ACT Verbatim for Depression and Anxiety

Hayes Steven C.

Sujets

• Sociologie, société et politique
• Clinical psychology

Informations

• Publié par: New Harbinger Publications
• Date de parution: 01 janvier 0001
• Nombre de lectures: 0
• EAN13: 9781608825080
• Langue: English

Extrait

Annotated Transcripts for Learning Acceptance & Commitment Therapy
Michael P. Twohig, PhD
Steven C. Hayes, PhD
New Harbinger Publications, Inc. -->
Publisher’s Note
This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold with the understanding that the publisher is not engaged in rendering psychological, financial, legal, or other professional services. If expert assistance or counseling is needed, the services of a competent professional should be sought.
Copyright © 2008 by Steven Hayes and Michael Twohig
New Harbinger Publications, Inc.
5674 Shattuck Avenue
Oakland, CA 94609
www.newharbinger.com
All rights reserved. Printed in the United States of America. Distributed in Canada by Raincoast Books.
Acquired by Catharine Sutker; Cover design by Amy Shoup; Edited by Elisabeth Beller; Text design by Tracy Carlson
Epub ISBN: 978160882xxxx
The Library of Congress has cataloged the print edition as:
Twohig, Michael P.
ACT verbatim for depression and anxiety : annotated transcripts for learning acceptance and commitment therapy / Michael P. Twohig and Steven C. Hayes.
p. ; cm.
Includes bibliographical references.
ISBN-13: 978-1-57224-523-5 (pbk. : alk. paper)
ISBN-10: 1-57224-523-9 (pbk. : alk. paper) 1. Acceptance and commitment therapy--Case studies. I. Hayes, Steven C. II. Title.
[DNLM: 1. Cognitive Therapy--methods--Case Reports. 2. Emotions--Case Reports. 3. Self Concept--Case Reports. WM 425.5.C6 T974a 2008]
RC489.A32T96 2008
616.89’1425--dc22
2008003620
To my wife, Katie, for supporting me from the beginning.
—MPT
To my wife, Jacque, for loving me.
—SCH
Contents
A Letter from the Series Editors
Preface
Acknowledgments
1. What Is ACT?
The Six Core ACT Processes • Clusters of ACT Processes • Summary and Structure of the Book
2. Committing to Therapy and Beginning to Let Go of the Struggle
Transcript Structure • Description of the Client • Beginning the Work: Session One • Final Commentary
3. Problems with Control and the Beginning of Self as Context
Session Two • Final Commentary
4. Self as Context
Session Three • Final Commentary
5. Learning to Be Present and to See Self as Context
Session Four • Final Commentary
6. Applying Acceptance, Defusion, and Self as Context in Imaginal Exposure
Session Five • Final Commentary
7. Choice and Values
Session Six • Final Commentary
8. Self-Compassion
Session Seven • Final Commentary
9. Choosing Values
Session Eight • Final Commentary
10. Values, Defusion, and Back
Session Nine • Final Commentary
11. Values, Commitment, and Wrap-Up
Session Ten • Final Commentary
Postscript
Dear Reader:
Welcome to New Harbinger Publications. New Harbinger is dedicated to publishing books based on acceptance and commitment therapy (ACT) and its application to specific areas. New Harbinger has a long-standing reputation as a publisher of quality, ­well-researched books for general and professional audiences.
ACT Verbatim is the first book of its kind to provide readers with an intimate window on the inner workings of ACT as it is applied, in real time, with a client presenting with anxiety, depression, and anger-related concerns. This is not a how-to manual on ACT, nor is it a book about ACT techniques. Rather, it is a book for those on the path toward developing greater competence in the flexible application of acceptance and commitment therapy. In short, ACT Verbatim is ACT demystified. Here’s why we think this is so.
The authors, both seasoned ACT therapists and trainers, reveal the fluid application of ACT with a complex case over ten therapeutic sessions. The book is framed early on within the ACT process model of psychological health, suffering, and change. The model is then woven into the fabric of therapy, where the reader is given a unique opportunity to get into the head and heart of therapist and client alike as they move together on a journey out of suffering and into something more vital and new. This insider perspective is unique and helps to make ACT much less mysterious.
Clinically rich therapist and client transcripts provide a structure for much of the book. The authors guide the reader into the pulse of each session and gently point to the presence and absence of important ACT processes as they emerge. This, along with periodic discussion and commentary, also serve an important learning function by teaching the reader how to develop greater sensitivity to the ACT therapeutic stance and ACT-relevant targets of change. Each chapter ends with the authors reflecting on the previous session, with attention to ACT competencies, skills, processes, and therapeutic progress. The book demands that you work with it as you read, and if you do that, ACT Verbatim will help enrich your competency, clinical sensitivity, and flexibility as an ACT therapist. You may even benefit personally too.
There are many ways to learn about ACT and how to apply it in clinical practice. You can attend a workshop or two. You might read several excellent ACT books, join a reading or online discussion group, or perhaps follow the growing research literature. You may even take a class on the topic, observe training tapes/DVDs, or practice applying ACT under the guidance of an experienced ACT supervisor.
Yet, even with all of that, you may still feel unsure about what to look for at the process level and how to link those processes with therapeutic actions that are ACT consistent, flexible, genuine, and helpful. The authors of ACT Verbatim will help you fill in those gaps and round out your professional development as a more effective and skillful ACT therapist. This exceptionally well crafted book is not the way to do ACT, but will show you one of many ways to do ACT.
As part of New Harbinger’s commitment to publishing sound, scientific, clinically based research, Steve, Georg, and I oversee all prospective ACT books for the Acceptance and Commitment Therapy Series. As ACT Series editors, we review all ACT books published by New Harbinger, comment on proposals and offer guidance as needed, and use a gentle hand in making suggestions regarding content, depth, and scope of each book. We strive to ensure that any unsubstantiated claim or claims that are clearly ACT inconsistent are flagged for the authors so they can revise these sections to ensure that the work meets our criteria (see below) and that all of the material presented is true to ACT’s roots (not passing off other models and methods as ACT).
Books in the Acceptance and Commitment Therapy Series : Have an adequate database, appropriate to the strength of the claims being made. Are theoretically coherent—they will fit with the ACT model and underlying behavioral principles as they have evolved at the time of writing. Orient the reader toward unresolved empirical issues Do not overlap needlessly with existing volumes Avoid jargon and unnecessary entanglement with proprietary methods, leaving ACT work open and available Keep the focus always on what is good for the reader Support the further development of the field Provide information in a way that is of practical use to readers
These guidelines reflect the values of the broader ACT community. You’ll see all of them packed into this book. They are meant to ensure that professionals and the general public get information that can truly be helpful, and that can further our ability to alleviate human suffering by inviting creative practitioners into the process of developing, applying, and refining this approach to meet the needs of the human condition. Consider this book such an invitation.
Sincerely,
John Forsyth, Ph.D., Steven C. Hayes, Ph.D., and Georg H. Eifert, Ph.D.
Preface
The empirical evidence for the underlying processes of acceptance and commitment therapy (ACT) and supportive clinical outcomes is rapidly growing. As a result, so is professional interest in ACT. First-year graduate students as well as experienced clinicians are taking notice and desire to know more about it.
Ten years ago, it was very difficult to find any training in ACT, and most published pieces were theoretical and did not deal with procedures. People had to take fairly drastic measures, such as flying to Reno to be trained by the developer, to learn about ACT. This is now far less of a problem. There are experienced clinicians, professors, and trainers who are teaching people in ACT (see www.contextualpsychology.org ). There are excellent books available that are extremely practical, not just theoretical. And several DVDs are being issued, either alone (e.g., Hayes, 2007) or in conjunction with books (Luoma, Hayes, & Walser, 2007), that show ACT sessions. There is still much more interest than existing trainers can address, however, and additional training resources are needed. People need multiple examples and multiple opportunities to learn to become proficient in the application of ACT.
This book is intended to help therapists and students learn the target processes in ACT. It will not be sufficient as the only means through which to learn them; you will need to read the basic texts on the treatment and use this book as a supplement. It is our feeling that reading these transcripts and comments will help solidify some of the knowledge acquired from other sources. It is sort of like watching a sporting event, where knowledge of the sport increases your appreciation of it. It allows you to see the small moves that are very important to making the final score, such as, “Why did the therapist target that process instead of the more obvious one?” or “Why didn’t the therapist respond to that?”
This book begins with a description of the ACT model of psychological disorders and the ACT processes that counter these processes. It provides examples of when target processes are present and when they are not. To help the reader become more familiar with these processes in fl