`The REBT Approach to Therapeutic Change is again an excellent introduction for trainee and practising counsellors, or anyone interested in the subject. The outline of the approach is very clear and is helped by examples in chart form' - Mark Edwards, Nurtuting Potential `A remarkably useful book for the practitioners of Rational Emotive Behaviour Therapy and other kinds of Cognitive Behaviour Therapy!... Definitive and thorough going'- Albert Ellis `Change' is at the heart of counselling and psychotherapy. Clients enter into the therapeutic process in the hope that something in themselves or their situation will be different by the end. Counsellors and Psychotherapists therefore need to understand the nature of change and how best to facilitate it. This is the subject of The Rational Emotive Behavioural Approach to Therapeutic Change. Central to the REBT approach is the view that many of the problems people experience in life are largely determinded by irrational beliefs they hold about themselves, other people and the world. The therapist's role is therefore to help clients identify, challenge and change these unhelpful beliefs. The book describes the cognitive, emotional and behavioural techniques which clients can use to promote psychological change in themselves. It also discusses obstacles to change, which may arise at different points in the therapeutic process and provides strategies for tackling them. Despite its centrality within counselling and psychotherapy, surprisingly little has been written on the subject of change and in a way that is accessible for trainees and practitioners. The Rational Emotive Behavioural Approach to Therapeutic Change will be welcomed both by those specializing in REBT and those trained in other approaches wanting to learn more about the change process in counselling and psychotherapy.

The Process of Change
The process of change

In this final chapter we discuss treatment issues that are relevant to the beginning, middle and end stages of therapy. Dividing REBT counselling into stages is a somewhat artificial convention which we have chosen to use in order to provide structure for the material presented in this chapter. In reality, it is impossible to differentiate so clearly between these stages within the counselling process. For example, issues related to the therapeutic alliance will have importance throughout the course of REBT, and are not restricted to the beginning stage. The material that follows should be viewed with this caveat in mind.

The Beginning Stage
Establishing a Therapeutic Alliance

Bordin (1979) provides a useful framework for conceptualising the therapeutic alliance by breaking it ...

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