introduction to acceptance and commitment therapy patty bach, ph.d. daniel j. moran, ph.d., bcba
TRANSCRIPT
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Introduction to Acceptance and Commitment
Therapy
Patty Bach, Ph.D.
Daniel J. Moran, Ph.D., BCBA
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Acknowledgments
• The ACT/ RFT community was very supportive and helpful as I compiled this presentation
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The purpose of life is not to be happy, but to matter, to be productive, to be useful, to have it make some difference that you have lived at all.
-Leo Rosten
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We can try to control the uncontrollable by looking for security and predictability, always hoping to be comfortable and safe.
But the truth is that we can never avoid uncertainty and fear. So the central question is not how we avoid uncertainty and fear but how we relate to discomfort.
-Pema Chodron
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Use only that which works,
and take it from any place you can find it
– Bruce Lee
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It’s like you’re surfing…
The same wave that can be a source of pain, can be a beautiful flowing grace and source of power.
It’s all a matter of how you respond to it.
-Trey Anastasio
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What have I gotten myself into!?
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Acceptance and Commitment Therapy is
…built on empirically based principles
…aimed to increase psychological flexibility
…using a mindfulness-based approach
…with behavior change strategies
An Intro to the Intro to ACT
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… built on empirically based principles
Severe substance abuse
Obsessive-compulsive disorder
Depression
Workplace stress & creativity
Panic disorder
Social phobia
Smoking
Chronic pain
Trichotillomania
Psychosis
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…aimed to increase psychological flexibility
Psychological flexibility is: contacting the present moment fully
as an historical human being,
and based on what the situation affords
changing or persisting in behavior
in the service of chosen values.
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…using a mindfulness-based approach
Mindfulness is:…much easier learned by experience, but…
…it involves: paying attention in a particular way;
on purpose,
in the present moment,
and nonjudgmentally – Jon Kabat-Zinn
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…with behavior change strategies
Behavior change strategies include:
Applied Behavior Analysis strategiesContingency management
Level systems
Traditional Behavior Therapy strategiesExposure
Social skills training
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Acceptance and Commitment Therapy is an empirically based intervention aimed to increase psychological flexibility using a mindfulness-based approach with behavior change strategies
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Self asContext
Contact with the Present Moment
Defusion
Acceptance
Committed Action
Values
EssentialComponents
of ACT
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Acceptance
Actively contacting psychological experiences directly, fully, and without needless defense
while behaving effectively
Hayes, Wilson, Gifford, Follette, & Strosahl, 1996, p. 1163
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Defusion
Looking at thoughts, rather than from thoughts
Seeing thoughts as what they are, not as what they say they are
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Self as Perspective
A sense-of-self that is a consistent perspective from which to observe and accept all changing experiences
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Committed Action
Overt behavior in the service of values
Moving forward in your important chosen directions
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Values
Chosen life directionsValues give life meaning
There is a distinction between a value and a goal
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Intimate relationships
Family relations
Social relations
Employment
Education and training
Recreation
Spirituality
Citizenship
Health/physical well-being
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Contact with the Present Moment
Mindfulness practice is based on the premise that only in the experience of the current event can one accurately perceive what is really happening
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Self asContext
Contact with the Present Moment
Defusion
Acceptance
Committed Action
Values
EssentialComponents
of ACT
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These six core processes are interconnected with mutual and facilitative relationships among them…
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Self asContext
Contact with the Present Moment
Defusion
Acceptance
Committed Action
Values
EssentialComponents
of ACT
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Self asContext
Contact with the Present Moment
Defusion
Acceptance
Committed Action
Values
This then is the overall
ACT model
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Self asContext
Contact with the Present Moment
Defusion
Acceptance
Committed Action
Values
Acceptance and Mindfulness
Processes
You can chunk them into two larger groups
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Self asContext
Contact with the Present Moment
Defusion
Acceptance
Committed Action
Values
Commitment and Behavior
Change Processes
Thus the name “Acceptance and
Commitment Therapy”
and
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Self asContext
Contact with the Present Moment
Defusion
Acceptance
Committed Action
Values
Psychological Flexibility
(1) Given a distinction between you and the stuff you are
struggling with and trying to change
(2) are you willing to have that stuff, fully and without defense
(3) as it is, and not as what it says it is,
(4) AND do what takes you in the
direction
(5) of your chosen values
(6) at this time, in this situation?
ACT Question
If the answer is “yes,” that is what builds...
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• www.contextualpsychology.org
• www.ACTinPractice.com