By Windy Dryden
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Extra info for Rational Emotive Behaviour Therapy (Helping People Change: The Essential Counselling)
It is up to me as a therapist to ensure that the client can, in reality, carry out the tasks that I am asking her to perform. A related issue concerns the client's psychological state in relation to her tasks. Thus a client may understand a task, agree to carry it out, have the necessary skills to perform it adequately, but be unable to execute it because she is too disturbed to do so at the time in question. Again it is my responsibility as a therapist to ensure that I am asking my client to do what she is capable of doing psychologically.
There are a number of important issues that I keep in mind when working with my clients' goals. Goals Need to Be in the Best Healthy Interests of a Client Sometimes a client will say that she wishes to achieve a goal that is clearly not in her best healthy interests. An obvious example of this is a client with anorexia who wishes to lose weight. When this happens I explain to my client why I will not work with her to achieve such a goal. Basically, such goals are a reflection of the client's emotional problems and I help the client to understand this point and instead help her to list the problems that have led her to have anorexia in the first place.
The determining factor concerning whether or not the client is suitable for REBT is whether the client's view about the causation of emotional problems is congruent with the REBT view after the client has heard and understood REBT's position on this issue. If the client does not agree with the REBT view on this issue after she has heard and understood it, then it is best to refer her on to a practitioner of an approach to therapy that is congruent with the client's view on this matter. Informed Consent Throughout this chapter, I have made the point that it is important for the REBT therapist to make explicit various points about REBT.
Rational Emotive Behaviour Therapy (Helping People Change: The Essential Counselling) by Windy Dryden