Saturday, June 4, 2011

ABC+D=?

My continued investigation into addiction has led me to Albert Ellis, one of the originators of cognitive/behavioral therapy. His particular therapy brand is called REBT, for Rational Emotional Behavioral Therapy.

Like most cognitive approaches, Ellis’s focuses on the links between perception, belief and behavior, and works to change the behavior by changing belief. ABC+D is an acronym describing his method.

The goal of REBT is helping people reach their goals more effectively—or at all. So REBT starts with defining goals. Then judge your actions this way: “Did that get me closer to my goal?” If so, then that action is good. If not, then bad. Regardless of the Consequence, you can use the ABC+D model to analyze what happened, and find better ways to reach the goal.

So let’s define terms.

A = Activating Event. An Activating Event is something noteworthy in pursuit of a goal. The event might block or delay reaching the goal. It might be a distraction. It might be a success.

B = Belief. A belief is something that you hold to be true. Activating Events do not result in behavior; according to Ellis’ model the event is interpreted, and action is prescribed according to beliefs. Change the belief, you change behavior.

C = Consequences. These are the results of some Activating Event. I might be a change in what you have been doing—or it might be no change.

All, right, this is nice and theoretical. Let’s take an example to see how it’s applied. Since I’m writing this post, and since I often have trouble finishing what I write (or do), I’ll use this as an example. My goal is to finish this blog post. Along the way there might be Activating Events that result in negative Consequence (I give up).

Of course sometimes the Consequence is that I succeed. We’ll look at that another time. It’s more useful (right now) to consider failure modes.

How do I fail? Often I I sit down to write then I find myself searching for something on the Web. Or I might find myself down in the kitchen looking in the refrigerator for something to eat. Whatever the case, I am not writing, so I am not reaching my goal. Something is getting in the way.

In this analysis we have one part of ABC—the Consequence. We have C, but we don’t have A and B. Now it’s time for detective some detective work. What’s the Activating Event? And what’s the Belief?

For me, a common Activating Event is this: I stop writing for a moment. Perhaps I review what I’ve read, and I decide I don’t like it. It might be missing something. It might be not well thought out. I might think that the argument is weak and has to be presented differently. Perhaps I don’t know what I might do next. The Activating Event is some disruption in my writing flow.

Fine. We have some examples of Activating Events. What Beliefs do I have that lead me to the undesirable Consequences? Doing a bit of introspection about writing failures, I dredge up these beliefs:

  • I don’t know what to do next. This is a handy all-purpose Belief that leads me to “step back and think about things” or “take a break and see what comes to me.” These require some subordinate Beliefs:
    • I have no way to figure out what to do next. If I did, then I’d be doing it.
    • If I take a break, what to do next might come to me.
    • I need to do some more research. Then I’ll know.
  • This post isn’t going to be good—or good enough, so it’s a waste of time to work on it. I should work on something else.
  • I really should be working on something that’s more important.
  • I should be enjoying this—and I’m not.

Most of these beliefs lead to my undesired Consequence. One belief leads to a good Consequence. “I should be working on something more important” could lead me to work the more important project. It’s the others that are problems.

So now I’ve got a bad Consequence, an Activating Event, and a few representative Beliefs. That leads us to Ellis’s D step: Disputing.

Disputing is central to most forms of cognitive therapy. Activating events will happen—although sometimes we can do things to prevent them. For example if a person has a problem overeating and seeing a refrigerator full of favorite foods is a common Activating Event that leads to a binge—the probability of that Consequence can be lowered by leaving the refrigerator empty or filling it with foods that don’t lead to temptation. No Activating Event, no Consequence.

But most Activating Events can’t be prevented. Sometimes my writing flows and it’s all I can do to type as fast as I think. But sometimes I stop I might step back and wonder “How is this going?” That event might not be preventable. Or I just stop. There are no words coming to me. Here the leverage point is Belief. So let’s look at these Beliefs. But before we do this, let’s clarify my goal.

When I’m writing my goal is not to write something great, or necessarily even good. It’s just to write. My fundamental Belief is that if I practice enough, study my practice, and make adjustments, eventually I’ll get good.

With that in mind I can Dispute the Belief “I have no way to figure out what to do next,” by saying: “Yes, you do. You can just write whatever comes to mind. Eventually you’ll find something that makes sense. Or not. But at least you’ll be writing, which is the goal.”

Or I can Dispute “I’ll take a break and see what comes to mind,” by reminding myself: “If you take a break you’re likely to quit. Better to stay in your chair and keep going.”

Or I can Dispute “I really should be enjoying this, but I’m not,” with “It would be nice if you were enjoying this, but the writing process is not always enjoyable. What is enjoyable is finishing what you’ve started. So even though you are not enjoying this, keep going,”

Or I can Dispute “This post isn’t going to be good, or good enough,” with: your goal is to get a first draft done. Once you finish the draft you can criticize it and make it better.”

Or after enough frustration I get the belief Belief: “This is getting nowhere. I’m never going to be good writer.”

I can also Dispute it. “You may not ever be a good writer, but that’s not the goal. It’s to write at whatever level of quality you can achieve, and by practice get better. “

Examining, Disputing and changing these Beliefs might lead to a different Consequence: finishing the goddamn post. And if you are reading it, then indeed it has. As I’ve been writing this post, I’ve stopped from time to time and briefly reflected on what I’m doing. Some, but not all, of these troubling Beliefs have arisen. And I’ve Disputed them.

The result: as of this draft I’ve more than 1,260 words written. I haven’t gone off chasing the new. I’m pretty pleased with what I’ve written—and even more pleased that I’ve written.

Now I’ll answer the question that titled the article:

ABC+D = this post.

And more generally:

ABC+D = goals reached more often.

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