Deliberate Practice in Rational Emotive Behavior Therapy

Deliberate practice exercises provide trainees and students an opportunity to build competence in essential rational emotive behavior therapy (REBT) skills while developing their own personal therapeutic style.

These exercises present role-playing scenarios in which two trainees act as a client and a clinician, switching back and forth under the guidance of a supervisor. The clinician improvises appropriate and authentic responses to client statements organized into three difficulty levels―beginner, intermediate, and advanced―that reflect common client questions and concerns.

Each of the first 12 exercises focuses on a single skill, such as psychoeducation, assessing and disputing irrational beliefs, helping clients differentiate maladaptive vs. adaptive behaviors and emotions, teaching clients the ABC model, and developing homework assignments. Two comprehensive exercises follow in which trainees integrate these essential skills into a single REBT session.

Step-by-step instructions guide participants through the exercises, identify criteria for mastering each skill, and explain how to monitor and adjust difficulty. Guidelines to help trainers and trainees get the most out of training are also provided.

To demonstrate how deliberate practice can be fully integrated into a professional curriculum, this series features exercises developed and refined within the clinical training curriculum at the Sentio online/hybrid marriage and family therapy (MFT) therapist training program in California, which is where we started developing this series. These exercises, which have been tested at clinical training sites around the world, are used to enhance clinical outcomes within the first hybrid MFT program approved by the California Board of Behavioral Sciences to fully integrate deliberate practice into its entire curriculum. By integrating these models into its hybrid MFT program in California, Sentio University demonstrates that therapist training graduate programs can use deliberate practice to bridge the gap between theory and clinical mastery through repetitive, feedback-informed practice to support the development of modern, outcome-focused clinicians.
 

Mark Terjesen, PhD, is professor of psychology at St. John's University and a core member of the school psychology programs, previously serving as director. He was the Child and Family Service Coordinator for the Albert Ellis Institute for Rational Emotive Behavior Therapy in Manhattan and was President of the School Division of the New York State Psychological Association (NYSPA) and of APA’s Division 52 (International Psychology). Dr. Terjesen has studied and published on diverse topics, including rational emotive behavior therapy, cognitive behavior therapy, the assessment and treatment of ADHD and anger in children, school psychology, and international psychology.

 

Kristene A. Doyle, PhD, ScD, is the director of the Albert Ellis Institute (AEI) and director of Clinical Services and a licensed staff psychologist at AEI. Her clinical and research interests include eating disorder treatment, ADHD, and treating children and adolescents. Dr. Doyle is coauthor of The Practitioner's Guide to Rational Emotive Behavior Therapy, 3rd Edition, coeditor of The Journal of Rational-Emotive & Cognitive-Behavior Therapy, and has published in numerous scientific journals, including the Journal of Social Behavior and Personality. She is also the external examiner for the MSc in rational emotive behavior therapy at Goldsmiths, University of London.



Raymond A. DiGiuseppe, PhD, ABPP, is professor of psychology and chair of the Institutional Review Board at St. John's College of Liberal Arts and Sciences. He has promoted the recognition of anger as a form of psychopathology and studies the diagnosis, assessment, and treatment of anger problems. Dr. DiGiuseppe has published two psychological tests assessing dysfunctional anger: the anger disorders scale (ADS) for adults and the anger regulation and expression scale (ARES) for children and adolescents. He works on the development of the theory, practice, and empirical research support of rational emotive behavior therapy and cognitive behavior therapies.

 
Alexandre Vaz, PhD, is chief academic officer of Sentio University marriage and family therapy (MFT) program in California. This innovative online/hybrid California MFT degree was the first approved by the California Board of Behavioral Science for MFT licensure to fully integrate deliberate practice into its curriculum to ensure superior clinical outcomes. He is also director of clinical training for the Sentio Counseling Center, which is Sentio MFT program’s guaranteed practicum site where students provide low-cost online couples therapy in California. Dr. Vaz is the author/coeditor of many books on deliberate practice and psychotherapy training.

Tony Rousmaniere, PsyD, is president of Sentio University marriage and family therapy (MFT) program in California. He led the development of the online/hybrid MFT program, which is the first MFT therapist training program approved by the California Board of Behavioral Science for MFT licensure that fully integrates deliberate practice. Dr. Rousmaniere is the author/coeditor of many books on psychotherapy training. He is also the executive director of the Sentio Counseling Center, which is Sentio MFT program’s guaranteed practicum site where students provide sliding-scale online therapy in California, and past president of the American Psychological Association’s Division 29.