The Rationality of Psychological Disorders

Rofé, Yacov

doi:10.1007/978-1-4615-4333-6

Cited by 5 publications

(16 citation statements)

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“…Freud assumed the existence of an autonomous, unconscious entity that supposedly had the omnipotent ability to control the patient's daily functions. In contrast, RCTN claims that patients become unaware of their deliberate adaption and maintenance of their mad behaviors, both in neuroses and psychoses, as a result of a complex self-deceptive process (Rofé, 2000(Rofé, , 2010(Rofé, , 2016Rofé & Rofé, 2013).…”

Section: Discussionmentioning

confidence: 99%

“…As noted previously, there is a unanimous agreement among researchers that a diagnostic approach guided by a theory, as suggested by RCTN, which already proved its ability to integrate research and clinical data pertaining to neurosis and psychosis (Rofé, 2000(Rofé, , 2010(Rofé, , 2016Rofé & Rofé, 2013), is preferable over atheoretical, arbitrary diagnostic approaches as proposed by the DSM.…”

Section: Discussionmentioning

confidence: 99%

“…It seems that a new theory, termed the Rational-Choice Theory of Neurosis (RCTN), that already proved its ability to integrate research and clinical data pertaining to treatment of neurotic disorders (Rofé, 2000(Rofé, , 2010, conversion disorder (Rofé & Rofé, 2013) and panic disorder, agoraphobia and other forms of bizarre phobia (Rofé & Rofé, 2015), is the right candidate to meet this goal.…”

Section: Shortcomings Of Dsm's False Diagnostic Approachmentioning

confidence: 99%

“…This suggestion, however, has met serious criticism (e.g., see Clark, 1988;McNally, 1990;Rachman, 1990;Rofé, 2000Rofé, , 2015, such as the fact that hyperventilation, characterized by intense physiological sensations, does not invariably lead to a panic attack among panic disorder patients (e.g., see Gorman et al, 1994;Nardi et al, 2004;Sanderson & Beck, 1989). Similarly, only a minority of asthmatic patients develops panic disorder (Katon, Richardson, Lozano, & McCauley, 2004;Shavitt, Gentil, & Mandetta, 1992;Yellowlees & Kalucy, 1990), despite their frequent exposure to such intense bodily sensations.…”

Section: Research Literaturementioning

confidence: 99%

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Which Diagnostic Approach Is More Valid? The DSM or the Rational-Choice Theory of Neurosis

Rofé¹

2016

IJPS

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Shortcomings Of Dsm's False Diagnostic Approachmentioning

confidence: 99%

Section: Research Literaturementioning

confidence: 99%

See 2 more Smart Citations

Which Diagnostic Approach Is More Valid? The DSM or the Rational-Choice Theory of Neurosis

Rofé¹

2016

IJPS

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“…The Rational-Choice Theory of Neurosis (RCTN) (Rofé, 2010;Rofé, & Rofé, 2013), is a revised version of Psycho-bizarreness Theory, presented in a book entitled The Rationality of Psychological Disorders (Rofé, 2000;Lester, 2002, Sarma, & Garfield, 2001. The basic assumption of this theory is that individuals are likely to adopt neurotic disorders, such as panic disorder, agoraphobia, OCD and conversion disorder, when confronted with an intolerable level of stress and other options, such as suicide, drug abuse, and antisocial behaviors, are unavailable or too costly.…”

Section: The Rational-choice Theory Of Neurosismentioning

confidence: 99%

Fear and Phobia: A Critical Review and the Rational-Choice Theory of Neurosis

Rofé¹,

Rofé²

2015

IJPS

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This article reviews the empirical status of theories of fear and phobia. Psychoanalysis received little support, as findings tend to refute its basic assumption that phobia results from repressed material. Although conditioning has its weaknesses, it appears to be the strongest explanation of simple phobia. Findings raise question as to whether interoceptive conditioning can account for the development of panic disorder and agoraphobia, as these disorders develop in the absence of environmental conditioning events. A significant body of research supports Clark's claim that catastrophic misinterpretation of bodily sensations are involved in both the development and treatment of panic disorder and agoraphobia. However, the causal relationship between the two remains unclear. Likewise, while biological factors certainly increase the vulnerability to developing fear and phobia, findings have not yet confirmed that these behaviors are controlled by biological mechanisms. A new theory, the Rational-Choice Theory of Neurosis (Rofé, 2010;Y. Rofé & Rofé, 2013), which preserves the psychoanalytic claim that bizarre phobias need to be explained within a theory that accounts for neuroses by one set of theoretical concepts, was used to resolve the theoretical confusion in this field.

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The rational-choice theory of neurosis: Unawareness and an integrative therapeutic approach.

Rofé¹

2010

Journal of Psychotherapy Integration

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In agreement with Freud (1915aFreud ( , 1915b, patients' unawareness regarding the underlying causes of their behavior seems to be the key to understanding the development and treatment of neurotic disorders. However, Freud's concepts of the unconscious and repression have encountered serious problems that do not allow for their maintenance (see review by Rofe ´, 2008). An additional issue concerns the fact that none of the available theories can integrate the therapeutic effects of various interventions under a single theoretical framework. Both of these issues are addressed in this article by the rational-choice theory of neurosis (RCTN). RCTN maintains that patients consciously and deliberately adopt neurotic disorders when confronted with intolerable levels of stress. Unawareness is created through sophisticated cognitive processes, by which patients forget their own self-involvement. Subsequently, patients develop a self-deceptive belief that rationalizes the neurotic behavior, thereby preserving unawareness. According to this new theory, all therapies exert their effect either by disrupting patients' ability to preserve unawareness, increasing the cost of the symptom, decreasing the patient's emotional distress, or eliminating the stressor.

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The Rationality of Psychological Disorders

Cited by 5 publications

References 0 publications

Which Diagnostic Approach Is More Valid? The DSM or the Rational-Choice Theory of Neurosis

Which Diagnostic Approach Is More Valid? The DSM or the Rational-Choice Theory of Neurosis

Fear and Phobia: A Critical Review and the Rational-Choice Theory of Neurosis

The rational-choice theory of neurosis: Unawareness and an integrative therapeutic approach.

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