workshop act for people with severe personality problems annika cornelissen lucas goessens scelta...
TRANSCRIPT
Workshop
ACT for people with severe personality problems
Annika CornelissenLucas Goessens
Scelta Nijmegen, the Netherlands
Berlin, july 16th, 2014
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
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:
ACT for PPP
4. Our treatment: structure, vision, tailoring!
Experiential exercises
Continued: workshop outline:
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”.
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
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
Why is it important?
*DBT = ACT for borderline problems??
→ ACT extra value in creating meaningful lives.
3. Why is it inspiring?
ACT for PPP
4. Our treatment: structure, vision
→weekly group
→2- day clinic:
ACT for PPP
*start low, go slow, don’t overflow!
*ACT Treatment plan
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. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Start low, go slow: essential is:
the first beacon!!
ACT for PPP
*cycle: every two weeks 1 hexaflex item
*Clear and simple hexaflex
ACT for PPP
our treatment: structure, vision
Default Hexaflex
Psychological
flexibility
Mindfulness
Acceptance
Defusion
Self as context
Values
Committed action
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
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
Experiential exercises
→ Tailoring!!(light-medium-heavy)
ACT for PPP
