Joined: Dec 07, 2006 Posts: 353 Location: space truckin'
Posted: Tue Sep 23, 2008 10:23 am Post subject: ACT
http://www.thehappinesstrap.com wrote:
What is Acceptance & Commitment Therapy?
Acceptance and Commitment Therapy (ACT) gets it name from one of its core messages: to accept what is out of your personal control, while committing to do whatever is in your personal control to improve your quality of life.
The aim of ACT is to help people create a rich full and meaningful life, while effectively handling the pain and stress that life inevitably brings. ACT (which is pronounced as the word 'act', not as the initials) does this by:
a) teaching you psychological skills to deal with your painful thoughts and feelings effectively – in such a way that they have much less impact and influence over you. (These are known as mindfulness skills.)
b) helping you to clarify what is truly important and meaningful to you - ie your values - then use that knowledge to guide, inspire and motivate you to change your life for the better.
The ACT View Of Mindfulness
Mindfulness is a “hot topic” in psychology right now - increasingly recognised as a powerful therapeutic intervention for everything from work stress to depression - and also as an effective tool for increasing emotional intelligence. Acceptance and Commitment Therapy is a powerful mindfulness-based therapy (and coaching model) which currently leads the field in terms of research, application and results.
Mindfulness is a mental state of awareness, focus and openness - which allows you to engage fully in what you are doing at any moment. In a state of mindfulness, difficult thoughts and feelings have much less impact and influence over you - so it is hugely useful for everything from full-blown psychiatric illness to enhancing athletic or business performance. In many models of coaching and therapy, mindfulness is taught primarily via meditation. However, in ACT, meditation is seen as only one way amongst hundreds of learning these skills - and this is a good thing, because most people do not like meditating! ACT gives you a vast range of tools to learn mindfulness skills - many of which require only a few minutes to master.
ACT breaks mindfulness skills down into 3 categories:
1) defusion: distancing from, and letting go of, unhelpful thoughts, beliefs and memories
2) acceptance: making room for painful feelings, urges and sensations, and allowing them to come and go without a struggle
3) contact with the present moment: engaging fully with your here-and-now experience, with an attitude of openness and curiosity
These 3 skills require you to use an aspect of yourself for which no word exists in common everyday language. It is the part of you that is capable of awareness and attention. In ACT, we often call it the 'observing self'. We can talk about 'self' in many ways, but in common everyday language we talk mainly about the 'physical self' - your body - and the 'thinking self' - your mind. The 'observing self' is the part of you that is able to observe both your physical self and your thinking self. A better term is 'pure awareness' - because that's all it is: just awareness. It is the part of you that is aware of everything else: aware of every thought, every feeling, everything you see, hear, touch, taste, smell, and do.
Acceptance and Commitment Therapy (ACT) is a unique and creative approach to behaviour change which alters the very ground rules of most Western psychotherapy. It is a mindfulness-based, values-oriented behavioural therapy, that has many parallels to Eastern philosophy, yet is firmly based on cutting-edge Western research into human behavioural psychology.
In a nutshell, ACT helps people to fundamentally change their relationship with painful thoughts and feelings, to develop a transcendent sense of self, to live in the present, and to take action, guided by their deepest values, to create a rich and meaningful life. ACT takes the view that most psychological suffering is caused by experiential avoidance, i.e. by attempting to avoid, escape, or get rid of unwanted private experiences (such as unpleasant thoughts, feelings, sensations, urges & memories). Our efforts at experiential avoidance might work in the short term, but in the long term they often fail, and in the process, they often create significant psychological suffering.
In ACT, we develop mindfulness skills (both traditional techniques, and many modern, innovative ones) which enable us to fundamentally change our relationship with painful thoughts and feelings. When we practise these skills in everyday life, painful feelings and unhelpful thoughts have much less impact and influence over us. Therefore, instead of wasting our time and energy in a fruitless battle with our inner experiences, we can invest our energy on taking action to change our life for the better - guided by our deepest values.
A steadily growing body of scientific data confirms that cultivating acceptance, mindfulness, and openness to experience is highly effective for the treatment of depression, anxiety disorders, substance abuse, chronic pain, PTSD, anorexia, and even schizophrenia. ACT is also a very effective model for life coaching and executive coaching.
To download a simple, non-technical article which gives a basic overview of ACT, click here
PSYCHOLOGICAL FLEXIBILITY & THE SIX CORE PROCESSES OF ACT
There are six core processes in ACT:
1. Connection means being in the present moment: connecting fully with whatever is happening right here, right now. (Technically in ACT, this is called "contacting the present moment".)
2. Defusion means learning to step back or detach from unhelpful thoughts and worries and memories: instead of getting caught up in your thoughts, or pushed around by them, or struggling to get rid of them, you learn how to let them come and go – as if they were just cars driving past outside your house. You learn how to step back and watch your thinking, so you can respond effectively - instead of getting tangled up or lost inside your thinking.
3. Expansion means opening up and making room for painful feelings and sensations. You learn how to drop the struggle with them, give them some breathing space, and let them be there without getting all caught up in them, or overwhelmed by them; the more you can open up, and give them room to move, the easier it is for your feelings to come and go without draining you or holding you back. (Technically in ACT this is called "acceptance".)
4. The Observing Self is the part of you that is responsible for awareness and attention. We don’t have a word for it in common everyday language – we normally just talk about the ‘mind’. But there are two parts to the mind: the thinking self – i.e. the part that is always thinking; the part that is responsible for all your thoughts, beliefs, memories, judgments, fantasies etc. And then there’s the observing self – the part of your mind that is able to be aware of whatever you are thinking or feeling or doing at any moment. Without it, you couldn’t develop those mindfulness skills. And the more you practice those mindfulness skills, the more you’ll become aware of this part of your mind, and able to access it when you need it.
5. Values are what you want your life to be about, deep in your heart. What you want to stand for. What you want to do with your time on this planet. What ultimately matters to you in the big picture. What you would like to be remembered for by the people you love.
6. Committed action means taking action guided by your values – doing what matters – even if it’s difficult or uncomfortable
When you put all these things together, you develop something called psychological flexibility. This is the ability to be in the present moment, with awareness and openness, and take action, guided by your values. In other words, it’s the ability to be present, open up, and do what matters. The greater your ability to do that, the greater your quality of life – the greater your sense of vitality, wellbeing and fulfillment.
Acceptance and Commitment Therapy (ACT) is a relatively new form of psychotherapy, pioneered by Steven C. Hayes in the mid 1990s. It is an outgrowth of behavioral therapy and cognitive behavioral therapy (CBT), which has largely been the accepted method for treatment of conditions like depression, anxiety, and post-traumatic stress disorders. Acceptance and Commitment Therapy, like CBT, relies on the philosophy of Functional Contextualism, a school of thought suggesting that words and ideas can only be understand within context and are hence frequently misconstrued because people have individual contexts. Another influence on ACT is Relational Frame Therapy, a form of behavioral analysis examining language and learning.
CBT focuses on identifying “hot thoughts” when in the throes of an anxiety attack or deep depression, and then evaluating such thoughts to gauge how true they really are. For example, a person who is feeling unduly anxious might evaluate a thought like, “Everybody hates me,” and then list evidence as to why this is or is not true. After looking at the underlying thoughts that cause anxiety, a person evaluates whether his or her stress has been reduced. The process seems long, but after a while, people can adeptly work this process in their head, understanding that these thoughts occur but are not representative of what is really “true”. When such thoughts occur, they can be dismissed after training in CBT.
Acceptance and Commitment Therapy differs from CBT because it immediately accepts the thought, “Everybody hates me.” The thought is viewed without passion, and the statement is sometimes verbalized as, “I am having the thought that everybody hates me.” This may be repeated until the thought is defused. Hayes recognizes about 100 defusion techniques in Acceptance and Commitment Therapy.
Previous unwanted thoughts are not actively dismissed by the person undergoing Acceptance and Commitment Therapy, but are rather embraced. This is also distinctive from CBT because CBT aims to reduce unwanted and unhelpful thoughts. ACT therapists claim that the process of their therapy takes far less time than CBT, and is therefore more effective.
Mindfulness, and being present in daily living and thoughts, are particularly stressed in Acceptance and Commitment Therapy. ACT also aims to help people identify their set of inner values. Acceptance and Commitment Therapy focuses on choosing behaviors that accord with these values. ACT places emphasis on things that can be controlled, like the set of the mouth, the rapidity of breaths, or the way one’s arms and legs move.
Acceptance and Commitment Therapy prides itself on its empirical data. Since 1996, about 20 clinical studies have assessed its effectiveness in varied situations that require psychological intervention. So far, Hayes' claims have been supported by clinical trials. However, proving these claims empirically requires more study, and is sometimes a means by which other therapists reject Acceptance and Commitment Therapy. To claim a theory is empirically proven, one most rely on a far greater number of clinical trials.
Currently, Hayes and other proponents of Acceptance and Commitment Therapy teach their methods of therapies in workshops around the world. These workshops tend to be two to three days in length. Universities offering degrees in Psychology and Counseling now frequently devote a class to this therapy and other third-wave behavioral therapies.
Media-Newswire.com) - A new grant funded by NIMH will test an intervention designed to prevent or reduce suicide among college students.
Suicidal thinking and behavior among college students can result from a wide variety of problems including drug and alcohol abuse, mood disorders, problems in social relationships and physical health problems. Some research has suggested that a tendency to avoid unwanted emotions and negative thoughts can contribute to the problems that lead to suicide. Yet many college students who die by suicide never seek help within their institutions.
Steven Hayes, Ph.D. and Jacqueline Pistorello, Ph.D., of the University of Nevada Reno, will test an intervention called Acceptance and Commitment Therapy ( ACT ), which is based on the notion that acceptance and awareness of difficult emotions can help students reduce avoidance behavior and improve their psychological flexibility, which may reduce the frequency of problems that often precede suicide attempts. About 720 college freshmen will be randomized to receive either ACT or a brief educational course on adjusting to the challenges of college life.
For up to three years, the students will be assessed on a range of psychological, behavioral, health and academic aspects that are known to be associated with suicidal thinking and behavior, including self-injury and risky behaviors. If found to be successful in reducing suicide attempts and thinking, ACT could be readily disseminated within the college experience, and may be incorporated into a classroom-based approach that could have broad public health implications, according to the researchers.
_________________ Accept your reactions and be present
Choose a valued direction
Take action
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