Logic-based Therapy
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Logic-based therapy (LBT) is a proposed modality of
philosophical counseling Philosophical consultancy, also sometimes called philosophical practice or philosophical counseling or clinical philosophy, is a contemporary movement in practical philosophy. Developing since the 1980s as a profession but since the 1950s as a prac ...
developed by philosopher Elliot D. Cohen beginning in the mid-1980s. It is a philosophical variant of
rational emotive behavior therapy Rational emotive behavior therapy (REBT), previously called rational therapy and rational emotive therapy, is an active-directive, philosophically and empirically based psychotherapy, the aim of which is to resolve emotional and behavioral prob ...
(REBT), which was developed by psychologist
Albert Ellis Albert Ellis (September 27, 1913 – July 24, 2007) was an American psychologist and psychotherapist who founded rational emotive behavior therapy (REBT). He held MA and PhD degrees in clinical psychology from Columbia University, and was certi ...
. However, there have been no independent, controlled studies to measure its therapeutic value or advantages over classical REBT.


Comparison to REBT

According to the theory of LBT, people decide to make themselves upset emotionally and behaviorally by deducing self-defeating emotional and behavioral conclusions from irrational premises. LBT retains the theoretical base of the cognitive-behavioral psychotherapies, insofar as it contends emotional and behavioral problems to be rooted in malignant and maladaptive thought processes and patterns. LBT considers itself not only a type of philosophical counseling, but a form of cognitive-behavioral therapy. At the same time, LBT remains firmly planted in philosophy by way of the use of
formal logic Logic is the study of correct reasoning. It includes both formal and informal logic. Formal logic is the science of deductively valid inferences or of logical truths. It is a formal science investigating how conclusions follow from premis ...
,
informal logic Informal logic encompasses the principles of logic and logical thought outside of a formal setting (characterized by the usage of particular statements). However, the precise definition of "informal logic" is a matter of some dispute. Ralph H. ...
, phenomenological
intentionality ''Intentionality'' is the power of minds to be about something: to represent or to stand for things, properties and states of affairs. Intentionality is primarily ascribed to mental states, like perceptions, beliefs or desires, which is why it ha ...
, and philosophical antidotes in conceptualizing and treating
mental disorder A mental disorder, also referred to as a mental illness or psychiatric disorder, is a behavioral or mental pattern that causes significant distress or impairment of personal functioning. Such features may be persistent, relapsing and remitti ...
s and psychosocial difficulties. According to classical REBT, there are three psychological points: * Point A (Activating event) * Point B (Belief system) * Point C (behavioral and emotional Consequence) Ellis argued that the Activating event itself (A) does not cause people to be upset (C); they require also a set of Beliefs that, in conjunction with the event, can contribute to a self-defeating behavioral and emotional Consequence. For example, it is not only the divorce (A) that causes depression (C), but also the belief that this event is awful and the worst thing that could have happened (B). Thus, according to Ellis, by finding the particular Activating event and Belief, one can find out what is causing one's depression (C). Clients can then work on changing their Belief system and their behavior to overcome the depression (C). LBT recasts REBT's A-B-C model of psychological disturbance into
syllogistic logic A syllogism ( grc-gre, συλλογισμός, ''syllogismos'', 'conclusion, inference') is a kind of logical argument that applies deductive reasoning to arrive at a conclusion based on two propositions that are asserted or assumed to be true. ...
. According to its logic-based approach, the causal model Ellis advanced is not accurate. The depression is not caused by events that occur inside (Point B) and outside (Point A) one's subjective world. Instead, one becomes depressed by deducing a conclusion from a set of premises. For example, one may become depressed by setting up this syllogism: # If I was divorced, then what happened to me is so terrible that I might as well be dead. # I was divorced. # So, what happened to me is so terrible that I might as well be dead.


Practical syllogistic ratings

A
syllogism A syllogism ( grc-gre, συλλογισμός, ''syllogismos'', 'conclusion, inference') is a kind of logical argument that applies deductive reasoning to arrive at a conclusion based on two propositions that are asserted or assumed to be true. ...
is a
deductive Deductive reasoning is the mental process of drawing deductive inferences. An inference is deductively valid if its conclusion follows logically from its premises, i.e. if it is impossible for the premises to be true and the conclusion to be false ...
form of reasoning having two premises and a conclusion. The idea that the reasoning behind our
emotions Emotions are mental states brought on by neurophysiological changes, variously associated with thoughts, feelings, behavioral responses, and a degree of pleasure or displeasure. There is currently no scientific consensus on a definition. ...
and behavior can be so ordered in terms of a syllogism was in fact an insight of Aristotle, who called this kind of syllogism a " practical syllogism." The distinction is that the conclusion evaluates or rates the thing in question instead of merely describing it. For example, in concluding that something is terrible, a person is negatively rating it, and therefore will act or tend to act and feel negatively toward it. In fact, Aristotle went so far as to claim that the conclusion of a practical syllogism was always an action. According to LBT, by syllogizing one's behavioral and
emotional reasoning Emotional reasoning is a cognitive process by which an individual concludes that their emotional reaction proves something is true, despite contrary empirical evidence. Emotional reasoning creates an 'emotional truth', which may be in direct co ...
in terms of the practical syllogism, one is in a better position to find one's irrational premises, refute them, and replace the unsound reasoning with sound "antidotal" reasoning. For example, the first premise in the above syllogism is irrational because one is exaggerating just how bad the divorce is (thinking of it as though it were on the level of a catastrophic disease or natural disaster). LBT also accepts the phenomenological thesis that every mental state, including emotions, has a so-called "intentional object" or "
object of the mind An object of the mind is an object that exists in the imagination, but which, in the real world, can only be represented or modeled. Some such objects are abstractions, literary concepts, or fictional scenarios. Closely related are intentional o ...
." That is, there is always an object to which a mental state refers or is about. Thus, if one is depressed, then one is depressed ''about'' something. This intentional object is represented in the descriptive minor premise of the emotional reasoning, for example, the premise "I was divorced" in the aforementioned syllogism. In addition, the syllogisms comprising emotional reasoning always rate the emotional object or some aspect of it. For example, in the aforementioned syllogism, one rates one's divorce as being "terrible". This rating element is represented in the consequent (then clause) of the major premise of the syllogism, as in the premise "If I was divorced, then what happened to me is so terrible that I might as well be dead." Accordingly, the syllogism comprising one's emotional reasoning can be constructed by first finding the intentional object (O) of one's emotion; and second, by finding the rating (R) of the emotion. As such, the valid, hypothetical structure of a syllogism comprising one's emotional reasoning can be symbolized as follows: # If O then R # O # Therefore R Further, according to LBT, all emotions can be uniquely identified by their intentional object (O) and rating (R) elements. For example, the intentional object of anger is always an action; and the rating is a strong negative evaluation of the action itself or the agent of the action. In depression, the intentional object is an event or state of affairs; and the rating is a strong negative evaluation on the basis of which one strongly negatively rates one's own existence. Thus, one may rate one's divorce as terrible, on the basis of which one gives one's own existence a strong negative evaluation.


Higher order premises

LBT permits clients to trace their inferences to higher order premises that might be at the root of an emotional and behavioral disturbance. For example, by questioning why having been divorced is so bad, another higher level syllogism can be uncovered: # If I was divorced, then that makes me a worthless loser. # If that makes me a worthless loser then what happened to me is so terrible that I might as well be dead. # So, if I was divorced, what happened to me is so terrible that I might as well be dead. Even higher order premises at the root of the behavioral and emotional disturbance can be uncovered, for example, by asking why being divorced makes one a worthless loser. For example, this higher order syllogism might be uncovered: # I must always be perfect and never fail at anything. # If I must always be perfect and never fail at anything, then if I was divorced, that makes me a worthless loser. # So, if I was a divorced then that makes me a worthless loser. In this way, the depression can be traced back to a demand for perfection from which a person is deducing their own worthlessness, from which they are in turn deducing the horribleness of what happened.


Comparison to psychotherapy

While LBT is a form of philosophical counseling, since it addresses client's emotional problems and provides systematic ways of resolving them, it can also be considered a form of
psychotherapy Psychotherapy (also psychological therapy, talk therapy, or talking therapy) is the use of psychological methods, particularly when based on regular personal interaction, to help a person change behavior, increase happiness, and overcome pro ...
. More specifically, because of its focus on the client's cognitions and behaviors in relation to emotional functioning and relationship with REBT, it is also a type of cognitive behavior therapy (CBT). However, LBT differentiates itself from some other forms of CBT by emphasizing how premises about emotions are deduced and inferred from experiences in the world: LBT suggests that all emotional responses have a logical structure to them. The fact that emotions contain logical structures which can be subject to investigation and revision was also supported in the philosopher
Robert C. Solomon Robert C. Solomon (September 14, 1942 – January 2, 2007) was a philosopher and business ethicist, notable author, and "Distinguished Teaching Professor of Business and Philosophy" at the University of Texas at Austin, where he held a named ...
's cognitivist theory of emotions. LBT further differs from other forms of psychotherapy. For example,
psychoanalytic PsychoanalysisFrom Greek: + . is a set of theories and therapeutic techniques"What is psychoanalysis? Of course, one is supposed to answer that it is many things — a theory, a research method, a therapy, a body of knowledge. In what might be ...
or psychodynamic traditions will look for the underlying causes of emotional problems. These approaches will explore the client's early relationships with significant others (e.g., parental figures) and their effect on current relationships and resultant emotional and behavioral disturbances. Interpretation is utilized to provide the client with insights into their psychic organization. In contrast (but like other types of CBT), LBT does not place any particular emphasis on past relationships or the causes of problems and is even less concerned with interpretation. Instead, LBT remains philosophical insofar as it examines reasoning and logical structures created by client. The emphasis is not on the "why" of a problem, but on the "how"; that is, how the person deduces their emotional position and ways in which to alter it for more adaptive thinking and functioning.


LBT's positive psychology

In contrast to classical REBT, LBT identifies positive
virtue Virtue ( la, virtus) is moral excellence. A virtue is a trait or quality that is deemed to be morally good and thus is valued as a foundation of principle and good moral being. In other words, it is a behavior that shows high moral standard ...
s that can guide a person in overcoming irrational beliefs. According to LBT, all basic irrational beliefs ("cardinal fallacies") identified by REBT theorists and philosophers are related to "transcendent virtues" that can overcome them. LBT thereby includes a "
positive psychology Positive psychology is the scientific study of what makes life most worth living, focusing on both individual and societal well-being. It studies "positive subjective experience, positive individual traits, and positive institutions...it aims t ...
" in addition to the classical REBT emphasis on refuting irrational beliefs. As a philosophical counseling approach, LBT also applies philosophical antidotes derived from the philosophies of antiquity to help clients strive toward their transcendent virtues. For example, the
Kantian Kantianism is the philosophy of Immanuel Kant, a German philosopher born in Königsberg, Prussia (now Kaliningrad, Russia). The term ''Kantianism'' or ''Kantian'' is sometimes also used to describe contemporary positions in philosophy of mind, ...
categorical imperative The categorical imperative (german: kategorischer Imperativ) is the central philosophical concept in the deontological moral philosophy of Immanuel Kant. Introduced in Kant's 1785 ''Groundwork of the Metaphysic of Morals'', it is a way of evalu ...
that says to "treat oneself and others as ends in themselves and not as mere means" can be used as an antidote to damnation of self or others, and thus as a sort of recipe to attaining the transcendent virtue of respect for self and others. Similarly,
Frederich Nietzsche Friedrich Wilhelm Nietzsche (; or ; 15 October 1844 – 25 August 1900) was a German philosopher, prose poet, cultural critic, philologist, and composer whose work has exerted a profound influence on contemporary philosophy. He began his care ...
's theory about human suffering, which says that suffering can make one stronger and nobler, can be used as an antidote to catastrophic thinking ("Awfulizing") about personal loss, thereby building courage in confronting the loss and using it to create new positive meanings and values in one's existence. The following chart displays each such irrational belief and its respective trumping virtue:


Cultivation of willpower

LBT also emphasizes willpower in changing and redirecting beliefs and actions. While it makes no commitment to the existence of
free will Free will is the capacity of agents to choose between different possible courses of action unimpeded. Free will is closely linked to the concepts of moral responsibility, praise, culpability, sin, and other judgements which apply only to actio ...
in any metaphysical sense, it recognizes the practical value of building "willpower muscle" as a means to overcome
cognitive dissonance In the field of psychology, cognitive dissonance is the perception of contradictory information, and the mental toll of it. Relevant items of information include a person's actions, feelings, ideas, beliefs, values, and things in the environment. ...
and attain one's transcendent virtues. LBT emphasizes and promotes the power that one has to change the way in which an event or situation is interpreted by altering one's thought patterns. LBT's emphasis on the "willpower muscle" suggests the ability of agency and choice in regard to therapeutic change. Based upon the rejection of a
deterministic Determinism is a philosophical view, where all events are determined completely by previously existing causes. Deterministic theories throughout the history of philosophy have developed from diverse and sometimes overlapping motives and consi ...
causative framework in favor of a nondeterministic perspective, LBT maintains compatibility with
existentialism Existentialism ( ) is a form of philosophical inquiry that explores the problem of human existence and centers on human thinking, feeling, and acting. Existentialist thinkers frequently explore issues related to the meaning, purpose, and valu ...
and
existential psychotherapy Existential psychotherapy is a form of psychotherapy based on the model of human nature and experience developed by the existential tradition of European philosophy. It focuses on concepts that are universally applicable to human existence inclu ...
. This position of choice is central to existentialist philosopher
Jean-Paul Sartre Jean-Paul Charles Aymard Sartre (, ; ; 21 June 1905 – 15 April 1980) was one of the key figures in the philosophy of existentialism (and phenomenology), a French playwright, novelist, screenwriter, political activist, biographer, and litera ...
's thinking on human freedom and responsibility, which is one of existential psychotherapist Irvin Yalom's "existential givens". Here, clients are encouraged to confront their inherent freedom by way of choosing how to interpret situations. As philosopher
Martin Heidegger Martin Heidegger (; ; 26 September 188926 May 1976) was a German philosopher who is best known for contributions to phenomenology, hermeneutics, and existentialism. He is among the most important and influential philosophers of the 20th centur ...
and others have suggested, clients can become a "master over moods" by taking responsibility for their moods and emotions and subsequently revising them. Furthermore, this can lead to different ways of thinking about and experiencing the world with the accompanied creation of new meanings in life.


Criticisms and limitations

LBT emphasizes the client's use of deductive logic in their emotional reasoning, which places focus on the cognitive aspect of emotion. As such, it ignores the importance of physiological states and bodily sensations to emotional life, and might be an overly cognitive approach and a way to "control" emotions. However, LBT contends that it is the entire experience that contributes to the person's emotional reasoning. This includes the experienced event, any thoughts or beliefs related to the event as well as physiological reactions. Although an activating event, such as a divorce or loss of a job, objectively is not on the same level as a catastrophic event, rushing to the conclusion that it is irrational for the client to think that way is potentially invalidating the intensity of the client's subjective emotional experience. Regardless, empathic understanding and the building of therapeutic rapport is an important component to all psychotherapies and counseling methods and is no less important in LBT. With a LBT counselor's knowledge of deductive logic, a power differential may be created between the counselor and the client. This could result in the client seeking the "correct" way of deducing premises and develop an overreliance on the LBT counselor. However, the goal is to create more flexible and open ways of interpreting the world and extinguish "absolutist" thinking or unrealistic expectations as a result of a collaborative
therapeutic relationship The therapeutic relationship refers to the relationship between a healthcare professional and a client or patient. It is the means by which a therapist and a client hope to engage with each other and effect beneficial change in the client. In psyc ...
. However, understanding and changing one's inferences and logical structures requires a certain level of intellectual ability, and consequently, may limit the application. While LBT may be conceptually sound and have firm theoretical roots, much of psychotherapy and counseling research emphasizes the importance of
evidence-based practice Evidence-based practice (EBP) is the idea that occupational practices ought to be based on scientific evidence. While seemingly obviously desirable, the proposal has been controversial, with some arguing that results may not specialize to indiv ...
, that is, interventions and therapeutic approaches that have scientific evidence for their efficacy. Given this, to establish LBT's efficacy and effectiveness empirical validation must occur through psychotherapy research methodology if it is to be considered valid by the psychotherapeutic or counseling communities. Although no such evidence is available, anecdotal evidence for LBT's effectiveness as well as its close relationship with CBT presents it as a possible therapeutic modality.


See also

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Argumentation theory Argumentation theory, or argumentation, is the interdisciplinary study of how conclusions can be supported or undermined by premises through logical reasoning. With historical origins in logic, dialectic, and rhetoric, argumentation theory, includ ...
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Critical thinking Critical thinking is the analysis of available facts, evidence, observations, and arguments to form a judgement. The subject is complex; several different definitions exist, which generally include the rational, skeptical, and unbiased analysis ...
*
Dysrationalia Dysrationalia is defined as the inability to think and behave rationally despite adequate intelligence. It is a concept in educational psychology and is not a clinical disorder such as a thought disorder. Dysrationalia can be a resource to help ex ...
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Epistemic virtue The epistemic virtues, as identified by virtue epistemologists, reflect their contention that belief is an ethical process, and thus susceptible to the intellectual virtue or vice of one's own life and personal experiences. Some epistemic virtues h ...
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Intellectual virtue Intellectual virtues are qualities of mind and character that promote intellectual flourishing, critical thinking, and the pursuit of truth. They include: intellectual responsibility, perseverance, open-mindedness, empathy, integrity, intellect ...
*
List of cognitive biases Cognitive biases are systematic patterns of deviation from norm and/or rationality in judgment. They are often studied in psychology, sociology and behavioral economics. Although the reality of most of these biases is confirmed by reproducible ...
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List of fallacies A fallacy is reasoning that is logically invalid, or that undermines the logical validity of an argument. All forms of human communication can contain fallacies. Because of their variety, fallacies are challenging to classify. They can be classif ...
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List of maladaptive schemas This is a list of maladaptive schemas, often called ''early maladaptive schemas'', in schema therapy, a theory and method of psychotherapy. An early maladaptive schema The word schema comes from the Greek word ('), which means ''shape'', or mor ...
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List of memory biases Cognitive biases are systematic patterns of deviation from norm and/or rationality in judgment. They are often studied in psychology, sociology and behavioral economics. Although the reality of most of these biases is confirmed by reproducible re ...
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Motivated reasoning Motivated reasoning is the phenomenon in cognitive science and social psychology in which emotional biases lead to justifications or decisions based on their desirability rather than an accurate reflection of the evidence. It is the "tendency to ...
*


References


External links


Elliot D. Cohen, "The Metaphysics of Logic-Based Therapy"

Samuel Zinaich, "Elliot D. Cohen on the Metaphysics of Logic-Based Therapy"

Bruce W. Fraser, "Myth, Metaphor, and Logic-Based Therapy"



Sarah Waller, "How Does Philosophical Counseling Work? Judgment and Interpretation"

William Angelett, "Rationality, Emotion, and Belief Revision: Waller's Move Beyond CBT & REBT"
{{Cognitive behavioral therapy Philosophical counseling Cognitive therapy