Excerpt about James Stockdale from The Philosophy of Cognitive-Behavioural Therapy (CBT)

This article contains a brief excerpt about James Stockdale from the forthcoming book by Donald Robertson, The Philosophy of Cognitive-Behavioural Therapy: Stoic Philosophy as Rational and Cognitive Psychotherapy (Karnac).

The Philosophy of Cognitive-Behavioural Therapy

Stoic Philosophy as Rational and Cognitive Psychotherapy

Copyright (c) Donald Robertson, 2010. All rights reserved.

“Donald Robertson has uncovered a wealth of connections between modern cognitive behavoural therapies and ancient Stoic philosophy. This book should be read by anyone interested in understanding the historical roots of CBT or in learning about how ancient psychotherapeutic methods can add to the modern therapist’s toolkit.”
– Tim LeBon, UKCP registed psychotherapist and author of Wise Therapy

(This is a brief excerpt from my new book, The Philosophy of Cognitive-Behavioural Therapy: Stoic Philosophy as Rational and Cognitive Psychotherapy, published by Karnac and available for order online now.)

James Bond Stockdale

Donald Robertson

According to James Stockdale, the English philosopher Alfred North Whitehead once said that if Plato were to return to life today, he would first ask to be introduced not to an academic, but to a boxing champion (Stockdale, 1995, p. 17). If the Stoic philosopher Epictetus were alive in modern times, the first person he would want to be introduced to would probably be Stockdale himself.

On September 9, 1965, I flew at 500 knots right into a flak trap, at tree-top level, in a little A-4 airplane – the cockpit walls not even three feet apart – which I couldn’t steer after it was on fire, its control system shot out. After ejection I had about thirty seconds to make my last statement in freedom before I landed in the main street of a little [North Vietnamese] village right ahead. And so help me, I whispered to myself: “Five years down there [in captivity], at least. I’m leaving the world of technology and entering the world of Epictetus.” (Stockdale, 1995, p. 189)

At the outbreak of US involvement in the Vietnam War, James Stockdale (1923-2005) was captured by a mob of fifteen villagers who beat him to within an inch of his life, snapping his leg, and leaving him permanently crippled. The irony, not lost on Stockdale, was that he had lost the use of his left leg, just like the crippled slave, Epictetus, whose ancient Handbook (Enchiridion) of Stoic philosophy he had previously devoured after studying philosophy as a masters student at Stanford University.

Stockdale was taken prisoner by the North Vietnamese and incarcerated in Hanoi where, as the highest-ranking US naval officer, the only wing commander to survive an ejection over enemy territory, he assumed charge of a community of captured soldiers which, at its largest, numbered in excess of 400 men. Stockdale said he never actually saw a Vietnamese POW camp as portrayed in the movies. He was imprisoned in an old French colonial “dungeon” which formed part of a large communist prison called Hao Lo, or the “Hanoi Hilton”, described as part psychiatric clinic, part reform school. The Americans, kept alongside Vietnamese criminals, were subjected to a constant programme of attempted psychological reprogramming by professional torturers and prison officers. During that time, as a prisoner of war, for seven and a half years, Stockdale spent four years in isolation, two years in leg irons, and was tortured fifteen times, in a manner (“taking the ropes”) not unlike crucifixion.

And if I were asked, “What are the benefits of a Stoic life?” I would probably say, “It is an ancient and honorable package of advice on how to stay out of the clutches of those who are trying to get you on the hook, trying to give you a feeling of obligation, trying to get moral leverage on you, to force you to bend to their will.” Because I first reaped its benefits in an extortionist prison of torture, I could go on and say, “It’s a formula for maintaining self-respect and dignity in defiance of those who would break your spirit for their own end.” (Stockdale, 1995, p. 177)

Stockdale’s experience obviously bears comparison with the better-known story of Victor Frankl, a Jewish psychiatrist who was incarcerated in Auschwitz concentration camp during the Second World War, and published his bestselling self-help book Man’s Search for Meaning, after his release (Frankl, 1959). However, although both men arrived at similar conclusions regarding their plight, Stockdale was already aware of Stoic philosophy before being captured and therefore made explicit use of it in coping with his extreme circumstances.

Throughout his time in captivity, Stockdale drew upon the Stoic philosophy he had learned, which suddenly appeared to him to be of more value than anything else he could imagine. He called the many portions of Epictetus’ Handbook which he had learned by heart and memorised his “consolation” and “secret weapon” during captivity.

I’m not the only prisoner who discovered that so-called practical academic exercises on “how to do things” were useless in that fix. The classics have a way of saving you the trouble of prolonged experiences. You don’t have to go out and buy pop psychology self-help books. When you read the classics in the humanities, you become aware that the big ideas have been around a long time, despite the fact that they are often served up today in modern psychological “explanations” of human action as novel and “scientific.” (Stockdale, 1995, p. 24)

On his release, Stockdale became a well-known military hero, even campaigning as a vice-presidential candidate, supporting the independent Ross Perot, in a US election. He was one of the most highly-decorated officers in US Naval history and spent his later years lecturing on the relevance of Stoic philosophy to modern military life. A collection of his talks and essays was published in his book, Thoughts of a Philosophical Fighter Pilot (1995). It’s surprising that more frequent reference is not made to Stockdale’s story by cognitive-behavioural therapists, who claim to derive their inspiration from the same philosophical source, ancient Stoicism. I hope this short digression helps to illustrate how Stoic philosophy, like Frankl’s existential psychotherapy, has been applied even to the most extraordinary psychological challenges imaginable in the modern world.

(This is a brief excerpt from my new book, The Philosophy of Cognitive-Behavioural Therapy: Stoic Philosophy as Rational and Cognitive Psychotherapy, published by Karnac and available for order online now.)

New Book: The Philosophy of Cognitive-Behavioural Therapy (2010) by Donald Robertson

This post announces the new book by Donald Robertson, The Philosophy of Cognitive-Behavioural Therapy (CBT): Stoic Philosophy as Rational and Cognitive Psychotherapy. Links are provided to the publisher’s website and to Google Books and Amazon where sample preview chapters can be browsed free-of-charge online.

The Philosophy of Cognitive-Behavioural Therapy

Stoic Philosophy as Rational and Cognitive Psychotherapy

Donald Robertson

Publisher: Karnac Books (Aug 2010)
ISBN-10: 1855757567 / ISBN-13: 978-1855757561

The Philosophy of Cognitive-Behavioural Therapy
The Philosophy of CBT

The Philosophy of Cognitive-Behavioural Therapy: Stoic Philosophy as Rational and Cognitive Psychotherapy, published by Karnac and available for pre-order online now.

You can also now order The Philosophy of Cognitive-Behavioural Therapy from Amazon, where you may preview a sample of the contents online free of charge. See Donald’s author page on Amazon UK for additional publications.

You can now browse sample chapters from The Philosophy of CBT on Google Books free-of-charge.

Synopsis:

Why should modern psychotherapists be interested in philosophy, especially ancient philosophy? Why should philosophers be interested in psychotherapy? There is a sense of mutual attraction between what are today two thoroughly distinct disciplines. However, arguably it was not always the case that they were distinct.

Donald Robertson takes the view that by reconsidering the generally received wisdom concerning the history of these closely-related subjects, we can learn a great deal about both philosophy and psychotherapy, under which heading he includes potentially solitary pursuits such as “self-help” and “personal development”.

Testimonials:

Here are a selection of comments about The Philosophy of CBT from other therapy and philosophy authors:

[F]or many of us something is missing from most of the [CBT] literature. What has been needed is a book that covers the underlying philosophy of the cognitive behavioural therapies in much greater depth. This book on the Philosophy of Cognitive-Behavioural Therapy by Donald Robertson provides us with the missing link between the theory and the philosophy. […] It is a fascinating read. The Philosophy of Cognitive-Behavioural Therapy could be considered as either a prequel or a sequel to the standard textbook read by a trainee or experienced cognitive behavioural or rational emotive practitioner who wants to understand these approaches to therapy within an historical framework.
— From the Foreword by Professor Stephen Palmer PhD FAREBT FBACP, Director of the Centre for Stress Management, London, UK

This book is a fascinating interweaving of Stoic philosophy and contemporary cognitive-behavioural therapy (CBT). Robertson rightly reminds us of how much CBT owes its philosophical origins to the Stoics but, sadly, how often this debt is insufficiently acknowledged. He urges us to redirect our attention to the past to see how modern CBT still has much to learn from its ancient precursors. Highly recommended.
— Michael Neenan, Co-Director of the CBT Programme, Centre for Stress Management, Bromley, Kent, UK

The author has uncovered a wealth of connections between modern cognitive-behavioural therapies and ancient Stoic philosophy. It should be read by anyone interested in understanding the historical roots of CBT or in learning about how ancient psychotherapeutic methods can add to the modern therapist’s toolkit.
— Tim LeBon, UKCP registered psychotherapist and author of Wise Therapy

Donald Robertson is blazing a trail to discover the sources of cognitive-behavioural therapy, and Stoic philosophy is prime among these. A fascinating work that should be compulsory reading for all practitioners in the field and interested lay people, providing insights into how ancient philosophy can give us the coping and life success strategies we are all looking for, both as professionals and in private life. A great read!
— Tom Butler-Bowdon, author of 50 Self-Help Classics and 50 Psychology Classics

Excerpt: On Autosuggestion from The Philosophy of CBT

This is a brief excerpt from the new book, The Philosophy of Cognitive-Behavioural Therapy (CBT), which describes the relationship between Émile Coué’s method of “conscious autosuggestion” and the maxims of ancient philosophical traditions.

The Philosophy of Cognitive-Behavioural Therapy (CBT)

Émile Coué, Autosuggestion, and Ancient Philosophy

Copyright (c) Donald Robertson, 2010. All rights reserved.


This is a brief excerpt from my new book, The Philosophy of Cognitive-Behavioural Therapy: Stoic Philosophy as Rational and Cognitive Psychotherapy, published by Karnac and available for order online now. You can also now order The Philosophy of Cognitive-Behavioural Therapy from Amazon, where you may preview a sample of the contents online free of charge.


When the French pharmacist Émile Coué (1857-1926) was 28 years old he met one of the pioneers of hypnotherapy, a country doctor named Ambroise-Auguste Liébault (1823-1904), and assisted him for about two years in his hypnotic clinic at Nancy. However, by 1910 Coué had abandoned classical hypnotism in favour of his technique of “conscious autosuggestion”, in which subjects are taught how to use suggestion and imagination for themselves, without the use of a formal hypnotic induction. At this point Coué founded a movement he termed the “New Nancy School”, in reference to the Nancy School of hypnosis founded by Liébault, who had passed away a few years earlier. Coué became one of the most influential “self-help” gurus of the twentieth century, touring America with his public seminars and attracting an international following during the period when Paul Dubois’ theories were still popular among psychotherapists.

Strikingly, Coué wrote, ‘Pythagoras and Aristotle taught autosuggestion’(Coué, 1923, p. 3). Though his justification for this conclusion seems somewhat unclear, he could probably have found more material to explain and support it.

We know, indeed, that the whole human organism is governed by the nervous system, the centre of which is the brain – the seat of thought. In other words, the brain, or mind, controls every cell, every organ, every function of the body. That being so, is it not clear that by means of thought we are the absolute masters of our physical organism and that, as the Ancients showed centuries ago, thought – or suggestion – can and does produce disease or cure it? Pythagoras taught the principle of auto-suggestion to his disciples. He wrote: “God the Father, deliver them from their sufferings, and show them what supernatural power is at their call.” (Coué, 1923, pp. 3-4)

The practice of repeating aphorisms, short verbal “formulas”, seems to have been associated with the ancient mystery religions and oracles, and the philosophical-therapeutic sect of Pythagoras which evolved from them.

The Ancients well knew the power – often the terrible power – contained in the repetition of a phrase of formula. The secret of the undeniable influence they exercised through the old Oracles resided probably, nay, certainly, in the force of suggestion. (Coué, 1923, p. 27)

The most famous formulae associated with the Delphic Oracle of Apollo, the patron god of philosophy, were “Know thyself” and “Nothing in excess.” The Pythagoreans compiled lists of such aphorisms, which acquired cryptic symbolic meanings, and were referred to as akousmata, the “things listened to”, and symbola, the “symbols” or “watchwords.” For example, according to Porphry, the precept “poke not the fire with a sword” was a reminder that one should not further provoke an angry person by attacking them with verbal criticisms; “eat not the heart”, meant that one should not wallow in morbid emotions (Porphyry, 1988, p. 131). These Pythagorean sayings, and those derived from the Greek Oracles, may well be the precursors of the Stoic precepts (dogmata) which, as we shall see, appear to have performed a similar function.


This is a brief excerpt from my new book, The Philosophy of Cognitive-Behavioural Therapy: Stoic Philosophy as Rational and Cognitive Psychotherapy, published by Karnac and available for order online now. You can also now order The Philosophy of Cognitive-Behavioural Therapy from Amazon, where you may preview a sample of the contents online free of charge.

Marcus Aurelius on Anger and Empathy

This is a brief quotation from Marcus Aurelius’ Stoic Meditations, concerning the Stoic practice of overcoming anger and cultivating empathy.

Marcus Aurelius on Stoic Empathy

Marcus Aurelius(Excerpt from Marcus Aurelius, The Meditations, Book 11 §18)


This is a brief excerpt from my forthcoming book, The Philosophy of Cognitive-Behavioural Therapy: Stoic Philosophy as Rational and Cognitive Psychotherapy, published by Karnac and available for pre-order online now. You can also now order The Philosophy of Cognitive-Behavioural Therapy from Amazon, where you may preview a sample of the contents online free of charge.


Marcus Aurelius on Stoic Empathy

When offended by other people’s actions,

  1. Remember the close bond between yourself and the rest of mankind…
  2. Think of the characters of those who offend you at the table, in their beds, and so on. In particular, remember the effect their negative way of thinking has on them, and the misplaced confidence it gives them in their actions.
  3. If what they’re doing is right, you’ve no reason to complain; and if it’s not right, then it must have been involuntary and unintentional. Because just as “no-one ever deliberately denies the truth,” according to Socrates, so nobody ever intentionally treats another person badly. That’s why these negative people are themselves insulted if anyone accuses them of injustice, ingratitude, meanness, or any other sort of offence against their neighbours -they just don’t realise they’re doing wrong.
  4. You yourself, are no different from them, and upset people in various ways. You might avoid making some mistakes, but the thought and inclination is still there, even if cowardice or egotism or some other negative motive has held you back you from copying their mistakes.
  5. Remember, you’ve got no guarantee they’re doing the wrong thing anyway, people’s motives aren’t always what they seem. There’s usually a lot to learn before any sure-footed moral judgements can be made about other people’s actions.
  6. Tell yourself, when you feel upset and fed up, that human life is transient and only lasts a moment; it won’t be long before we’ll all have been laid to rest.
  7. It’s not the actions of these men that upsets us that’s their own problem but the colour we put on them ourselves. Get rid of this, make a decision to quit thinking of things as insulting, and your anger immediately disappears. How do you get rid of these thoughts? By realising that you’ve not really been harmed by their actions. Moreover, unless genuine harm to your soul is all that worries you, you’ll wind up being guilty of all sorts of offences against other people yourself.
  8. Anger and frustration hurt us more than the things we’re annoyed about hurt us.
  9. Kindness is an irresistible force, so long as it’s genuine and without any fake smiles or two-facedness. Even the most stubborn bad attitude is nothing, if you just keep being nice to the person concerned. Politely comment on his behaviour when you get the chance and, just when he’s about to have another go at you, gently make him self-conscious by saying “No, my son; we’re not meant for this. I’ll not be hurt; you’re just hurting yourself.” Subtly draw his attention to this general fact; even bees and other animals that live in groups don’t act like he does. Do it without any hint of sarcasm or nit-picking, though; do it with real affection and with your heart free from resentment. Don’t talk to him harshly like a school teacher or try to impress bystanders but, even though other people may be around, talk as if you’re alone together in private.

Keep these nine pieces of advice in mind, like nine gifts from the Muses; and while there’s still life in you, begin at last to be a man. While guarding yourself against being angry with others, though, be just as careful to avoid the opposite extreme, of toadying. One’s just as bad as the other, and both cause problems. With bouts of rage, always remind yourself that losing your temper is no sign of manhood. On the contrary, there’s more strength, as well as more natural humanity, in someone capable of remaining calm and gentle. He proves he’s got strength and nerve and guts, unlike his angry, complaining friend. Anger’s just as much a sign of weakness as bubbling with tears; in both cases we’re giving in to suffering.

Finally, a tenth idea, this time from the very leader of the Muses, Apollo himself. To expect bad men never to do bad things is just madness; it’s asking the impossible. And to let them abuse other people, and expect them to leave you alone, that is arrogance.

Excerpt: Ancient Social Anxiety

This brief excerpt from the new book The Philosophy of Cognitive-Behavioural Therapy, by Donald Robertson, discusses an ancient philosophical example of social anxiety in relation to modern psychotherapy.

The Philosophy of Cognitive-Behavioural Therapy (CBT)

Stoic Philosophy as Rational and Cognitive Psychotherapy

Copyright (c) Donald Robertson, 2010. All rights reserved.


CitharaThis is a brief excerpt from my new book, The Philosophy of Cognitive-Behavioural Therapy: Stoic Philosophy as Rational and Cognitive Psychotherapy, published by Karnac and available for order online now. You can also now order The Philosophy of Cognitive-Behavioural Therapy from Amazon, where you may preview a sample of the contents online free of charge.


Social Anxiety, Value Judgements, and Rigid Demands

[Albert Ellis was the founder of Rational-Emotive Behaviour Therapy, REBT, a precursor of modern CBT.] Ellis’ approach differs from other modes of cognitive-behavioural therapy in that he places most emphasis upon the role of irrational or “absolute” demands placed by the subject upon himself, other people, or his environment. According to Ellis, REBT is based on the assumption that the tendency to make “devout, absolutistic evaluations” of events in life is at the core of emotional disturbance and that these value judgements are typically framed in terms of dogmatic “must”, “should”, “have to”, “got to”, “ought to” statements, i.e., unconditional imperatives (Dryden & Ellis, 2001, p. 301). These are called “irrational beliefs” because they are viewed as cognitions, spoken or unspoken, which embody rigid and unrealistic demands and conflict with the goals of enlightened self-interest. By being “rational”, in other words, Ellis often appears to mean something akin to being pragmatic in our pursuit of long-term happiness.

Other types of irrational thought, such as over-generalisations, or unfounded assumptions, are emphasised throughout other schools of CBT, most notably Beck’s cognitive therapy. Ellis concedes that these can contribute to human suffering, and that it can be useful to target them in therapy. However, he insists that fundamentally rigid demands are the pre-eminent underlying cause of emotional disturbance, and even that they are a necessary condition of it. Even if I falsely concluded that everyone hated me, an irrational over-generalisation, in principle, I could still say “So what?” to myself and dismiss it without becoming upset. The unconditional demand that people must like me when combined with the belief that they do not, according to REBT, inevitably generates emotional distress. However, other people’s attitudes and behaviour, like other external events, are not under my direct control. Ellis makes this point, again by reference to Stoicism, when he advises those using REBT for self-help as follows,

As Epictetus pointed out two thousand years ago, although you do have considerable power to change and control yourself, you rarely can control the behavior of others. No matter how wisely you may counsel people, they are independent persons and may – and, indeed, have the right to – ignore you completely. If, therefore, you unduly arouse yourself over the way others act, instead of taking responsibility for how you respond to them, you often will upset yourself over an uncontrollable event. (Ellis & Harper, 1997, p. 198)

The irrationally rigid demands which REBT warns against, which are similar to the “rules” and “assumptions” in Beck’s cognitive therapy, also bear a striking resemblance to the unconditional value judgements which Stoics believe are at the root of emotional distress. For the Stoic, it is the tendency to judge things as being inherently or absolutely good or bad which leads to irrational craving (epithumia) or fear (phobos) respectively. In Stoic psychology, irrational desire, or craving, which places too much value on external things and other people’s opinions, is the root cause of anxiety. Believing that “I have to” have (or avoid) something, or that other people “must” behave (or not behave) in a certain way, as REBT would put it, is tantamount to saying that these things are of overriding importance in themselves, or absolute external values, as Stoicism would put it.

As is often the case, the Stoics give clear examples which would not seem out of place in a modern psychotherapy text, e.g., in this striking passage Epictetus describes the relationship between desire and social anxiety, or stage fright, as follows.

When I see somebody in a state of anxiety, I say, ‘What can this man want?’ Unless he wanted something or other which is not in his own power, how could he still be anxious? That is why a person who sings to the lyre feels no anxiety while he is singing by himself, but is anxious when he enters the theatre, even if he has a very fine voice and plays his instrument beautifully. For he wants not only to sing well, but to gain applause, and that lies beyond his control. […]

He does not understand what a crowd is, or the applause of a crowd. He has learned, indeed, how to strike the lowest and highest strings; but what the applause of the multitude is, and what force it has in life, he neither understands, nor has studied. Hence he must necessarily tremble and turn pale. […]

He does not know that he is wishing to have what is not allowed him, and wishing to avoid what he cannot escape; and he does not know what is his own and what is not his own [i.e., his value-judgements]; for if he did know, he would never feel hindered, never feel restrained, never feel anxious. […]

If, then, things outside the sphere of choice are neither good nor bad, and all things within the sphere of choice are in our power, and can neither be taken away from us, nor given to us, unless we please, what room is there left for anxiety? But we are anxious about this paltry body or estate of ours, or about what Caesar will think [i.e., about health, wealth, or reputation] and not at all about what is within us. Are we ever anxious not to take up a false opinion? No, for this is in our own power. Or about following an impulse, contrary to nature? No, nor this either. When, therefore, you see any one pale with anxiety, just as the physician pronounces from a person’s complexion that this patient is affected in his spleen, and that in his liver, so you likewise should say: this man is affected in his desires and aversions, he is out of sorts, he is feverish. For nothing else changes the complexion or makes a man tremble or sets his teeth a-chattering, or ‘Shift from leg to leg and squat on one foot then the other.’ (Discourses, 2.13.1-13)

Instead of attaching too much value to other people’s opinions, absolutely demanding their approval and fearing their rebuke, the musician should patiently train himself, over time, to put value primarily upon his own intentions and judgements and to take the audience’s praise or leave it with similar equanimity. For the Stoics, to value something positively or negatively is to try to control it, and we have more control over our own judgments and intentions than over external events or other people, so we should shift the focus of our value judgements inwards, within the here and now, and focus on the importance of our own mental activity and responses more than other people’s opinions. The example of stage fright is extended by Epictetus to oratory and any similar social anxiety. Anyone who anxiously demands, rather than merely preferring, that others praise him is being unphilosohical, and has failed to understand the nature of things in relation to his sphere of control. He blames his nerves on the situation, neglecting the importance of his own misplaced value judgements in determining his emotional disturbance.

Nor does he even know what anxiety itself is, whether it be our own responsibility or outside it, or whether it be possible to suppress it or not. Because of this, if he is praised, he leaves the stage puffed up with pride: but if he is laughed at, his poor bubble is pricked and collapses.

We too experience something of this kind. What do we admire? Externals. What do we strive for? Externals. Are we then at a loss to know how fear and anxiety overcome us? Why what else is possible when we regard impending events as evils? We cannot help being fearful we cannot help being anxious. (Discourses, 2.16.10)


This is a brief excerpt from my new book, The Philosophy of Cognitive-Behavioural Therapy: Stoic Philosophy as Rational and Cognitive Psychotherapy, published by Karnac and available to order online now. You can also now order The Philosophy of Cognitive-Behavioural Therapy from Amazon, where you may preview a sample of the contents online free of charge.

Excerpt: Shame-Attacking Exercises

This is a brief excerpt from the new book The Philosophy of CBT by Donald Robertson, discussing the similarities between “shame-attacking” exercises in modern REBT/CBT and ancient philosophical training in “shamelessness.”

Shame-Attacking Exercises in Ancient Philosophy

Diogenes-the-Cynic-Billboard_thumb.jpgThis is a brief excerpt from my book, The Philosophy of Cognitive-Behavioural Therapy: Stoic Philosophy as Rational and Cognitive Psychotherapy.

Copyright (c) Donald Robertson, 2010. All rights reserved.

In certain concrete practical respects, REBT also contains therapy interventions that resemble techniques familiar within ancient philosophical therapy. Ellis was known for what he described as REBT’s “trademark” use of various “shame-attacking exercises”. In order to help clients overcome self-consciousness, social embarrassment and inhibition, Ellis would prescribe changes in behaviour which were designed to forcefully and directly challenge their sense of shame. For example, he refers to the technique of asking clients to repeatedly stop a bus without getting off, or asking strangers in the street to give them money, etc.

I realised, soon after I started REBT in 1955, that what we call “shame” is the essence of a great deal of our emotional disturbance. […] Seeing this, I created my now famous shame-attacking exercise in 1968; and perhaps millions of people, especially psychotherapy clients, have done this exercise and trained themselves to feel shamed or sorry about what they did, and about the public disapproval that often went with it, but not to put themselves down and not to feel humiliated about their personhood. (Ellis & MacLaren, 2005, p. 95)

Ellis further explains the exercise as follows,

Here clients deliberately seek to act “shamefully” in public in order to accept themselves and to tolerate the ensuing discomfort. Since clients do best to harm neither themselves nor other people, minor infractions of social rules often serve as suitable shame-attacking exercises (e.g., calling out the time in a crowded department store, wearing bizarre clothes designed to attract public attention, and going into a hardware store and asking the clerks whether they sell tobacco). (Dryden & Ellis, 2001, p. 329)

This aspect of Ellis’ work is strikingly reminiscent of the practices of the ancient Cynic philosophers who appear to have adopted, albeit in a more extreme manner, controversial lifestyles and behaviours in order to liberate themselves from social conventions.

The Cynics break with the world […] was radical. They rejected what most people considered the elementary rules and indispensible conditions for life in society: cleanliness, pleasant appearance, and courtesy. They practiced deliberate shamelessness – masturbating in public, like Diogenes, or making love in public, like Crates and Hipparchia. The Cynics were absolutely unconcerned with social proprieties and opinion; they despised money, did not hesitate to beg, and avoided seeking stable positions within the city. […] They did not fear the powerful, and always expressed themselves with provocative freedom of speech (parrhesia). (Hadot, 2002, p. 109)

Ellis seems unaware of this precursor to his “shame-attacking” exercises. However, the Cynics themselves specifically refer to the deliberate practice of “shamelessness” (anaideia) as a psychotherapeutic exercise. In the case of Diogenes, this was referred to metaphorically as his “defacing the coinage” of social conventions, which inevitably shocked others. So notorious were the shameless acts of Diogenes that Plato allegedly called him “Socrates gone mad”.

According to the Greek biographer Diogenes Laertius, the famous Cynic, Crates, who trained Zeno the founder of the Stoic school, was nicknamed “Door-opener” because of his habit of inviting himself into people’s houses to lecture them somewhat abrasively on philosophy(Laertius, 1853, p. 250). He also mentions another practice of Crates which sounds like an even more provocative version of Ellis’ shame attacking exercises, ‘He used to abuse prostitutes designedly, for the purpose of practising himself in enduring reproaches’(Laertius, 1853, p. 251). Epictetus seems to imply that Diogenes and the other Cynics, whom he greatly admired, deliberately broke wind in front of people, presumably also as part of their practice of shamelessness (Discourses, 3.22.80). Indeed, I am indebted to Still and Dryden for the following illustration drawn from Montaigne’s account of a quite surprising Stoic anecdote,

In the midst of a discussion, and in the presence of his followers, Metrocles let off a fart. To hide his embarrassment he stayed at home until, eventually, Crates came to pay him a visit; to his consolations and arguments Crates added the example of his own licence: he began a farting match with him, thereby removing his scruples and, into the bargain, converting him to the freer stoic school from the more socially oriented Peripatetics whom he had formerly followed. (Montaigne, in Still & Dryden, 1999, p. 157)

Crates’ exercises in shamelessness, or the overcoming of social anxiety and inhibition, can be seen as a practical training in his maxim, ‘That a man ought to study philosophy, up to the point of looking on generals and donkey-drivers in the same light’ (Laertius, 1853, p. 252). Zeno appears to have assimilated some aspects of his mentor’s philosophy into Stoic therapeutics, although moderated by a greater respect for society than the Cynics allegedly displayed.

Like Crates, Diogenes the Cynic, who was revered as a Sage by some Stoics, reputedly tested prospective students by instructing them to follow him around carrying a salted fish, or a piece of cheese, in their hands. When some refused, out of embarrassment, he would chide them: “See how a piece of salted fish was enough to dissolve our friendship!” (Laertius, 1853, p. 230). Notoriously insolent and iconoclastic, he once asked the Athenians to erect a statue to him, and when asked why he had done so, replied, “I am practising disappointment.” (Laertius, 1853, p. 235). These and many similar popular philosophical anecdotes illustrate the striking parallel between the ancient Cynics’ psychotherapeutic technique of anaideia, or shamelessness, and the “shame-attacking” exercises made famous by Albert Ellis within REBT, precursors of certain more modest “behavioural experiments” used to challenge social anxiety and inhibition in modern CBT. Beck and his colleagues also refer to “anti-shame exercises” and observe that cognitive therapy provides opportunities for clients to deliberately expose themselves to feelings of shame in order to conquer them (Beck, Emery, & Greenberg, 2005, p. 282). Indeed, there are many more parallels which can be drawn between the principles of REBT and those of Stoicism.


This is a brief excerpt from my new book, The Philosophy of Cognitive-Behavioural Therapy: Stoic Philosophy as Rational and Cognitive Psychotherapy, published by Karnac and available to order online now. You can also now order The Philosophy of Cognitive-Behavioural Therapy from Amazon, where you may preview a sample of the contents online free of charge.