungian personality types using rational-emotive, client-centered, and gestalt therapy.Dissertation Abstracts International, 43, 533.
Ricketts, M.S., & Galloway, R.E. (1984). Effects of three different one-hour single-session treatments for test anxiety.Psychological Reports, 54, 115–120.
Rosenberg, H., & Brian, T. (1986). Cognitive behavioral group therapy for multiple-DUI offenders. Special Issue: Drunk Driving in America: Strategies and Approaches to Treatment.Alcoholism Treatment Quarterly, 3, 47–65.
Solomon, G.S., & Ray, J.B. (1984). Irrational beliefs of shoplifters.Journal of Clinical Psychology, 40, 1075–1077.
Smith, T.W. (1983). Change in irrational beliefs and the outcome of rational emotive psychotherapy.Journal of Counseling and Clinical Psychology, 51, 156–157.
Stewart, J.R. (1984). The effects of two therapeutic approaches on client hemisphericity.Dissertation Abstracts International, 44, 3600-A.
Themes, E.P. (1983). Three methods of reducing math anxiety in women.Dissertation Abstracts International, 44, 97.
Thorpe, G.L., Freedman, E.G., & McGalliard, D.W. (1984). Components of Rational-Emotive Imagery: Two experiments with nonassertive students,2, 11–19.
Thurman, C.W. (1983). Effects of a rational-emotive treatment program on type A behavior among college students.Journal of College Student Personnel, 24, 417–423.
Voelm, C.E. (1984). The efficacy of teaching rational-emotive education to acting-out and socially withdrawn adolescents.Dissertation Abstracts International, 44, 3947–3948.
Von-Pohl, R.A. (1983). A study to assess the effects of rational emotive therapy with a selected group of emotionally disturbed children in day and residential treatment.Dissertation Abstracts International, 43, 3019.
Wakefield, S.G. (1982). Reducing stressful impact of life events by modifying irrational beliefs.Dissertation Abstracts International, 43, 3019.
Walsh, T.A. (1983). Rational emotive therapy and progressive relaxation in the reduction of trait anxiety of college undergraduate students who enroll in anxiety reduction workshops.Dissertation Abstracts International, 44, 942.
Warren, R., Smith, G., & Veiten, E. (1984). Rational emotive therapy and the reduction of interpersonal anxiety in junior high school students.Adolescence, 19, 893–902.
Warren, R., McLellarn, R.W., & Ponzoha, C. (1988). Rational-emotive therapy vs. general cognitive behavior therapy in the treatment of low selfesteem and related emotional disturbances.Cognitive Therapy and Research, 12, 21–37.
Wilson, T.L. (1983). An experimental investigation designed to examine the efficacy of instructing elementary and middle school teachers in stress management techniques.Dissertation Abstracts International, 43, 3256–3257.
Woods, P.J. (1987). Reductions in type A behavior anxiety, anger, and physical illness as related to changes in irrational beliefs: Results of a demonstration project in industry.Journal of Rational-Emotive Therapy, 5, 213–237.
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Manuel S. Silverman, Ph.D., is a Professor of Counseling Psychology at Loyola University Chicago.
Margaret M. McCarthy, M.A., is a recent graduate of Loyola University Chicago.
Terrance McGovern, Ph.D., is in Private Practice in Downers Grove, Illinois.
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Silverman, M.S., McCarthy, M. & McGovern, T. A review of outcome studies of rational-emotive therapy from 1982–1989. J Rational-Emot Cognitive-Behav Ther 10, 111–186 (1992). https://doi.org/10.1007/BF01061071
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DOI: https://doi.org/10.1007/BF01061071