![Page 1: Workshop ACT for people with severe personality problems Annika Cornelissen Lucas Goessens Scelta Nijmegen, the Netherlands Berlin, july 16th, 2014](https://reader035.vdocuments.us/reader035/viewer/2022070408/56649e6b5503460f94b697b3/html5/thumbnails/1.jpg)
Workshop
ACT for people with severe personality problems
Annika CornelissenLucas Goessens
Scelta Nijmegen, the Netherlands
Berlin, july 16th, 2014
![Page 2: Workshop ACT for people with severe personality problems Annika Cornelissen Lucas Goessens Scelta Nijmegen, the Netherlands Berlin, july 16th, 2014](https://reader035.vdocuments.us/reader035/viewer/2022070408/56649e6b5503460f94b697b3/html5/thumbnails/2.jpg)
Evaluate yourself, from the perspective of your perfectionistic, “not-good-enough’ self
Go to a proud, successful moment, and evaluate yourself.
Go back to a moment when you had a strong sense of failure.
How do you judge yourself today, up till now?
Go back to a moment when a loved one left you
Go back to a moment you fell in love, and this love was answered.
Go to a very difficult moment in your role as a therapist, feeling desperate and powerless.
Go to a very rewarding moment in your role as a therapist
From the perspective of you as a 18 year old: how would you evaluate yourself as you are now?
Intro: 9 questions exercise
![Page 3: Workshop ACT for people with severe personality problems Annika Cornelissen Lucas Goessens Scelta Nijmegen, the Netherlands Berlin, july 16th, 2014](https://reader035.vdocuments.us/reader035/viewer/2022070408/56649e6b5503460f94b697b3/html5/thumbnails/3.jpg)
ACT for PPP (people with severe personality problems)
1. Why is it difficult
2. Why is it important
3. Why is it inspiring
Workshop outline:
![Page 4: Workshop ACT for people with severe personality problems Annika Cornelissen Lucas Goessens Scelta Nijmegen, the Netherlands Berlin, july 16th, 2014](https://reader035.vdocuments.us/reader035/viewer/2022070408/56649e6b5503460f94b697b3/html5/thumbnails/4.jpg)
ACT for PPP
4. Our treatment: structure, vision, tailoring!
Experiential exercises
Continued: workshop outline:
![Page 5: Workshop ACT for people with severe personality problems Annika Cornelissen Lucas Goessens Scelta Nijmegen, the Netherlands Berlin, july 16th, 2014](https://reader035.vdocuments.us/reader035/viewer/2022070408/56649e6b5503460f94b697b3/html5/thumbnails/5.jpg)
ACT: “BOTTOM LINE” =
PSYCHOLOGICAL FLEXIBILITY
“Helping people to maintain meaningful behaviours
in their lives, even when difficult private experiences
(thoughts/feelings/memories/pain) show up”.
![Page 6: Workshop ACT for people with severe personality problems Annika Cornelissen Lucas Goessens Scelta Nijmegen, the Netherlands Berlin, july 16th, 2014](https://reader035.vdocuments.us/reader035/viewer/2022070408/56649e6b5503460f94b697b3/html5/thumbnails/6.jpg)
1. Why is it difficult?*behaviour patterns of Short Time Survival
*e.g. self-hate, paranoia, impulsivity
*patterns give sense of self
*little contact feelings, needs, values
ACT for PPP
![Page 7: Workshop ACT for people with severe personality problems Annika Cornelissen Lucas Goessens Scelta Nijmegen, the Netherlands Berlin, july 16th, 2014](https://reader035.vdocuments.us/reader035/viewer/2022070408/56649e6b5503460f94b697b3/html5/thumbnails/7.jpg)
2. Why is it important?
*Tiny steps can make a big difference
*meaningful contacts, value-based behavior
*EA undermines therapy process
*ACT can stimulate therapy process
![Page 8: Workshop ACT for people with severe personality problems Annika Cornelissen Lucas Goessens Scelta Nijmegen, the Netherlands Berlin, july 16th, 2014](https://reader035.vdocuments.us/reader035/viewer/2022070408/56649e6b5503460f94b697b3/html5/thumbnails/8.jpg)
Why is it important?
*DBT = ACT for borderline problems??
→ ACT extra value in creating meaningful lives.
![Page 9: Workshop ACT for people with severe personality problems Annika Cornelissen Lucas Goessens Scelta Nijmegen, the Netherlands Berlin, july 16th, 2014](https://reader035.vdocuments.us/reader035/viewer/2022070408/56649e6b5503460f94b697b3/html5/thumbnails/9.jpg)
3. Why is it inspiring?
ACT for PPP
![Page 10: Workshop ACT for people with severe personality problems Annika Cornelissen Lucas Goessens Scelta Nijmegen, the Netherlands Berlin, july 16th, 2014](https://reader035.vdocuments.us/reader035/viewer/2022070408/56649e6b5503460f94b697b3/html5/thumbnails/10.jpg)
4. Our treatment: structure, vision
→weekly group
→2- day clinic:
ACT for PPP
*start low, go slow, don’t overflow!
*ACT Treatment plan
![Page 11: Workshop ACT for people with severe personality problems Annika Cornelissen Lucas Goessens Scelta Nijmegen, the Netherlands Berlin, july 16th, 2014](https://reader035.vdocuments.us/reader035/viewer/2022070408/56649e6b5503460f94b697b3/html5/thumbnails/11.jpg)
Value Area 1:
Value area 2:
WAVES BEACONS LIGHTHOUSE1._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 1._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _2._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 2._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _3._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 3. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 4._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 4. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
WAVES BEACONS LIGHTHOUSE1._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 1._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _2._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 2._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _3._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 3. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 4._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 4. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
![Page 12: Workshop ACT for people with severe personality problems Annika Cornelissen Lucas Goessens Scelta Nijmegen, the Netherlands Berlin, july 16th, 2014](https://reader035.vdocuments.us/reader035/viewer/2022070408/56649e6b5503460f94b697b3/html5/thumbnails/12.jpg)
Start low, go slow: essential is:
the first beacon!!
ACT for PPP
![Page 13: Workshop ACT for people with severe personality problems Annika Cornelissen Lucas Goessens Scelta Nijmegen, the Netherlands Berlin, july 16th, 2014](https://reader035.vdocuments.us/reader035/viewer/2022070408/56649e6b5503460f94b697b3/html5/thumbnails/13.jpg)
*cycle: every two weeks 1 hexaflex item
*Clear and simple hexaflex
ACT for PPP
our treatment: structure, vision
![Page 14: Workshop ACT for people with severe personality problems Annika Cornelissen Lucas Goessens Scelta Nijmegen, the Netherlands Berlin, july 16th, 2014](https://reader035.vdocuments.us/reader035/viewer/2022070408/56649e6b5503460f94b697b3/html5/thumbnails/14.jpg)
Default Hexaflex
Psychological
flexibility
Mindfulness
Acceptance
Defusion
Self as context
Values
Committed action
![Page 15: Workshop ACT for people with severe personality problems Annika Cornelissen Lucas Goessens Scelta Nijmegen, the Netherlands Berlin, july 16th, 2014](https://reader035.vdocuments.us/reader035/viewer/2022070408/56649e6b5503460f94b697b3/html5/thumbnails/15.jpg)
HEXAFLEX SIMPLE
From staying alive to living a
life
Stay aware when needed
Deal with difficult emotions
Deal with difficult thoughts
Put on the right spectacles
Know what matters
Do what it takes
![Page 16: Workshop ACT for people with severe personality problems Annika Cornelissen Lucas Goessens Scelta Nijmegen, the Netherlands Berlin, july 16th, 2014](https://reader035.vdocuments.us/reader035/viewer/2022070408/56649e6b5503460f94b697b3/html5/thumbnails/16.jpg)
HEXAFLEX SIMPLE: flexibility poles
From staying alive to living a
life
awareness vs. automatism
allowing vs. rejecting
hooking vs. unhooking
being me instead ofwho I should be
knowing what matters vs, ‘I don’t care’
keeping on track vs. letting go
![Page 17: Workshop ACT for people with severe personality problems Annika Cornelissen Lucas Goessens Scelta Nijmegen, the Netherlands Berlin, july 16th, 2014](https://reader035.vdocuments.us/reader035/viewer/2022070408/56649e6b5503460f94b697b3/html5/thumbnails/17.jpg)
Experiential exercises
→ Tailoring!!(light-medium-heavy)
ACT for PPP