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Albert Ellis

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166-603: 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 certified by the American Board of Professional Psychology (ABPP). He also founded, and was the President of, the New York City-based Albert Ellis Institute. He

332-460: A T cell -mediated autoimmune attack causes loss of beta cells and thus insulin deficiency. Patients often have irregular and unpredictable blood sugar levels due to very low insulin and an impaired counter-response to hypoglycemia. Type 1 diabetes is partly inherited , with multiple genes, including certain HLA genotypes , known to influence the risk of diabetes. In genetically susceptible people,

498-444: A bipolar disorder . At times, according to Ellis, she was a "bustling chatterbox who never listened." She would expound on her strong opinions on most subjects, but rarely provided a factual basis for these views. Like his father, Ellis' mother was emotionally distant from her children. Ellis recounted that she was often sleeping when he left for school and usually not home when he returned. Instead of reporting feeling bitter, he took on

664-491: A body mass index of greater than 30), lack of physical activity , poor diet , stress , and urbanization . Excess body fat is associated with 30% of cases in people of Chinese and Japanese descent, 60–80% of cases in those of European and African descent, and 100% of Pima Indians and Pacific Islanders. Even those who are not obese may have a high waist–hip ratio . Dietary factors such as sugar -sweetened drinks are associated with an increased risk. The type of fats in

830-465: A dissertation of limited scope, and is (in most cases) two years in duration. Prior to enrolling in the master's program, the student studies psychology for three years as an undergraduate ( B.A. or B.Sc. , and, for organizational psychology, also B.Com. ), followed by an additional postgraduate honours degree in psychology; see List of universities in South Africa . The undergraduate B.Psyc.

996-440: A master's degree . Such programs can range from forty-eight to eighty-four units, most often taking two to three years to complete after the undergraduate degree. Training usually emphasizes theory and treatment over research, quite often with a focus on school or couples and family counseling. Similar to doctoral programs, master's level students usually must complete a clinical practicum under supervision; some programs also require

1162-555: A normal body weight , engaging in physical activity, and eating a healthy diet. Higher levels of physical activity (more than 90 minutes per day) reduce the risk of diabetes by 28%. Dietary changes known to be effective in helping to prevent diabetes include maintaining a diet rich in whole grains and fiber , and choosing good fats, such as the polyunsaturated fats found in nuts, vegetable oils, and fish. Limiting sugary beverages and eating less red meat and other sources of saturated fat can also help prevent diabetes. Tobacco smoking

1328-416: A 1980 pamphlet published by his New York institute, he offered an idiosyncratic definition of religiosity as any devout, dogmatic, and demanding belief. He noted that religious codes and religious individuals often manifest religiosity, but added that devout, demanding religiosity is also obvious among many orthodox psychotherapists and psychoanalysts, devout political believers, and aggressive atheists. Ellis

1494-727: A 2-year postdoctoral experience regardless of the state, as set forth in the Houston Conference Guidelines. Today in America, about half of all clinical psychology graduate students are being trained in PhD programs that emphasize melding research with practice and are conducted by universities—with the other half in PsyD programs, which less focus on research (similar to professional degrees for medicine and law). Both types of doctoral programs (PhD and PsyD) envision practicing clinical psychology in

1660-453: A 50% and had a 5-minute passive recovery. The high-intensity pedaled at 150% for 15 seconds and was intermixed with a 30-second passive recovery. So, when studies finished collecting data and were able to analyze it, the following were the results. For the studies comparing the different intensities, it was seen that insulin and carbohydrate intake did not have a significant difference before or after exercise. In regards of glucose content, there

1826-440: A 75 gram oral glucose load are considered to have impaired glucose tolerance . Of these two prediabetic states, the latter in particular is a major risk factor for progression to full-blown diabetes mellitus, as well as cardiovascular disease. The American Diabetes Association (ADA) since 2003 uses a slightly different range for impaired fasting glucose of 5.6 to 6.9 mmol/L (100 to 125 mg/dL). Glycated hemoglobin

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1992-525: A Jungian analysis and program of supervision with Richard Hulbeck , a leading analyst at the Karen Horney Institute (whose own analyst had been Hermann Rorschach , the developer of the Rorschach inkblot test ). At that time he taught at New York University , Rutgers University , and Pittsburg State University and held a couple of leading staff positions. At this time, Ellis' faith in psychoanalysis

2158-423: A cognitive norm, evaluating concretely through images developed in his Institute. In his book Personality Theories developed with Mike Abrams and Lidia Dengelegi Abrams establish the opinions of evaluation of integrity understanding the reason of each personality can have a change in their attitude, reliability is the common factor of their samples taken and of the which great advances were obtained to look for

2324-889: A constructive trust. Despite his series of health issues and profound hearing loss, Ellis never stopped working with the assistance of his wife, Australian psychologist Debbie Joffe Ellis. In April 2006, Ellis was hospitalized with pneumonia , and spent more than a year shuttling between hospital and a rehabilitation facility. He eventually returned to his residence on the top floor of the Albert Ellis Institute where he died on July 24, 2007, in his wife's arms. Ellis had authored and co-authored more than 80 books and 1200 articles (including eight hundred scientific papers) during his lifetime. He died aged 93. During his final years he worked on his only college textbook with longtime collaborator Mike Abrams with whom he co-authored 3 books along with several research articles and chapters, including

2490-485: A curriculum that incorporated the principles of RE(B)T. Despite its relative short life, interest groups generally expressed satisfaction with its programmer. Many schools of psychological thought became influenced by Albert Ellis, including rational behavior therapy created by a student of his, Maxie Clarence Maultsby Jr. Ellis had such an impact that in a 1982 survey , American and Canadian clinical psychologists and counsellors ranked him ahead of Freud when asked to name

2656-554: A date, he reported that he desensitized himself to his fear of rejection by women. Ellis entered the field of clinical psychology after first earning a Bachelor of Arts degree in business from what was then known as the City College of New York Downtown in 1934. He began a brief career in business, followed by one as a writer. These endeavors took place during the Great Depression that began in 1929, and Ellis found that business

2822-419: A defective gene, this disease varies in age at presentation and in severity according to the specific gene defect; thus, there are at least 13 subtypes of MODY. People with MODY often can control it without using insulin. Some cases of diabetes are caused by the body's tissue receptors not responding to insulin (even when insulin levels are normal, which is what separates it from type 2 diabetes); this form

2988-428: A fetus's blood may inhibit fetal surfactant production and cause infant respiratory distress syndrome . A high blood bilirubin level may result from red blood cell destruction . In severe cases, perinatal death may occur, most commonly as a result of poor placental perfusion due to vascular impairment. Labor induction may be indicated with decreased placental function. A caesarean section may be performed if there

3154-429: A form that arises during pregnancy in some women, normally resolves shortly after delivery. As of 2021, an estimated 537 million people had diabetes worldwide accounting for 10.5% of the adult population, with type 2 making up about 90% of all cases. The World Health Organization has reported that diabetes was "among the top 10 causes of death in 2021, following a significant percentage increase of 95% since 2000." It

3320-552: A graduate degree in psychology (MA, Psy.D., Ed.D., or Ph.D.), or have a provincial license to use the title "psychologist". Provincial regulators include: A professional psychologist in the Dominican Republic must have a suitable qualification and be a member of the Dominican College of Psychologists . In Finland , the title "psychologist" is protected by law. The restriction for psychologists (licensed professionals)

3486-656: A greater risk of cognitive decline, and have a greater rate of decline compared to those without the disease. The condition also predisposes to falls in the elderly , especially those treated with insulin . (age standardized) Diabetes is classified by the World Health Organization into six categories: type 1 diabetes , type 2 diabetes , hybrid forms of diabetes (including slowly evolving, immune-mediated diabetes of adults and ketosis-prone type 2 diabetes ), hyperglycemia first detected during pregnancy, "other specific types", and "unclassified diabetes". Diabetes

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3652-482: A license from RCI to practice. Psychologs magazine is the major media, working on mental health awareness. Tele-MANAS is a nationwide governmental program launched by Ministry of Health & Family Welfare in October 2021. In New Zealand, the use of the title "psychologist" is restricted by law. Prior to 2004, only the title "registered psychologist" was restricted to people qualified and registered as such. However, with

3818-463: A license is required. To practice with the title of "psychologist", in almost all cases a doctoral degree is required (PhD, PsyD, or EdD in the U.S.). Normally, after the degree, the practitioner must fulfill a certain number of supervised postdoctoral hours ranging from 1,500 to 3,000 (usually taking one to two years), and pass the EPPP and any other state or provincial exams. By and large, a professional in

3984-526: A loving God can also be psychologically healthy. Based on this later approach to religion, he reformulated his professional and personal view in one of his last books The Road to Tolerance , and he also co-authored a book, Counseling and Psychotherapy with Religious Persons: A Rational Emotive Behavior Therapy Approach, with two religious psychologists, Stevan Lars Nielsen and W. Brad Johnson, describing principles for integrating religious material and beliefs with REBT during treatment of religious clients. Ellis

4150-425: A master's degree is sufficient). The minimal requirement for full membership can be waived in circumstances where there is evidence that significant contribution or performance in the field of psychology has been made. Associate membership requires at least two years of postgraduate studies in psychology or an approved related discipline. Some U.S. schools offer accredited programs in clinical psychology resulting in

4316-491: A minimum amount of personal psychotherapy. While many graduates from master's level training go on to doctoral psychology programs, a large number also go directly into practice—often as a licensed professional counselor (LPC), marriage and family therapist (MFT), or other similar licensed practice, which varies by state. There is stiff competition to gain acceptance into clinical psychology doctoral programs (acceptance rates of 2–5% are not uncommon). Clinical psychologists in

4482-579: A nontheistic humanism, he was recognized in 1971 as Humanist of the Year by the American Humanist Association . By 2003, he was one of the signers of the Humanist Manifesto . Ellis most recently described himself as a probabilistic atheist , meaning that while he acknowledged that he could not be completely certain there is no god, he believed the probability a god exists was so small that it

4648-670: A number of books and articles the topic of human sexuality and love. Sex and love relations were his professional interests even from the beginning of his career. Norman Haire , in his preface to Ellis' 1952 book Sex Beliefs and Customs , applauded the work of the Society for the Prevention of Venereal Disease while he ridiculed its rival, the National Council for Combating Venereal Disease, who argued that preventive measures such as condoms would encourage vice: Haire called them "the Society for

4814-424: A number of psychological therapies, including behavioral, cognitive, humanistic, existential, psychodynamic, and systemic approaches, as well as in-depth training in psychological testing , and to some extent, neuropsychological testing . Clinical psychologists can offer a range of professional services, including: In practice, clinical psychologists might work with individuals, couples, families, or groups in

4980-577: A nutritive low-calorie sweetener ( tagatose ), but the results were unclear for effects on HbA1c, body weight and adverse events. The studies included were mainly of very low-certainty and did not report on health-related quality of life, diabetes complications, all-cause mortality or socioeconomic effects. Exercise has demonstrated to impact people’s lives for a better health outcome. However, fear of hypoglycemia can negatively impact exercise view on youth that have been diagnosed with diabetes. Managing insulin, carbohydrate intake, and physical activity becomes

5146-571: A part-time private practice while still working on his PhD degree—possibly because there was no licensing of psychologists in New York at that time. Ellis began publishing articles even before receiving his PhD; in 1946 he wrote a critique of many widely used pencil-and-paper personality tests . He concluded that only the Minnesota Multiphasic Personality Inventory met the standards of a research-based instrument. In 1947, he

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5312-623: A pathology and therefore a condition to be cured. In 1973, the American Psychiatric Association reversed its position on homosexuality by declaring that it was not a mental disorder and thus not properly subject to cure, and in 1976, Ellis clarified his earlier views in Sex and the Liberated Man , expounding that some homosexual disturbed behaviors may be subject to treatment but, in most cases, that should not be attempted as homosexuality

5478-425: A pre-clinical phase, while type 2 has a more insidious onset; patients may remain asymptomatic for many years. Diabetic ketoacidosis is a medical emergency that occurs most commonly in type 1, but may also occur in type 2 if it has been longstanding or if the individual has significant β-cell dysfunction. Excessive production of ketone bodies leads to signs and symptoms including nausea, vomiting, abdominal pain,

5644-473: A psychologist. The standard route to full membership (MAPS) of the APS usually requires four years of APAC-accredited undergraduate study, plus a master's or doctorate in psychology from an accredited institution. An alternate route is available for academics and practitioners who have gained appropriate experience and made a substantial contribution to the field of psychology. Restrictions apply to all individuals using

5810-816: A rational therapist. Ellis was now advocating a new more active and directive type of psychotherapy. In 1955, he presented rational therapy (RT). In RT, the therapist sought to help the client understand—and act on the understanding—that his personal philosophy contained beliefs that contributed to his own emotional pain. This new approach stressed actively working to change a client's self-defeating beliefs and behaviours by demonstrating their irrationality, self-defeatism, and rigidity. Ellis believed that through rational analysis and cognitive reconstruction, people could understand their self-defeatingness in light of their core irrational beliefs and then develop more rational constructs. In 1954, Ellis began teaching his new techniques to other therapists, and by 1957, he formally set forth

5976-756: A reflection of the major forces driving social, economic and cultural change: globalization , urbanization, population aging, and the general health policy environment. Diabetes patients' comorbidities have a significant impact on medical expenses and related costs. It has been demonstrated that patients with diabetes are more likely to experience respiratory, urinary tract, and skin infections, develop atherosclerosis, hypertension, and chronic kidney disease, putting them at increased risk of infection and complications that require medical attention. Patients with diabetes mellitus are more likely to experience certain infections, such as COVID-19, with prevalence rates ranging from 5.3 to 35.5%. Maintaining adequate glycemic control

6142-542: A registered psychologist. However, the Australian Health Practitioner Regulation Agency (AHPRA) is currently in the process of phasing out the 4 + 2 internship pathway. Once the 4 + 2 pathway is phased out, a master's degree or PhD will be required to become a psychologist in Australia. This is because of concerns about public safety, and to reduce the burden of training on employers. There

6308-470: A research-based, scientifically valid manner, and most are accredited by the APA. APA accreditation is very important for U.S. clinical, counseling, and school psychology programs because graduating from a non-accredited doctoral program may adversely affect employment prospects and present a hurdle for becoming licensed in some jurisdictions. Doctorate (PhD and PsyD) programs usually involve some variation on

6474-571: A severe streptococcal infection requiring emergency surgery. He reported that he had eight hospitalizations between the ages of five and seven, one of which lasted nearly a year. His parents provided little emotional support for him during these years, rarely visiting or consoling him. Ellis stated that he learned to confront his adversities as he had "developed a growing indifference to that dereliction". Ellis committed copious sexual assaults against women during his teens and early twenties, writing that he became addicted to nonconsensual frotteurism at

6640-428: A slower onset than the same condition in children. Given this difference, some use the unofficial term "type 1.5 diabetes" for this condition. Adults with LADA are frequently initially misdiagnosed as having type 2 diabetes, based on age rather than a cause. LADA leaves adults with higher levels of insulin production than type 1 diabetes, but not enough insulin production for healthy blood sugar levels. Type 2 diabetes

6806-543: A strong autobiographical element. He used anecdotes from his personal life to explain how the insights of REBT occurred to him and how they helped him cope with personal problems such as shyness, anger, and chronic illness. He also used anecdotes from client sessions to illustrate how his therapy worked. Two of Ellis last books were explicitly autobiographical. Rational-Emotive Behavior Therapy: It Works for Me -- It Can Work for You (Prometheus Books, 2004) recounts his early life and crises in an unusually candid way. It illustrates

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6972-418: A task that drive youth away benefitting from enjoying exercises. With different studies, an understanding of what can be done and applied to the youth population diagnosed with Type 1 Diabetes has been conducted. A study’s aim was to focus on the impact of an exercise education on physical activity. During the length of a 12-month program, youth and their parents participated in 4 education sessions learning about

7138-443: A tool to work with the human mind. In his original version of his book Sex Without Guilt , Ellis expressed the opinion that religious restrictions on sexual expression are often needless and harmful to emotional health. He also famously debated religious psychologists, including Orval Hobart Mowrer and Allen Bergin , over the proposition that religion often contributed to psychological distress. Because of his forthright espousal of

7304-868: A variety of settings, including private practices, hospitals, community mental health centers, schools, businesses, and non-profit agencies. Most clinical psychologists who engage in research and teaching do so within a college or university setting. Clinical psychologists may also choose to specialize in a particular field. Psychologists in the United States campaigned for legislative changes to enable specially-trained psychologists to prescribe psychotropic medications . Legislation in Idaho , Iowa , Louisiana , New Mexico , Illinois , and Colorado has granted those who complete an additional master's degree program in clinical psychopharmacology authority to prescribe medications for mental and emotional disorders. As of 2019 , Louisiana

7470-484: A wide array of issues. During his career he publicly debated a vast number of people who represented opposing views to his; this included for example debates with psychologist Nathaniel Branden on Objectivism and psychiatrist Thomas Szasz on the topic of mental illness . On numerous occasions he critiqued opposing psychotherapeutic approaches, and questioned some of the doctrines in certain dogmatic religious systems, i.e.: spiritualism and mysticism . From 1965 until

7636-571: Is a professional who practices psychology and studies mental states , perceptual , cognitive , emotional , and social processes and behavior. Their work often involves the experimentation , observation , and interpretation of how individuals relate to each other and to their environments. Psychologists usually acquire a bachelor's degree in psychology, followed by a master's degree or doctorate in psychology. Unlike psychiatric physicians and psychiatric nurse-practitioners, psychologists usually cannot prescribe medication , but depending on

7802-612: Is a commonly used, well studied and high efficacy psychotherapy practiced by psychologists. Psychologists can work with a range of institutions and people, such as schools, prisons, in a private clinic, in a workplace, or with a sports team. Applied psychology applies theory to solve problems in human and animal behavior. Applied fields include clinical psychology , counseling psychology , sport psychology , forensic psychology , industrial and organizational psychology , health psychology and school psychology . Licensing and regulations can vary by state and profession. In Australia,

7968-780: Is a four-year program integrating theory and practical training, and—with the required examination set by the Professional Board for Psychology—is sufficient for practice as a psychometrist or counselor . In the UK, "registered psychologist" and "practitioner psychologist" are protected titles. The title of "neuropsychologist" is not protected. In addition, the following specialist titles are also protected by law: "clinical psychologist", "counselling psychologist", "educational psychologist", "forensic psychologist", "health psychologist", "occupational psychologist" and "sport and exercise psychologist". The Health and Care Professions Council (HCPC)

8134-420: Is a group of common endocrine diseases characterized by sustained high blood sugar levels . Diabetes is due to either the pancreas not producing enough insulin , or the cells of the body becoming unresponsive to the hormone's effects. Classic symptoms include thirst, polyuria , weight loss, and blurred vision . If left untreated, the disease can lead to various health complications, including disorders of

8300-603: Is a more variable disease than once thought, and individuals may have a combination of forms. Type 1 accounts for 5 to 10% of diabetes cases and is the most common type diagnosed in patients under 20 years; however, the older term "juvenile-onset diabetes" is no longer used as onset in adulthood is not unusual. The disease is characterized by loss of the insulin-producing beta cells of the pancreatic islets , leading to severe insulin deficiency, and can be further classified as immune-mediated or idiopathic (without known cause). The majority of cases are immune-mediated, in which

8466-539: Is also a '5 + 1' registration pathway, including a four-year APAC approved degree followed by one year of postgraduate study and one year of supervised practice. Endorsement within a specific area of practice requires additional qualifications. These notations are not "specialist" titles (Western Australian psychologists could use "specialist" in their titles during a three-year transitional period from 17 October 2010 to 17 October 2013). Membership with Australian Psychological Society (APS) differs from registration as

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8632-412: Is also associated with an increased risk of diabetes and its complications, so smoking cessation can be an important preventive measure as well. The relationship between type 2 diabetes and the main modifiable risk factors (excess weight, unhealthy diet, physical inactivity and tobacco use) is similar in all regions of the world. There is growing evidence that the underlying determinants of diabetes are

8798-400: Is an estimated US$ 760 billion a year. The classic symptoms of untreated diabetes are polyuria , thirst, and weight loss. Several other non-specific signs and symptoms may also occur, including fatigue, blurred vision, sweet smelling urine/semen and genital itchiness due to Candida infection . About half of affected individuals may also be asymptomatic. Type 1 presents abruptly following

8964-533: Is an unmitigated cure for everyone and do accept its distinct limitations." Ellis advocated the importance of accepting yourself just because you are alive, human, and unique - and not giving yourself a global rating, or being influenced by what others think of you. In 1979 and during the next two decades, one part of Ellis' research was an exploration of behavioral integrity through applied experimental psychology, focusing on reliability , honesty , and loyalty as psychosocial behavior. Organizational commitment as

9130-425: Is another long-term complication associated with diabetes. Based on extensive data and numerous cases of gallstone disease, it appears that a causal link might exist between type 2 diabetes and gallstones. People with diabetes are at a higher risk of developing gallstones compared to those without diabetes. There is a link between cognitive deficit and diabetes; studies have shown that diabetic individuals are at

9296-877: Is available for physicians via dual MD/PhD programs, it is not typically included in standard medical education, although psychiatrists may develop research skills during their residency or a psychiatry fellowship (post-residency). Psychiatrists, as licensed physicians, have been trained more intensively in other areas, such as internal medicine and neurology, and may bring this knowledge to bear in identifying and treating medical or neurological conditions that present with primarily psychological symptoms such as depression, anxiety, or paranoia (e.g., hypothyroidism presenting with depressive symptoms, or pulmonary embolism with significant apprehension and anxiety). Licensed behavior analysts are licensed in five states to provide services for clients with substance abuse , developmental disabilities , and mental illness . This profession draws on

9462-408: Is better than fasting glucose for determining risks of cardiovascular disease and death from any cause. There is no known preventive measure for type 1 diabetes. However, islet autoimmunity and multiple antibodies can be a strong predictor of the onset of type 1 diabetes. Type 2 diabetes—which accounts for 85–90% of all cases worldwide—can often be prevented or delayed by maintaining

9628-563: Is characterized by insulin resistance , which may be combined with relatively reduced insulin secretion. The defective responsiveness of body tissues to insulin is believed to involve the insulin receptor . However, the specific defects are not known. Diabetes mellitus cases due to a known defect are classified separately. Type 2 diabetes is the most common type of diabetes mellitus accounting for 95% of diabetes. Many people with type 2 diabetes have evidence of prediabetes (impaired fasting glucose and/or impaired glucose tolerance) before meeting

9794-712: Is comparable to a M.Sc. degree and requires at least five years of training at a university. Originally, a diploma degree in psychology awarded in Germany included the subject of clinical psychology. With the Bologna-reform, this degree was replaced by a master's degree. The academic degree of Diplom-Psychologe or M.Sc. (Psychologie) does not include a psychotherapeutic qualification, which requires three to five years of additional training. The psychotherapeutic training combines in-depth theoretical knowledge with supervised patient care and self-reflection units. After having completed

9960-507: Is diagnosed with a test for the glucose content in the blood, and is diagnosed by demonstrating any one of the following: A positive result, in the absence of unequivocal high blood sugar, should be confirmed by a repeat of any of the above methods on a different day. It is preferable to measure a fasting glucose level because of the ease of measurement and the considerable time commitment of formal glucose tolerance testing, which takes two hours to complete and offers no prognostic advantage over

10126-420: Is estimated that by 2045, approximately 783 million adults, or 1 in 8, will be living with diabetes, representing a 46% increase from the current figures. The prevalence of the disease continues to increase, most dramatically in low- and middle-income nations. Rates are similar in women and men, with diabetes being the seventh leading cause of death globally. The global expenditure on diabetes-related healthcare

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10292-495: Is fully treatable, but requires careful medical supervision throughout the pregnancy. Management may include dietary changes, blood glucose monitoring, and in some cases, insulin may be required. Though it may be transient, untreated gestational diabetes can damage the health of the fetus or mother. Risks to the baby include macrosomia (high birth weight), congenital heart and central nervous system abnormalities, and skeletal muscle malformations. Increased levels of insulin in

10458-402: Is generally considered to be one of the originators of the cognitive revolutionary paradigm shift in psychotherapy and an early proponent and developer of cognitive-behavioral therapies . Based on a 1982 professional survey of American and Canadian psychologists, he was considered the second most influential psychotherapist in history ( Carl Rogers ranked first in the survey; Sigmund Freud

10624-484: Is governed by National Supervisory Authority for Welfare and Health (Finland) (Valvira). It takes 330 ECTS-credits (about six years) to complete the university studies (master's degree). There are about 6,200 licensed psychologists in Finland. In Germany , the use of the title Diplom-Psychologe (Dipl.-Psych.) is restricted by law, and a practitioner is legally required to hold the corresponding academic title, which

10790-481: Is marked fetal distress or an increased risk of injury associated with macrosomia, such as shoulder dystocia . Maturity onset diabetes of the young (MODY) is a rare autosomal dominant inherited form of diabetes, due to one of several single-gene mutations causing defects in insulin production. It is significantly less common than the three main types, constituting 1–2% of all cases. The name of this disease refers to early hypotheses as to its nature. Being due to

10956-580: Is not inherently good or evil, except from a religious viewpoint (See "Ellis and religion", below). Near the end of his life, he finally updated and re-wrote Sex Without Guilt in 2001 and released as Sex Without Guilt in the Twenty-First Century . In this book, he expounded and enhanced his humanistic view on sexual ethics and morality and dedicated a chapter on homosexuality to giving homosexuals advice and suggestion on how to more greatly enjoy and enhance their sexual love lives. While preserving some of

11122-501: Is not limited to the area of rehabilitation. Titles such as "counselor", "psychoanalyst", "psychoeducator" or "psychotherapist" are not protected at present. In other words, an individual may call themselves a "psychotherapist" or "counselor" without having any recognized degree from Rehabilitation council of India and without having to register with the Rehabilitation Council of India. Rehabilitation psychologists also require

11288-422: Is not stored appropriately in the liver and muscles. The net effect is persistently high levels of blood glucose, poor protein synthesis , and other metabolic derangements, such as metabolic acidosis in cases of complete insulin deficiency. When there is too much glucose in the blood for a long time, the kidneys cannot absorb it all (reach a threshold of reabsorption ) and the extra glucose gets passed out of

11454-451: Is possible. That can be done in specific intensities and with proper understanding on how to handle glucose control over time. Youth dealing with diabetes face unique challenges. These can include the emotional, psychological, and social implications as a result of managing a chronic condition at such a young age. Both forms of diabetes can have long-term risks for complications like cardiovascular disease, kidney damage, and nerve damage. This

11620-415: Is practiced by his students and followers in a large variety of therapeutic styles (e.g., often depending on client's personality, client's clinical problem, and evidence-based information regarding the appropriate intervention, but also including therapist's own preference). Despite the relative slow adoption of his approach in the beginning, Ellis founded his own institute. The Institute for Rational Living

11786-405: Is recommended that all pregnant women get tested starting around 24–28 weeks gestation. It is most often diagnosed in the second or third trimester because of the increase in insulin-antagonist hormone levels that occurs at this time. However, after pregnancy approximately 5–10% of women with gestational diabetes are found to have another form of diabetes, most commonly type 2. Gestational diabetes

11952-516: Is regulated through the "health personnel act". In South Africa , psychologists are qualified in either clinical, counseling, educational, organizational, or research psychology. As below, qualification requires at least five years of study, and at least one of internship. To become qualified, one must complete a recognized master's degree in Psychology , an appropriate practicum at a recognized training institution, and take an examination set by

12118-681: Is specifically defined in the Mental Health Act, 2017. An MPhil in Clinical Psychology degree of two years duration recognized by the Rehabilitation Council of India is required to apply for registration as a clinical psychologist. PsyD and Professional diploma in Clinical Psychology is also a less popular way to get license of Clinical Psychologist in India. This procedure has been criticized by some stakeholders since clinical psychology

12284-423: Is the completion of five years of university training in psychology (master's degree or equivalent). The title of "psychotherapist" is not legally protected. As of 2016, Belgian law recognizes the clinical psychologist as an autonomous health profession. It reserves the practice of psychotherapy to medical doctors, clinical psychologists and clinical orthopedagogists. A professional in the U.S. or Canada must hold

12450-452: Is the largest group of psychologists in clinical settings such as the NHS. Around 2,000 are educational psychologists. In the United States and Canada, full membership in each country's professional association— American Psychological Association (APA) and Canadian Psychological Association (CPA), respectively—requires doctoral training (except in some Canadian provinces, such as Alberta , where

12616-514: Is the only state where the licensing and regulation of the practice of medical psychology by medical psychologists (MPs) is regulated by a medical board (the Louisiana State Board of Medical Examiners) rather than a board of psychologists. While other states have pursued prescriptive authority, they have not succeeded. Similar legislation in the states of Hawaii and Oregon passed through their respective legislative bodies, but in each case

12782-710: Is the primary goal of diabetes management since it is critical to managing diabetes and preventing or postponing such complications. People with type 1 diabetes have higher rates of autoimmune disorders than the general population. An analysis of a type 1 diabetes registry found that 27% of the 25,000 participants had other autoimmune disorders. Between 2% and 16% of people with type 1 diabetes also have celiac disease . Diabetes management concentrates on keeping blood sugar levels close to normal, without causing low blood sugar. This can usually be accomplished with dietary changes, exercise, weight loss, and use of appropriate medications (insulin, oral medications). Learning about

12948-523: Is the statutory regulator for practitioner psychologists in the UK. In the UK, the use of the title "chartered psychologist" is also protected by statutory regulation, but that title simply means that the psychologist is a chartered member of the British Psychological Society , but is not necessarily registered with the HCPC. However, it is illegal for someone who is not in the appropriate section of

13114-418: Is typically resolved once the hormone excess is removed). Many drugs impair insulin secretion and some toxins damage pancreatic beta cells, whereas others increase insulin resistance (especially glucocorticoids which can provoke " steroid diabetes "). The ICD-10 (1992) diagnostic entity, malnutrition-related diabetes mellitus (ICD-10 code E12), was deprecated by the World Health Organization (WHO) when

13280-437: Is very uncommon. Genetic mutations ( autosomal or mitochondrial ) can lead to defects in beta cell function. Abnormal insulin action may also have been genetically determined in some cases. Any disease that causes extensive damage to the pancreas may lead to diabetes (for example, chronic pancreatitis and cystic fibrosis ). Diseases associated with excessive secretion of insulin-antagonistic hormones can cause diabetes (which

13446-526: Is widely used to reduce the risk of diabetic foot ulcers by relieving the pressure on the foot. Foot examination for patients living with diabetes should be done annually which includes sensation testing, foot biomechanics , vascular integrity and foot structure. Concerning those with severe mental illness , the efficacy of type 2 diabetes self-management interventions is still poorly explored, with insufficient scientific evidence to show whether these interventions have similar results to those observed in

13612-578: Is working with the HCPC to ensure that the title of "neuropsychologist" is regulated as a specialist title for practitioner psychologists. As of December 2012 , in the United Kingdom, there are 19,000 practitioner psychologists registered across seven categories: clinical psychologist, counselling psychologist, educational psychologist , forensic psychologist , health psychologist , occupational psychologist , sport and exercise psychologist . At least 9,500 of these are clinical psychologists, which

13778-453: The Dalai Lama , who sent a silk scarf blessed for the occasion. In 2004, Ellis was taken ill with serious intestinal problems, which led to hospitalization and the removal of his large intestine . He returned to work after a few months of supportive care. In 2005, he was removed from all professional duties and from the board of his own institute after a dispute over the management policies of

13944-522: The cardiovascular system , eye , kidney , and nerves . Diabetes accounts for approximately 4.2 million deaths every year, with an estimated 1.5 million caused by either untreated or poorly treated diabetes. The major types of diabetes are type 1 and type 2 . The most common treatment for type 1 is insulin replacement therapy (insulin injections), while anti-diabetic medications (such as metformin and semaglutide ) and lifestyle modifications can be used to manage type 2. Gestational diabetes ,

14110-481: The eyes , kidneys , and nerves . Damage to the retina, known as diabetic retinopathy , is the most common cause of blindness in people of working age. The eyes can also be affected in other ways, including development of cataract and glaucoma . It is recommended that people with diabetes visit an optometrist or ophthalmologist once a year. Diabetic nephropathy is a major cause of chronic kidney disease , accounting for over 50% of patients on dialysis in

14276-592: The APA, Society for the Scientific Study of Sexuality, American Association of Marital and Family Therapy, the American Academy of Psychotherapists and the American Association of Sex Educators, Counsellors, and Therapists. In addition Ellis also served as consulting or associate editor of many scientific journals . Many professional societies gave Ellis their highest professional and clinical awards. In

14442-627: The American Psychological Association. The book explains the essentials of the theory of REBT for students and practitioners of psychology as well as for the general public. In 2019 his wife, Debbie Joffe Ellis, updated the Rational Emotive Behavior Therapy book, and the second edition of that book was published. Albert Ellis and Debbie Joffe Ellis worked together in every area of his work in their years together; Albert Ellis entrusted her to continue his work and she

14608-519: The British newspaper The Guardian , it was reported that some members of the psychotherapeutic establishment accused him of misinterpreting Freud and demanded evidence for his claims. It was noted that others, such as Aaron T. Beck , had conducted more rigorous testing than Ellis. Ellis was often criticised for his language and his aggressive behaviour, such as in his debate with Ayn Rand follower Nathaniel Branden . Psychologist A psychologist

14774-522: The Code of Conduct of Psychologists (2019). Psychologists in Greece are not required to register with any psychology body in the country in order to legally practice the profession. Titles such as "psychotherapist" or "counselor" are not protected by law in Greece and anyone may call themselves a "psychotherapist" or "counselor" without having earned a graduate degree in psychology. In India, "clinical psychologist"

14940-486: The EPPP, such as a jurisprudence (i.e., mental health law) examination or an oral examination. Nearly all states also require a certain number of continuing education credits per year in order to renew a license. Licensees can obtain this through various means, such as taking audited classes and attending approved workshops. There are professions whose scope of practice overlaps with the practice of psychology (particularly with respect to providing psychotherapy) and for which

15106-486: The HCPC register to provide psychological services. The requirement to register as a clinical, counselling, or educational psychologist is a professional doctorate (and in the case of the latter two the British Psychological Society's Professional Qualification, which meets the standards of a professional doctorate). The title of "psychologist", by itself, is not protected. The British Psychological Society

15272-465: The Prevention of the Prevention of Venereal Disease". In 1958, Ellis published his classic work Sex Without Guilt which came to be known for its advocacy of a liberal attitude toward sex. He contributed to Paul Krassner 's magazine The Realist ; among its articles, in 1964 he wrote if this be heresy... Is pornography harmful to children? In 1965, Ellis published a book entitled Homosexuality: Its Causes and Cure , which partly saw homosexuality as

15438-577: The Professional Board for Psychology. Registration with the Health Professions Council of South Africa (HPCSA) is required and includes a Continuing Professional Development component. The practicum usually involves a full year internship , and in some specializations, the HPCSA requires completion of an additional year of community service . The master's program consists of seminars , coursework -based theoretical and practical training , and

15604-614: The U.S. for clinical, counseling, and school psychologists in May 2021 was US$ 82,510 and the median salary for industrial-organizational psychologists was US$ 105,310. Psychologists can work in applied or academic settings. Academic psychologists educate higher education students, as well as conduct research, with graduate-level research being an important part of academic psychology. Academic positions can be tenured or non-tenured, with tenured positions being highly desirable. Diabetes Diabetes mellitus , often known simply as diabetes ,

15770-496: The U.S. must hold a doctoral degree in psychology (PsyD, EdD, or PhD), and/or have a state license to use the title psychologist . However, regulations vary from state to state. For example, in the states of Michigan, West Virginia, and Vermont, there are psychologists licensed at the master's level. Although clinical psychologists and psychiatrists share the same fundamental aim—the alleviation of mental distress—their training, outlook, and methodologies are often different. Perhaps

15936-522: The U.S. states is different in terms of requirements and licenses (see and for examples), there are three common requirements: All U.S. state and Canada provincial licensing boards are members of the Association of State and Provincial Psychology Boards (ASPPB) which created and maintains the Examination for Professional Practice in Psychology (EPPP). Many states require other examinations in addition to

16102-496: The U.S. undergo many years of graduate training—usually five to seven years after the bachelor's degree—to gain demonstrable competence and experience. Licensure as a psychologist may take an additional one to two years post-PhD/PsyD. Some states require a 1-year postdoctoral residency, while others do not require postdoctoral supervised experience and allow psychology graduates to sit for the licensure exam immediately. Some psychology specialties, such as clinical neuropsychology, require

16268-429: The United States. Diabetic neuropathy , damage to nerves, manifests in various ways, including sensory loss , neuropathic pain , and autonomic dysfunction (such as postural hypotension , diarrhoea , and erectile dysfunction ). Loss of pain sensation predisposes to trauma that can lead to diabetic foot problems (such as ulceration ), the most common cause of non-traumatic lower-limb amputation . Hearing loss

16434-426: The age of 92 in 2006, Ellis typically worked at least 16 hours a day, writing books in longhand on legal tablets, visiting with clients, and teaching. On his 90th birthday in 2003, he received congratulatory messages from well-known public figures such as then-President George W. Bush , New York senators Charles Schumer and Hillary Clinton , former President Bill Clinton , New York City Mayor Michael Bloomberg , and

16600-532: The age of fifteen, and claimed to have had “had hundreds of frotteur-incited sex adventures” until his twenties. He reported that he "sought out crowded trains, standing rooms in the back of movie theaters, crowded elevators, and other places where I could rub my midsection against women's backsides and hips and soon get delicious orgasm,” stating that the encounters were “sometimes nonconsenting.” Ellis also wrote, “I am now, when I think about it, guilty about my acts. I have remorse for what I did,” adding that, “I deplore

16766-412: The aim of which is to resolve emotional and behavioral problems and disturbances and to help people to lead happier and more fulfilling lives. REBT sees disturbances as caused by characteristics of a person, rather than a particular past event REBT is seen as the first form of cognitive behavioral therapy (CBT). Later in life Ellis wrote "I hope I am also not a devout REBTer, since I do not think it

16932-440: The benefits, safe procedures, glucose control, and physical activity. With a survey conducted in the beginning, youth and parents demonstrated their fear of hypoglycemia. At the end of the program, most of the youth and parents showed confidence on how to manage and handle situations regarding hypoglycemia. In some instances, youth provided feedback that a continuation of the sessions would be beneficial. In two other studies, exercise

17098-414: The beta cells and in the breakdown of glycogen to glucose. This process is mainly controlled by the hormone glucagon , which acts in the opposite manner to insulin. If the amount of insulin available is insufficient, or if cells respond poorly to the effects of insulin ( insulin resistance ), or if the insulin itself is defective, then glucose is not absorbed properly by the body cells that require it, and

17264-511: The body through urine ( glycosuria ). This increases the osmotic pressure of the urine and inhibits reabsorption of water by the kidney, resulting in increased urine production ( polyuria ) and increased fluid loss. Lost blood volume is replaced osmotically from water in body cells and other body compartments, causing dehydration and increased thirst ( polydipsia ). In addition, intracellular glucose deficiency stimulates appetite leading to excessive food intake (polyphagia). Diabetes mellitus

17430-430: The criteria for type 2 diabetes. The progression of prediabetes to overt type 2 diabetes can be slowed or reversed by lifestyle changes or medications that improve insulin sensitivity or reduce the liver's glucose production . Type 2 diabetes is primarily due to lifestyle factors and genetics. A number of lifestyle factors are known to be important to the development of type 2 diabetes, including obesity (defined by

17596-430: The current taxonomy was introduced in 1999. Yet another form of diabetes that people may develop is double diabetes . This is when a type 1 diabetic becomes insulin resistant, the hallmark for type 2 diabetes or has a family history for type 2 diabetes. It was first discovered in 1990 or 1991. The following is a list of disorders that may increase the risk of diabetes: Insulin is the principal hormone that regulates

17762-491: The diet is also important, with saturated fat and trans fats increasing the risk and polyunsaturated and monounsaturated fat decreasing the risk. Eating white rice excessively may increase the risk of diabetes, especially in Chinese and Japanese people. Lack of physical activity may increase the risk of diabetes in some people. Adverse childhood experiences , including abuse, neglect, and household difficulties, increase

17928-592: The discipline as involving only such clinical or counseling psychologists. While counseling and psychotherapy are common activities for psychologists, these health service psychology fields are just two branches in the larger domain of psychology. There are other classifications such as industrial and organizational and community psychologists, whose professionals mainly apply psychological research, theories, and techniques to "real-world" problems of business, industry, social benefit organizations , government, and academia . Clinical psychologists receive training in

18094-467: The disease and actively participating in the treatment is important, since complications are far less common and less severe in people who have well-managed blood sugar levels. The goal of treatment is an A1C level below 7%. Attention is also paid to other health problems that may accelerate the negative effects of diabetes. These include smoking , high blood pressure , metabolic syndrome obesity , and lack of regular exercise . Specialized footwear

18260-424: The end of his life he led his famous Friday Night Workshops, in which he conducted therapy sessions with volunteers from the audience. The 1970s found him introducing his popular "rational humorous songs" which combined humorous lyrics with a rational self-help message set to a popular tune. Ellis also held workshops and seminars on mental health and psychotherapy all over the world until his 90s. Until he fell ill at

18426-446: The evidence base of applied behavior analysis and the philosophy of behaviorism . Behavior analysts have at least a master's degree in behavior analysis or in a mental health related discipline, as well as having taken at least five core courses in applied behavior analysis. Many behavior analysts have a doctorate. Most programs have a formalized internship program, and several programs are offered online. Most practitioners have passed

18592-589: The examination offered by the Behavior Analyst Certification Board The model licensing act for behavior analysts can be found at the Association for Behavior Analysis International 's website. In the United States, of 181,600 jobs for psychologists in 2021, 123,300 are employed in clinical, counseling, and school positions; 2,900 are employed in industrial-organizational positions, and 55,400 are in "all other" positions. The median salary in

18758-518: The fasting test. According to the current definition, two fasting glucose measurements at or above 7.0 mmol/L (126 mg/dL) is considered diagnostic for diabetes mellitus. Per the WHO, people with fasting glucose levels from 6.1 to 6.9 mmol/L (110 to 125 mg/dL) are considered to have impaired fasting glucose . People with plasma glucose at or above 7.8 mmol/L (140 mg/dL), but not over 11.1 mmol/L (200 mg/dL), two hours after

18924-507: The figure who had exerted the average influence on their field. Also in 1982, in an analysis of psychology journals published in the US it was found that Ellis was the most cited author after 1957. In 1985, the APA presented Ellis with its award for "distinguished professional contributions". He held many important positions in many professional societies including the Division of Consulting Psychology of

19090-530: The first cognitive behavioral therapy by proposing that therapists help people adjust their thinking and behavior as the treatment for emotional and behavioral problems. Two years later, Ellis published How to Live with a Neurotic , which elaborated on his new method. In 1960, Ellis presented a paper on his new approach at the American Psychological Association (APA) convention in Chicago. There

19256-587: The following 5 to 7 year, 90–120 unit curriculum: Psychologists can be seen as practicing within two general categories of psychology: health service psychology, which includes "practitioners" or "professionals" and research-oriented psychology which includes "scientists" or "scholars". The training models ( Boulder and Vail models) endorsed by the APA require that health service psychologists be trained as both researchers and practitioners, and that they possess advanced degrees. Psychologists typically have one of two degrees: PsyD or PhD . The PsyD program prepares

19422-434: The form of glycogen. Insulin is released into the blood by beta cells (β-cells), found in the islets of Langerhans in the pancreas, in response to rising levels of blood glucose, typically after eating. Insulin is used by about two-thirds of the body's cells to absorb glucose from the blood for use as fuel, for conversion to other needed molecules, or for storage. Lower glucose levels result in decreased insulin release from

19588-473: The general population. People with diabetes can benefit from education about the disease and treatment, dietary changes, and exercise, with the goal of keeping both short-term and long-term blood glucose levels within acceptable bounds . In addition, given the associated higher risks of cardiovascular disease, lifestyle modifications are recommended to control blood pressure. Weight loss can prevent progression from prediabetes to diabetes type 2 , decrease

19754-528: The glycemic threshold at which symptoms occur, meaning mild symptoms may not appear before cognitive deterioration begins to occur. The major long-term complications of diabetes relate to damage to blood vessels at both macrovascular and microvascular levels. Diabetes doubles the risk of cardiovascular disease , and about 75% of deaths in people with diabetes are due to coronary artery disease . Other macrovascular morbidities include stroke and peripheral artery disease . Microvascular disease affects

19920-409: The ideas about human sexuality from the original, the revision described his later humanistic opinions and ethical ideals as they had evolved in his academic work and practice. Ellis is primarily known for his development of rational emotive behavior therapy (REBT). He published his first major book on it in 1962. REBT is an active-directive, philosophically , and empirically based psychotherapy ,

20086-502: The institute. Ellis was reinstated to the board in January 2006 after winning civil proceedings against the board members who removed him. On June 6, 2007, lawyers acting for Albert Ellis filed a suit against the Albert Ellis Institute in New York state court. The suit alleges a breach of a long-term contract with the AEI and sought recovery of the 45 East 65th Street property through the imposition of

20252-818: The jurisdiction, some psychologists with additional training can be licensed to prescribe medications; qualification requirements may be different from a bachelor's degree and master's degree. Psychologists receive extensive training in psychological testing , communication techniques, scoring, interpretation, and reporting, while psychiatrists are not usually trained in psychological testing. Psychologists are also trained in, and often specialize in, one or more psychotherapies to improve symptoms of many mental disorders , including but not limited to treatment for anxiety , depression , post-traumatic stress disorder , schizophrenia , bipolar disorder , personality disorders and eating disorders . Treatment from psychologists can be individual or in groups . Cognitive behavioral therapy

20418-485: The legislation was vetoed by the state's governor. In 1989, the U.S Department of Defense was directed to create the Psychopharmacology Demonstration Project (PDP). By 1997, ten psychologists were trained in psychopharmacology and granted the ability to prescribe psychiatric medications. The practice of clinical psychology requires a license in the United States and Canada. Although each of

20584-499: The likelihood of type 2 diabetes later in life by 32%, with neglect having the strongest effect. Antipsychotic medication side effects (specifically metabolic abnormalities, dyslipidemia and weight gain) are also potential risk factors. Gestational diabetes resembles type 2 diabetes in several respects, involving a combination of relatively inadequate insulin secretion and responsiveness. It occurs in about 2–10% of all pregnancies and may improve or disappear after delivery. It

20750-480: The mid-1990s, he renamed his psychotherapy and behavior change system rational emotive behavior therapy (REBT). (It was originally known as rational therapy and then rational-emotive therapy.) This he did to stress the interrelated importance of cognition, emotion, and behavior in his therapeutic approach. In 1994, he also updated and revised his original, 1962 classic book, Reason and Emotion in Psychotherapy . During

20916-435: The most evidence for improving glycemia", and for individuals with type 2 diabetes who cannot meet the glycemic targets or where reducing anti-glycemic medications is a priority, low or very-low carbohydrate diets are a viable approach. For overweight people with type 2 diabetes, any diet that achieves weight loss is effective. A 2020 Cochrane systematic review compared several non-nutritive sweeteners to sugar, placebo and

21082-457: The most popular systems of psychotherapy in many countries, mainly due to the large body of rigorously conducted research that underpinned the work of the cognitive therapy school (a key part of the CBT family) founded by Aaron T. Beck . In the late 1960s, his institute launched a professional journal, and in the early 70s established "The Living School" for children between 6 and 13. The school provided

21248-1038: The most significant difference is that psychiatrists are licensed physicians , and, as such, psychiatrists are apt to use the medical model to assess mental health problems and to also employ psychotropic medications as a method of addressing mental health problems. Psychologists generally do not prescribe medication, although in some jurisdictions they do have prescription privileges. In five U.S. states (New Mexico, Louisiana, Illinois, Iowa, Idaho, and Colorado), psychologists with clinical psychopharmacology training have been granted prescriptive authority for mental health disorders. Psychologists receive extensive training in psychological test administration, scoring, interpretation, and reporting, while psychiatrists are not trained in psychological testing. In addition, psychologists (particularly those from PhD programs) spend several years in graduate school being trained to conduct behavioral research; their training includes research design and advanced statistical analysis. While this training

21414-482: The national psychology licensing exam, the Examination for Professional Practice in Psychology (EPPP). Within the two main categories are many further types of psychologists as reflected by APA's 54 Divisions, which are specialty or subspecialty or topical areas, including clinical , counseling , and school psychologists . Such professionals work with persons in a variety of therapeutic contexts. People often think of

21580-462: The onset of diabetes can be triggered by one or more environmental factors , such as a viral infection or diet. Several viruses have been implicated, but to date there is no stringent evidence to support this hypothesis in humans. Type 1 diabetes can occur at any age, and a significant proportion is diagnosed during adulthood. Latent autoimmune diabetes of adults (LADA) is the diagnostic term applied when type 1 diabetes develops in adults; it has

21746-504: The practice of psychotherapy like a colossus... In the opening ceremony of the 2013 American Psychological Association Convention, Ellis was posthumously awarded the APA Award For Outstanding Lifetime Contributions to Psychology. It highlights the profound and historic role played in the life and evolution of the fields of psychology and psychotherapy. Most of the books Ellis wrote after inventing REBT had

21912-584: The proclamation of the Health Practitioners Competence Assurance Act, in 2003, the use of the title "psychologist" was limited to practitioners registered with the New Zealand Psychologists Board. The titles "clinical psychologist", "counseling psychologist", "educational psychologist", "intern psychologist", and "trainee psychologist" are similarly protected. This is to protect the public by providing assurance that

22078-574: The psychology profession, and the use of the title "psychologist", is regulated by an Act of Parliament, the Health Practitioner Regulation (Administrative Arrangements) National Law Act 2008, following an agreement between state and territorial governments. Under this national law, registration of psychologists is administered by the Psychology Board of Australia (PsyBA). Before July 2010, the professional registration of psychologists

22244-490: The psychotherapeutic establishment with the possible exception of the followers of Adler. Consequently, he was often received with significant hostility at professional conferences and in print. He regularly held seminars where he would bring a participant up on stage and treat them. His own therapeutical style was famed for often being delivered in a rough, confrontational style; however, it should not be confused with his rational-emotive and cognitive-behavioral therapy school that

22410-403: The remainder of his life, he continued developing the theory that cognition, emotion, and behavior are intertwined, and that a system for psychotherapy and behavior change must involve all three. Ellis's work extended into areas other than psychology, including education, politics, business, and philosophy. He eventually became a prominent and confrontational social commenter and public speaker on

22576-447: The responsibility of caring for his siblings. He purchased an alarm clock with his own money and woke and dressed his younger brother and sister. When the Great Depression struck, all three children sought work to assist the family. Ellis was sickly as a child and suffered numerous health problems throughout his youth. At the age of five he was hospitalized with a kidney disease . He was also hospitalized with tonsillitis , which led to

22742-550: The risk of cardiovascular disease, or result in a partial remission in people with diabetes. No single dietary pattern is best for all people with diabetes. Healthy dietary patterns, such as the Mediterranean diet , low-carbohydrate diet , or DASH diet , are often recommended, although evidence does not support one over the others. According to the ADA, "reducing overall carbohydrate intake for individuals with diabetes has demonstrated

22908-416: The sin and accept the sinner” but then went on to say “I knew that frotteurism was wrong – that it is sometimes nonconsenting” but “Subway sex was the cheapest and easiest sex I ever had, and I continued it into my twenties . . . . But in some ways it was great: no fuss, no obligations, no time wasted, no having to put up with the inane conversation of most women, no pregnancy, no disease, no boredom.” Illness

23074-681: The smell of acetone in the breath, deep breathing known as Kussmaul breathing , and in severe cases decreased level of consciousness . Hyperosmolar hyperglycemic state is another emergency characterized by dehydration secondary to severe hyperglycemia, with resultant hypernatremia leading to an altered mental state and possibly coma . Hypoglycemia is a recognized complication of insulin treatment used in diabetes. An acute presentation can include mild symptoms such as sweating , trembling, and palpitations , to more serious effects including impaired cognition , confusion, seizures , coma , and rarely death. Recurrent hypoglycemic episodes may lower

23240-412: The storage form of glucose found in the liver; and gluconeogenesis , the generation of glucose from non-carbohydrate substrates in the body. Insulin plays a critical role in regulating glucose levels in the body. Insulin can inhibit the breakdown of glycogen or the process of gluconeogenesis, it can stimulate the transport of glucose into fat and muscle cells, and it can stimulate the storage of glucose in

23406-459: The student primarily as a practitioner for clinical practice (e.g., testing, psychotherapy), but also as a scholar that consumes research. Depending on the specialty (industrial/organizational, social, clinical, school, etc.), a PhD may be trained in clinical practice as well as in scientific methodology, to prepare for a career in academia or research. Both the PsyD and PhD programs prepare students to take

23572-457: The textbook Personality Theories: Critical Perspectives . Ellis' penultimate book was an autobiography entitled " All Out! " published by Prometheus Books in June 2010. The book was dedicated to and included contributions by his wife, Debbie Joffe Ellis, to whom he entrusted the legacy of REBT. In early 2011, the book Rational Emotive Behavior Therapy by Albert and Debbie Joffe Ellis was released by

23738-522: The title "psychologist" has been protected by law in Greece . It can only be used by people who hold a relevant license or certificate, which is issued by the Greek authorities, to practice as a psychologist. The minimum requirement is the completion of university training in psychology at a Greek university, or at a university recognized by the Greek authorities. Psychologists in Greece are legally required to abide by

23904-542: The title "psychologist" in all states and territories of Australia. However, the terms "psychotherapist", "social worker", and "counselor" are currently self-regulated, with several organizations campaigning for government regulation. Since 1933, the title "psychologist" has been protected by law in Belgium. It can only be used by people who are on the National Government Commission list. The minimum requirement

24070-527: The title-holder is registered and therefore qualified and competent to practice, and can be held accountable. The legislation does not include an exemption clause for any class of practitioner (e.g., academics, or government employees). In Norway, the title "psychologist" is restricted by law and can only be obtained by completing a six-year integrated program, leading to the Candidate of Psychology degree. Psychologists are considered health personnel, and their work

24236-424: The training requirements, psychologists take a state-run exam, which, upon successful completion (Approbation), confers the official title of "psychological psychotherapist" ( Psychologischer Psychotherapeut ). After many years of inter-professional political controversy, non-physician psychotherapy was given an adequate legal foundation through the creation of two new academic healthcare professions. Since 1979,

24402-485: The uptake of glucose from the blood into most cells of the body, especially liver, adipose tissue and muscle, except smooth muscle, in which insulin acts via the IGF-1 . Therefore, deficiency of insulin or the insensitivity of its receptors play a central role in all forms of diabetes mellitus. The body obtains glucose from three main sources: the intestinal absorption of food; the breakdown of glycogen ( glycogenolysis ),

24568-517: The way he handled his problems, at first through philosophy, and later through the application of his emerging therapeutic skills and insights. All Out!: An Autobiography (Prometheus Books, 2009) —published after his death—is a more traditional narrative of his life and work (though it also meant to be an inspirational story of the use of rational thinking in self-help). Ellis first marriage, to Karyl Corper, an actress, in 1938, ended in annulment. He had 3 children with Karyl after their divorce, when she

24734-440: Was "by no means entirely new", as in particular Paul Charles Dubois 's "rational persuasion" had prefigured some of its main principles; Ellis stated he had read him some years after inventing his therapy, but had studied Émile Coué since a young age. From the late 1940s onward, Ellis worked on rational emotive behavioral therapy (REBT), and by January 1953 his break with psychoanalysis was complete, and he began calling himself

24900-462: Was "the greatest love of his life". In eulogy of Albert Ellis, APA past president Frank Farley states: Psychology has had only a handful of legendary figures who not only command attention across much of the discipline but also receive high recognition from the public for their work. Albert Ellis was such a figure, known inside and outside of psychology for his astounding originality, his provocative ideas, and his provocative personality. He bestrode

25066-415: Was a greater drop of blood glucose post exercise in the high intensity (-1.47mmol/L). During recovery, the continuous exercise showed a greater decrease in blood glucose. With all these, continuous exercise resulted in being more favorable for managing blood glucose levels. In the other study, it is mentioned that exercise also contributed to a notable impact on glucose levels. Post-exercise measurements, there

25232-573: Was a lifelong advocate for peace and an opponent of militarism. He also praised libertarian economist Walter Block 's book, Defending the Undefendable . While many of his ideas were criticized during the 1950s and '60s by the psychotherapeutic establishment, his reputation grew immensely in the subsequent decades. From the 1960s on, his prominence was steadily growing as the cognitive behavioral therapies (CBT) were gaining further theoretical and scientific ground. From then, CBT gradually became one of

25398-642: Was a low mean glucose level that occurred 12 to 16 hours after exercising. Although, with participants exercising for longer sessions (≥90 minutes), hypoglycemia rates were higher. With all these, participants showed well-managed glucose control by intaking proper carbohydrates amount without any insulin adjustments. Lastly, the study, that educated youth and parents about exercise important and management of hypoglycemia, showed many youths feeling confident to continue to exercise regularly and being able to manage their glucose levels. Therefore, as important as exercising is, showing youth and parents that being physical active

25564-414: Was awarded a PhD in Clinical Psychology at Columbia, and at that time Ellis had come to believe that psychoanalysis was the deepest and most effective form of therapy. Like most psychologists of that time, he was interested in the theories of Sigmund Freud . He sought additional training in psychoanalysis and then began to practice classical psychoanalysis. Shortly after receiving his PhD in 1947, Ellis began

25730-470: Was careful to state that REBT was independent of his atheism, noting that many skilled REBT practitioners are religious, including some who are ordained ministers. In his later days, he significantly toned down his opposition to religion. While Ellis maintained his firm atheistic stance, proposing that thoughtful, probabilistic atheism was likely the most emotionally healthy approach to life, he acknowledged and agreed with survey evidence suggesting that belief in

25896-646: Was founded as a non-profit organization in 1959. By 1968, it was chartered by the New York State Board of Regents as a training institute and psychological clinic. By the 1960s, Ellis had come to be seen as one of the founders of the American sexual revolution . Especially in his earlier career, he was well known for his work as a sexologist and for his liberal humanistic , and in some camps controversial opinions on human sexuality. He also worked with noted zoologist and sex researcher Alfred Kinsey and explored in

26062-442: Was governed by various state and territorial Psychology Registration Boards. The Australian Psychology Accreditation Council (APAC) oversees education standards for the profession. The minimum requirements for general registration in psychology, including the right to use the title "psychologist", are an APAC approved four-year degree in psychology followed by either a two-year master's program or two years of practice supervised by

26228-635: Was gradually crumbling. The writings of Karen Horney , Alfred Adler , Erich Fromm , and Harry Stack Sullivan would be some of the influences in Ellis's thinking and played a role in shaping his psychological models. Ellis credits Alfred Korzybski , his book, Science and Sanity , and general semantics for starting him on the philosophical path for founding rational therapy. In addition, modern and ancient philosophy (particularly stoicism ), and his own experiences heavily influenced his new theoretical developments to psychotherapy. Ellis acknowledged that his therapy

26394-429: Was married to her husband Tony. Ellis second, in 1956, to Rhoda Winter, a dancer, ended in divorce. For 37 years, from 1965 to 2002, he lived in an open relationship with a companion, Janet L. Wolfe, a psychologist who had been executive director of the Ellis institute. She later called him a “closet mensch .” In 2004 he married Dr Debbie Joffe, who he described as 'the greatest love of his life'. In his obituary in

26560-451: Was mild interest, but few recognized that the paradigm set forth would become the zeitgeist within a generation. At that time, the prevailing interest in experimental psychology was behaviorism , while in clinical psychology it was the psychoanalytic schools of notables such as Freud, Jung , Adler, and Perls . Despite the fact that Ellis' approach emphasized cognitive, emotive, and behavioral methods, his strong cognitive emphasis provoked

26726-504: Was not worth his or anyone else's attention. While Ellis' personal atheism and humanism remained consistent, his views about the role of religion in mental health changed over time. In early comments delivered at conventions and at his institute in New York City, Ellis overtly and often with characteristically acerbic delivery stated that devout religious beliefs and practices were harmful to mental health. In "The Case Against Religiosity",

26892-516: Was poor and had no success in publishing his fiction. Finding that he could write non-fiction well, Ellis researched and wrote on human sexuality . His lay counseling in this subject convinced him to seek a new career in clinical psychology . In 1942, Ellis began his studies for a PhD in clinical psychology at Teachers College, Columbia University , which trained psychologists mostly in psychoanalysis . He completed his Master of Arts in clinical psychology from Teachers College in June 1943, and started

27058-643: Was ranked third). Psychology Today noted that, "No individual—not even Freud himself—has had a greater impact on modern psychotherapy." Ellis was born in Pittsburgh , Pennsylvania , and raised in The Bronx borough of New York City from a young age. His paternal grandparents were Jewish immigrants from the Russian Empire , while his maternal grandfather originated from Galicia, Poland in Austria-Hungary . He

27224-583: Was the aim to investigate on how it affects adolescents with T1D. In one of those studies, the impact was assessed in the changes of glucose in exercise by how many minutes per day, intensity, duration, and heart rate. Also, glucose was monitored to see changes during exercise, post exercise, and overnight. The other study investigated how types of exercises can affect glucose levels. The exercise types were continuous moderate exercise and interval-high-intensity exercise. Both types consisted of 2 sets of 10-minute work at different pedaling paces. The continuous pedaled at

27390-415: Was the eldest of three children. Ellis' father, Harry, was a broker, often away from home on business trips, who reportedly showed only a modicum of affection to his children. By his teenage years, his parents divorced , and he lived solely with his mother. His father never again played a significant part in his life. In his autobiography, Ellis characterized his mother, Hattie, as a self-absorbed woman with

27556-464: Was to follow Ellis throughout his life; at age 40 he developed diabetes . Ellis had exaggerated fears of speaking in public and during his adolescence, he was extremely shy around women. At age 19, already showing signs of thinking like a cognitive-behavioral therapist, he forced himself to talk to 100 women in the Bronx Botanical Gardens over a period of a month. Even though he did not get

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