Psychiatry · Psychotherapy Modalities (CBT, DBT, Psychodynamic, Behavioural Techniques)

In Rational Emotive Behaviour Therapy developed by Albert Ellis, a patient fails an examination and concludes 'I am a complete failure.' In the ABC framework, what does the letter B represent?

  • A The behavioural consequence of withdrawal from studies
  • B The behaviour of avoiding further examinations
  • C The belief that failing the exam means he is a total failure
  • D The biological predisposition to depressive thinking
Correct answer: C. The belief that failing the exam means he is a total failure

Explanation

In Ellis's ABC model, C is the activating event (failing the exam), B is the irrational belief ('I am a total failure'), and A is the emotional and behavioural consequence (despair, avoidance). Therapy disputes the belief at D and substitutes an effective new philosophy at E. Options B and A describe consequences rather than beliefs, which is the commonest error students make with this framework.

Reference: Kaplan and Sadock's Synopsis of Psychiatry, 12th ed.

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