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chapter on ACT in groups
Another resource is the chapter in A Practical Guide to Acceptance and Commitment Therapy
on ACT in Groups.
-Jason Luoma
www.drluoma.com
ACT Group Intervention for Eating Disorders
I am in the process of trying to set up a group intervention based on ACT principles for a group of patients with eating disorders. This is likely to draw on 'The Anorexia Workbook' by Heffner & Eifert but the group will include those with Bulimia and EDNOS. I wondered if anyone had experience of ACT group interventions in this area that they would be willing to share?
Best wishes
Diana Carmen
Trainee Clinical Psychologist
University of Hertfordshire
UK
questions about group therapy
1. I tried to get to the group protocols link mentioned above but it wasn't accessible, although I am a member. Any help?
2. I'm working in a day treatment type setting where group members come & go, & have psychiatrists & individual therapists who aren't familiar with ACT. Anyone with a similar setting who's tried to bring in ACT? I do a check-in and group therapy, then they have other groups in the afternoon (some CBT.) I just came from the introductory training with Kelly Wilson, which is an excellent place to see (and experience!) group work. Today I tried the "What are the numbers?" exercise; not sure if it took or not. I figure if I can do it right it can become a tradition passed on to new members ongoingly.
3. Anyway, I'm pretty much on my own with this & would love to hear others' experiences!
Thanks!
Barbara West, MFT
questions about group therapy
Hi Barbara,
Sorry about the dead links. The original protocols may have been moved since I posted that comment some months ago. I'll have a look around the site, see what I can find and re-post them if I can, or at worst, cite the papers so you can hunt them down if published.
Julian
Group treatment for "Distress"
Hi,
I am coming to the end of the first cycle of an ACT group called "Living with Distress" for people in the A&D service. The focus is generically on Distress (of any sort) and the content is loosely based on Eifert and Forsyth's Anxiety programme but uses some material from "Get out of your mind...".
For practical reasons, I have limited it to only 6 sessions with the idea that people can drop out of the group but pick up some components "next time around" if they wish. I'm really not sure how this will work but already I have several people who have dropped out of this group intending to be part of the next. The numbers will be small (started with 8 and now down to 3) but over time, I suspect there will be more at each session as people span more than one group.
I have found it much more difficult to respond to individual need in the group format vs individual. In future groups, I plan to make less effort to make the material responsive to individuals and pay more attention to presenting the components of ACT as thoroughly as possible while expecting greater involvement in exercises done outside the group sessions.
I am assessing pre-post Acceptance, Values, Suppression and Mood (anxiety and depression) but the numbers are small so data may not be too useful this time around.
David J Mellor
Senior Clinical Psychologist
Community Alcohol and Drug Service
Dunedin, New Zealand
+64 021 269 3737
Group Therapy
Hi Peter,
Absolutely, yes. Many of the initial ACT publications were protocols for group formats. Researchers and practitioners around the world are developing new group applications all the time.
The easiest place to find them is right here in ContextualPsychology.org. Take a look at Treatment Protocols that have been developed, many of them in group therapy formats, and try Research Publications for studies investigating program effectiveness and processes. You'll find effectiveness and outcome studies have their own headings as does research on components (under Experimental Psychopathology and Component Studies).
You can also navigate to the pages i've mentioned by clicking on "ACT" in the white on black strip menu just above the page content here.
Hope this helps,
Julian McNally
Treatment Protocols and Research Publications: Correct Links
If you've had difficulty finding the pages I've referred to in my original post it's because the URLs of most pages changed some months ago.
The correct locations for the pages I referred to are:
http://www.contextualpsychology.org/treatment_protocols and http://www.contextualpsychology.org/empirical_readings
Julian
Group Therapy
Thanks!
I'll check out your suggestions
Pete
Group Therapy
Pete,
You were looking for info on ACT in a group setting. I'm interested in starting an Anxiety group and wonder if you found any helpful information.
Phyllis
I have been using ACT in a
I have been using ACT in a group setting for almost two years now. My patient population are combat veterans of the Vietnam era. I am one of two and sometimes three facilitators in a group size of eight. My concern is that we may use too many metaphors in a setting and may miss some of the present moment. There are times that we may use up to four metaphors in a 75 minute group. I find that generally most of the veterans in the group tend to have a blank stare as if they do not get it. One of the younger therapist responded after the session was over that "we did not cover all the material." I sense the concern here is making sure we complete our agenda and forgetting the patients needs at that present. This group normally meets for 24 sessions. I guess I'm just asking for some feedback on using the ACT protocol in a group setting.
thanks so much Gary Felhoelter
Anxiety group
Hi Phyllis,
I've been running an anxiety group for several months now in my private practice, I use Eifert and Forsyth's book as well as Out of your Mind. I run it in a fifteen week format with a co-leader and it's been a wonderful experience. I love it. I'm thinking about revamping the structure to focus more explicitly on willingness and values from the get go, because the main complaint from members is that we don't spend enought time on it and when they get to the end, they feel rushed. Most members are able to get defusion and mindfulness fairly well. The group is heterogeneous regarding diagnoses, and this last group included people with depression issues as well as anxiety. I'd be glad to share my experience with you further if you'd like.
My best,
Joanne