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Since the original publication of this seminal work, acceptance and commitment therapy (ACT) has come into its own as a widely practiced approach to helping people change. This book provides the definitive statement of ACT--from conceptual and empirical foundations to clinical techniques--written by its originators. ACT is based on the idea that psychological rigidity is a root cause of a wide range of clinical problems. The authors describe effective, innovative ways to cultivate psychological flexibility by detecting and targeting six key processes: defusion, acceptance, attention to the present moment, self-awareness, values, and committed action. Sample therapeutic exercises and patient-therapist dialogues are integrated throughout. New to This Edition *Reflects tremendous advances in ACT clinical applications, theory building, and research. *Psychological flexibility is now the central organizing focus. *Expanded coverage of mindfulness, the therapeutic relationship, relational learning, and case formulation. *Restructured to be more clinician friendly and accessible; focuses on the moment-by-moment process of therapy.
This volume is the most practical clinical guide on Acceptance and Commitment Therapy (ACT) yet available. It is designed to show how the ACT model and techniques apply to various disorders, settings, and delivery options with the goal of allowing researchers and clinicians to begin applying ACT wherever it seems to fit. The book is divided into three sections, with chapters demonstrating the effectiveness of using ACT in the treatment approach for a wide range of clinical problems. The first section describes the theory underlying Acceptance and Commitment Therapy as a treatment approach and the core intervention processes that encompass ACT. The second section presents ACT as it is applied to some typical behavioral disorders encountered by mental health and substance abuse practitioners. The last section examines ACT as it is used with a variety of other populations, problems, settings, and modes of delivery. This volume will be of great value to therapists, practitioners, and students who are interested in new developments in cognitive and behavior therapy.
While most applications of mindfulness to clinical psychotherapy come from the Buddhist tradition of formal meditation practice, the approach presented in this volume comes from a very different place: from author Kelly Wilson's self-confessed inability to listen and pay attention to his clients. Wilson, one of the central figures in the exciting field of acceptance and commitment therapy (ACT), discovered early in his career as a therapist that his attention lapsed in therapy sessions, leaving his clients telling their troubles to someone who, for all intents and purposes, wasn't even in the room. Wilson resolved to correct this problem and made a personal commitment to remain present for his clients, to "show up" to whatever they brought to their sessions, no matter how painful, awkward, or even boring. In the process of figuring out how to accomplish this, he also observed a variety of ways in which clients themselves passed in and out of contact with the present moment, with significant consequences upon the degree to which they could effect behavior change during their sessions. This book sets forth, for the first time, Wilson's analysis of mindfulness processes as a central theme in the workings of ACT and develops an experiential technology that therapists can use both to improve their effectiveness in the therapy room and to facilitate positive change in their clients.The book includes a DVD with more than five hours of QuickTime video that shows client-therapist interactions, which illustrate the techniques presented in the book -- some that feature Kelly Wilson himself working with clients. Practicing therapists will find this volume and video to be a close second to actually attending one of Wilson's highly sought-after experiential workshops.
Explains the six ACT processes--cognitive fusion, acceptance, contact with the present moment, observing the self, discovering individual values, committed action--and how to implement them.
Get ready to take a different perspective on your problems and your life—and the way you live it. Acceptance and commitment therapy (ACT) is a new, scientifically based psychotherapy that takes a fresh look at why we suffer and even what it means to be mentally healthy. What if pain were a normal, unavoidable part of the human condition, but avoiding or trying to control painful experience were the cause of suffering and long-term problems that can devastate your quality of life? The ACT process hinges on this distinction between pain and suffering. As you work through this book, you’ll learn to let go of your struggle against pain, assess your values, and then commit to acting in ways that further those values. ACT is not about fighting your pain; it’s about developing a willingness to embrace every experience life has to offer. It’s not about resisting your emotions; it’s about feeling them completely and yet not turning your choices over to them. ACT offers you a path out of suffering by helping you choose to live your life based on what matters to you most. If you’re struggling with anxiety, depression, or problem anger, this book can help—clinical trials suggest that ACT is very effective for a whole range of psychological problems. But this is more than a self-help book for a specific complaint—it is a revolutionary approach to living a richer and more rewarding life. Learn why the very nature of human language can cause suffering Escape the trap of avoidance Foster willingness to accept painful experience Practice mindfulness skills to achieve presence in the moment Discover the things you really value most Commit to living a vital, meaningful life This book has been awarded The Association for Behavioral and Cognitive Therapies Self-Help Seal of Merit — an award bestowed on outstanding self-help books that are consistent with cognitive behavioral therapy (CBT) principles and that incorporate scientifically tested strategies for overcoming mental health difficulties. Used alone or in conjunction with therapy, our books offer powerful tools readers can use to jump-start changes in their lives.
There have been exciting new developments in the treatment of schizophrenia and related psychoses in recent decades. Clinical guidelines increasingly recommend that patients be offered evidence-based psychosocial treatments in addition to medications, as such interventions can produce greater improvements and may prevent relapses better compared with medications alone. In parallel with these recent advancements, an evolution in the way cognitive-behavioral therapies are being conceptualized and implemented has occurred due to the incorporation of novel strategies that promote psychological processes such as acceptance and mindfulness. While there are a variety of acceptance/mindfulness approaches being developed to address psychosis, there is not currently a dominant approach. In Incorporating Acceptance and Mindfulness into the Treatment of Psychosis, Brandon Gaudiano brings together the researchers and clinicians working at the cutting edge of acceptance/mindfulness therapies for psychosis to compare and contrast emerging approaches and discuss them within the context of the more traditional cognitive-behavioral interventions. The book includes a section that focuses on six distinct treatment models that incorporate acceptance and mindfulness strategies for psychosis and a section that provides a synthesis and analysis of acceptance/mindfulness approaches to psychosis. It concludes with recommendations for moving the research forward in a constructive and responsible way. This volume will be an important resource for researchers and clinicians interested in gaining a deeper understanding of mindfulness- and acceptance-based approaches and newer psychosocial treatments for severe mental illness.
This work meets a long-standing need in the helping professions by being the first and only comprehensive book on how counselors and psychotherapists can work with clients around values, goal-setting, decision-making and action planning. Helping clients determine their priorities, set goals, make decisions, and take action to improve their lives are common tasks for virtually all helping professionals when engaging with clients. This is the process known as "values clarification" (or "Values Clarification"). While counselors and psychotherapists widely practice values clarification-some knowingly, others unaware-they typically do so with a limited understanding of its theory, methods and various applications. This book demonstrates, with great precision, case studies, and hundreds of clinical examples, how counselors and psychotherapists in many fields can ask good clarifying questions, conduct clarifying interviews, and employ dozens of values clarification strategies with individuals, couples, families, and groups. To illustrate how values clarification can be used to explore a myriad of counseling topics, the examples throughout the text are often grouped around more specific applications for marriage and family counseling, career counseling, substance abuse and recovery counseling, geriatric counseling, grief counseling, pastoral counseling, financial counseling, school counseling, rehabilitation counseling, counselor/clinical education and supervision, health counseling, and personal growth. There are clear descriptions of what values clarification is and is not, theory and research, multicultural and diversity issues, and how counselors and therapists can handle value and moral conflicts with clients. Values clarification is compared and contrasted to other approaches to counseling and psychotherapy, including person-centered, cognitive-behavioral, reality therapy-choice theory, existential, individual psychology, solution-focused, narrative, motivational interviewing, acceptance and commitment therapy, appreciative inquiry, life coaching, and positive psychology.

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