Warren R, Smith G, Velten E
Adolescence. 1984 Winter;19(76):893-902.
This study evaluated the effectiveness of rational-emotive therapy and rational-emotive imagery. Fifty-nine junior high school students who volunteered to participate in treatment for interpersonal anxiety were randomly assigned to rational-emotive therapy without imagery (RET), rational-emotive therapy with imagery (REI), relationship-oriented counseling (ROC), and waiting-list control (WLC) groups. Groups met for seven 50-minute treatment sessions during a three-week period. Assessments were conducted at pretreatment, posttreatment, and three-week follow-up. Both self-report and sociometric measures were used to evaluate treatment outcome. At postassessment, both the RET and REI groups were rated on sociometric measures as significantly less interpersonally anxious than the WLC group. Mean scores favored the RET and REI groups, but no significant differences between these groups and the ROC group were obtained. The self-report measure did not significantly differentiate between groups, but the REI group demonstrated significant pre- to follow-up changes. Both the RET and REI groups yielded greater reductions in irrational thinking than did the ROC and WLC groups. In addition, the pattern of the results supported the use of rational-emotive imagery as a component of rational-emotive therapy. The practical implications of these findings are discussed.
本研究评估了理性情绪疗法和理性情绪想象的有效性。59名自愿参与人际焦虑治疗的初中生被随机分配到无想象的理性情绪疗法(RET)组、有想象的理性情绪疗法(REI)组、关系导向咨询(ROC)组和等待名单控制(WLC)组。各小组在为期三周的时间里进行了七次50分钟的治疗课程。在治疗前、治疗后和三周随访时进行评估。采用自我报告和社会测量方法来评估治疗效果。在治疗后评估中,RET组和REI组在社会测量指标上的人际焦虑程度均被评定为显著低于WLC组。平均分有利于RET组和REI组,但这两组与ROC组之间未获得显著差异。自我报告测量未在各小组之间显著区分,但REI组在治疗前到随访期间有显著变化。RET组和REI组在非理性思维方面的减少幅度均大于ROC组和WLC组。此外,结果模式支持将理性情绪想象作为理性情绪疗法的一个组成部分。讨论了这些发现的实际意义。