Association for Contextual Behavioral Science

I have started an ACT group at the Community Mental Health Clinic- The population consists of clients with addiction, trauma and possibly other diagnoses. I've read a number of ACT books, and recently have attended Kevin Polk's training and in January I'll attend Kellly Wilson's 4 day training in Oregon. In my treatment center, I've developed 4 stages of groups:
Phase 1:CBT on Addiction (2 days a week) Motivational Interviewing (2 days a week)
Phase 2:DBT (2 days a week and Psycho-education on Trauma (1 day a week)
Phase 3: Schema Focused Therapy (2 days a week)

Behavioral Utilization of Dependent Arising

Coming soon to a blinded peer-review near you.

Experimental tests to date:

Zettle, R. D., & Hayes, S. C. (1986). Dysfunctional control by client verbal behavior: The context of reason giving. The Analysis of Verbal Behavior, 4, 30-38.

Zettle, R. D., & Hayes, S. C. (1987). A component and process analysis of cognitive therapy. Psychological Reports, 61, 939-953.

Below is a values exercise that I posted on the listserv and some people told me they liked.

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Kelly and All:

I have a routine I do with people that usually gets a conversation started about some of this [values] stuff:

Wondering if anyone is using ACT to manage clients having problems in coping on the job or in moving into a career change...

I just finished taping a new video for my stress management business called

Surfing Your Stress to Success.

It's based on Valued Living Training and other ACT-like stuff.

I will have it ready in a week or two so it's in time for the Holidays.

I have a mailing list set up to tell people when this and other videos will be ready.

Just go to http://www.drkevinpolk.com and go to the bottom of the page to sign up.

Cheers!

Kevin

Vijay Shankar, MBA, Psy.D.

Dr. Hambright and I have been diligently working out in our community-based practice; working on something that much more emphasizes values and committed action combined with simple noticing. We have decided to call it Valued Living Therapy (VLT) that is based on elements of Acceptance and Commitment Therapy.

Obviously VLT stresses the Values and Committed Action of ACT and uses a simple Noticing in place of more intense mindfulness practice.

author: Kelly G. Wilson asin: 1572246316 binding: Hardcover list price: $59.95 USD amazon price: $47.85 USD

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.

ACT in New England List
Mailing #6: November2008
Contents:
1. Welcome
2. ACT Trainings in New England
3. Next Major ACT Conference

Addendum: Subscribe/Unsubscribe Links & Info
**Please forward this email to anyone who may be interested.**
========================

Hi folks,

I maintain a website dedicated to the practice of mindfulness and meditation in New York City. In addition to an active blog with expert contributors, the website has exercises for mindfulness, meditation instructions, and a calendar of ongoing meditation events in the city. Why not check it out? www.UrbanMindfulness.org

Thanks,

Jon

asin: 0761927476 binding: Hardcover list price: $600.00 USD amazon price: $600.00 USD

The three-volume Encyclopedia of Behavior Modification and Cognitive Behavior Therapy provides a thorough examination of the components of behavior modification, behavior therapy, cognitive behavior therapy, and applied behavior analysis for both child and adult populations in a variety of settings. Although the focus is on technical applications, entries also provide the historical context in which behavior therapists have worked, including research issues and strategies.

This exciting new treatment for baldness will quickly outshine Rogaine, Just for Men, and everything else on the market. In helping clients accept their baldness and focus on valued living, this ACT treatment package includes helpful experiential exercises like:

- "Bald, bald, bald" defusion exercise

- Tug of war with the rug

- Mindfulness of hairlessness

Pre-order now for the best deal! Only $89.95!!! Includes a 12-DVD set to help you learn to translate your existing ACT skills to this challenging disorder.

I have only four years of experience in the field of psychology. For the majority of the first two years, I collected and analyzed data in a Dialectical Behavioral Therapy (DBT) clinic through a laboratory at Harvard University in Cambridge, MA. I sat in on 5 hours a week of therapist consultation team meetings, didactic seminars, and individual supervision in exchange for tracking the progress of each client. I have only been participating in a few month’s worth of Acceptance and Commitment Therapy (ACT) meetings as a doctoral student.

Perhaps a beginner’s eye can be of some utility.

In a recent lab meeting, I was engaged in a discussion of the paradigm shift between the focus of therapy being symptom reduction, as seen in other therapies (i.e. cognitive-behavioral therapy), towards helping the client to live a life in accordance with their values, as in ACT. The irresolution of an argument centering on this point prompted me to write my first ever blog entry.

In ACT there is not only an emphasis on living life in accordance with one’s values, but it seems a fairly outright denunciation of any attempt to control or manipulate thoughts in an effort to regulate emotions. Although I am aware of the research indicating thought/expressive suppression is an unsuccessful method of controlling thoughts/emotions often resulting in increases in the targeted thoughts/emotions, there is evidence to suggest that cognitive reappraisal, the revaluation of negative thoughts, is effective (in fact, I presented research at the Associations for Behavioral and Cognitive Therapies conference in 2006 on cognitive reappraisal being a potential mechanism of change in intensive DBT). I understand that because attempts at suppressing thoughts are futile, as a therapist one should not encourage this; however, I do not understand what appears to possibly be an overgeneralization to advise against ever attempting forms of thought manipulation, especially when reappraising cognitions appears to be beneficial [If this blog entry were actual dialogue, this would be the point where I may get into a semantics discussion with ACT practitioners about the word “beneficial.” Although this word was previously used in reference to symptom reduction, I would argue that it is safe to say that using cognitive reappraisal as a tool can also help one to lead a life in accordance with one’s values.].

That is not to say, of course, that cognitive reappraisal should be a focus of the treatment or that mindfulness should be abandoned. Quite the opposite. I am merely suggesting that perhaps all attempts at thought/emotion manipulation should not be discounted. Perhaps mindfulness can be used as a tool the majority of the time for some problems whereas cognitive reappraisal can be used as a tool occasionally for other types.

Of note, I have come to conceptualize two types of mindfulness:
1) allowing oneself to fully experience a thought/emotion without attempt at suppression
2) allowing oneself to view thoughts/emotions objectively as thoughts/emotion

I realize the following thought is not original; however, it is worth noting here for the sake of comprehensiveness that the first conceptualization of mindfulness may be effective through means similar to that of exposure. Basically, if one stops avoiding or attempting to avoid the emotion, it is learned that the emotion can be experienced and survived.

I have not previously heard interpretations of why the second type of mindfulness may be effective. It may work because enough distance between one and one's thoughts/emotions is created that a "reappraisal" of sorts may naturally follow whether or not it was an intended benefit. In other words, by virtue of the distance created by mindfulness alone, cognitive defusion may follow, and reappraisal of the thought/emotion as non-intrusive or not-bad may occur. Whereby mindfulness practice may facilitate the thought transforming from having a negative to neutral valence, in cognitive reappraisal, the valence may go from bad to good or bad to neutral. It is not clear which method is more effective. In short, I think cognitive reappraisal and mindfulness may achieve similar ends through different means. The question of which means is better is obviously open to discussion; however, again, I would hypothesize that mindfulness is probably effective most of the time whereby cognitive reappraisal would be beneficial in other instances. It is known that people with emotional disorders are in the habit of attempting to suppress thoughts while healthy controls are more able to accept their negative emotions and function in society. Perhaps because people with emotional disorders have a tendency to do this, an approach geared away from thought manipulation in general may be appropriate.

In addition, I am aware that in light of the recent literature suggesting that behavioral activation- simply put, carrying out daily activities despite symptoms- is a main mechanism of change in many psychological treatments, all the talk of cognitions seems futile; however, I think it is necessary. It is interesting that behavioral activation is so closely in line with the goal of ACT: living life towards ones values in the context of one’s symptoms. With this as a treatment goal, one is essentially turning the client’s attention away from thought/emotional suppression and gearing them to behaviorally activate. The “gearing” or framework in which the behavioral activation is nestled may be the determining factor in whether or not one actually begins to behaviorally activate or start living life in accordance with one’s values. Therefore, packaging behavioral activation in ACT with mindfulness may be more useful than packaging it with the cognitive pieces of cognitive behavioral therapy.

It is also of note that while in cognitive-behavioral/behavioral therapy, behavioral activation is the means through which symptoms are reduced, in ACT, the goal is to behaviorally activate without necessary symptom reduction. It is possible that gearing the therapy without the expectation of symptom reduction may actually result in greater symptom reduction than CBT. Again, this could possibly be because people with emotional disorders are constantly struggling with control and suppression of thoughts/emotions so that when they are in a context encouraging them to largely give up control, behavioral activation could be facilitated and more symptoms reduced. Furthermore, if treatment doesn't immediately ameliorate symptoms, clients in ACT may be more likely to stay in treatment because of low expectations about symptom reduction.

If you are interested in this topic, please feel free to visit my blog at http://taradeliberto.blogspot.com/!

Ces journées d'automne ont été un succès impressionant et il faut remercierl'Afforthecc qui a bien voulu prendre le pari que la venue de Kelly serait un succès. Le cadre était enchanteur, le centre des congrès parfait et la nourriture faisait honneur à la patrie de la gastronomie!

author: Matthew McKay Catharine Sutker asin: 1572245344 binding: Paperback list price: $14.95 USD amazon price: $27.58 USD

We typically have little control over our thoughts, but we often invest them with a lot of authority-even when they contradict what our experiences tell us to be true. Take a moment right now and think "There's a hungry grizzly bear sitting next to me." Chances are you didn't take that thought literally and run screaming from the room. But what if instead you had thought, "I'll never get a better job," "I'm boring," or "No one loves me?" Just like that terrifying grizzly, these more garden-variety thoughts are just words and pictures that pop into our minds.