ACT for Adolescents , livre ebook

“ ACT for Adolescents is a must-read for professionals working with adolescents and their primary caregivers. Turrell and Bell emphasize the acceptance and commitment therapy (ACT) view of person-in-environment, linking the interdependence and mutual influence of adolescents in their social and physical environments. This perspective in a helping relationship fosters empowerment, and this book guides a flexible, holistic approach that clinicians working with adolescents will benefit from. Readers will gain novel and practical ACT approaches to working with adolescents.”
— Timothy Gordon MSW, RSW , social worker; ACT instructor at McMaster University in Hamilton, ON, Canada; and peer-reviewed ACT trainer
“Sheri Turrell and Mary Bell have developed a step-by-step approach to using acceptance and commitment therapy (ACT) with teenagers, in individual and group treatment, brimming with new exercises and metaphors, and creatively adapted traditional ACT interventions. Amongst the strengths of this book are its integration of self-compassion training and the powerful ACT matrix model.”
— Benjamin Schoendorff , international ACT trainer; director of the Contextual Psychology Institute in Montreal, QC, Canada; and coauthor of The Essential Guide to the ACT Matrix
“ ACT for Adolescents is a well-written resource that steps therapists through the hexaflex model, session by session. The authors have a deep understanding of young people and how to approach therapeutic work with them. This book is a way to see the acceptance and commitment therapy (ACT) model through the eyes of two experienced adolescent therapists. A practical approach for setting up group and individual therapy with young people.”
— Louise Hayes, PhD , senior fellow at Orygen, The National Centre of Excellence in Youth Mental Health; and The University of Melbourne; and coauthor of The Thriving Adolescent and Get Out of Your Mind and Into Your Life for Teens
“Hats off to Turrell and Bell for giving us a high-quality manual to support clinicians’ use of acceptance and commitment therapy (ACT) with adolescents! They’ve tested and refined their interventions over years, and now provide specific instructions on how to use them in both individual and group treatments. The ACTion group protocol follows a ten-session model, and it’s filled with teen-friendly metaphors and supported by online mindfulness exercises. Bravo! Truly what we needed.”
— Patricia J. Robinson, PhD , director of training and program evaluation at Mountainview Consulting Group; international ACT trainer; author of numerous articles, chapters, and books; and coauthor of Inside This Moment and Real Behavior Change in Primary Care
“Turrell and Bell have made a valuable and timely contribution to the field. The authors provide a model that is comprehensive enough in theory and practice to allow a confident foray into using acceptance and commitment therapy (ACT) with adolescent clients. At the same time, the program is flexible and not overly prescriptive, which allows the clinician to walk alongside the adolescent wherever they need to go that day in the service of the therapy goals. Clients will feel that the work is being tailored to them in the moment, which it is, and not some imposed system the adolescent is expected to fit into.”
— Christopher McCurry, PhD , clinical child psychologist in private practice, and author of Parenting Your Anxious Child with Mindfulness and Acceptance and Working with Parents of Anxious Children
“Turrell and Bell are adolescent pros! In ACT for Adolescents , they provide a readable, organized, and practical protocol for treating adolescents using acceptance and commitment therapy (ACT). They clearly describe sophisticated interventions, and include dozens of powerful and engaging experiential exercises that will surely engage and resonate with young people. This book can be used as a treatment manual, allowing the reader to implement ACT immediately and effectively with teens, with step-by-step instructions to guide the therapist through each session. The entire protocol can be implemented in a group setting, and specific modifications are suggested for group work. The authors are clearly gifted therapists, and their experience, wisdom, and respect for adolescents comes through on every page. Any therapist who works with adolescents will find powerful tools that can be used immediately to improve their outcomes with adolescents in this very accessible book.”
— Britt H. Rathbone, MSSW, LCSW-C , expert adolescent therapist, trainer, author, and coauthor of What Works with Teens , Dialectical Behavior Therapy for At-Risk Adolescents , and Parenting a Teen Who Has Intense Emotions

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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.
Distributed in Canada by Raincoast Books
Copyright © 2016 by Sheri L. Turrell and Mary Bell
Context Press
An imprint of New Harbinger Publications, Inc.
5674 Shattuck Avenue
Oakland, CA 94609
www.newharbinger.com
DOTS, “The Acetate,” “Demons on the Boat,” “Observe, Breathe, Expand,” “Struggle Switch,” and the exercises in “Defusion Exercises: How to Unstick” are modified from ACT MADE SIMPLE by Russ Harris, copyright © 2009 Russ Harris. “Quicksand Metaphor” adapted from GET OUT OF YOUR MIND AND INTO YOUR LIFE by Steven C. Hayes and Spencer Smith, copyright © 2005 Steven C. Hayes and Spencer Smith. “LLAMA” and “The Wrinkled Sock” are modified from THE WORRY TRAP by Chad LeJeune, copyright © 2007 Chad LeJeune. “The Rocks” adapted from ACT FOR DEPRESSION by Robert Zettle, copyright © 2007 by Robert Zettle. All used by permission of New Harbinger Publications.
“The Tiger” adapted from METACOGNITIVE THERAPY FOR ANXIETY AND DEPRESSION by Adrian Wells, copyright © 2009 by The Guilford Press. Adapted by permission of The Guilford Press.
Cover design by Amy Shoup; Acquired by Tesilya Hanauer; Edited by Ken Knabb; Indexed by James Minkin
All Rights Reserved
Library of Congress Cataloging-in-Publication Data
Names: Turrell, Sheri L., author. | Bell, Mary (Social worker) author.
Title: ACT for adolescents : treating teens and adolescents in individual and group therapy / Sheri L. Turrell, PhD, and Mary Bell, MSW, RSW.
Other titles: Acceptance and commitment therapy for adolescents
Description: Oakland, CA : Context Press, [2016] | Includes bibliographical references and index.
Identifiers: LCCN 2015049023| ISBN 9781626253575 (paperback) | ISBN 9781626253582 (pdf e-book) | ISBN 9781626253599 (epub)
Subjects: LCSH: Adolescent psychotherapy. | Group psychotherapy for teenagers. | Teenagers--Mental health--Treatment. | Acceptance and commitment therapy. | BISAC: PSYCHOLOGY / Psychotherapy / Child & Adolescent. | PSYCHOLOGY / Psychotherapy / Group.
Classification: LCC RJ503 .T87 2016 | DDC 616.89/15200835--dc23 LC record available at http://lccn.loc.gov/2015049023
Contents
Foreword
Introduction
Why ACT for Adolescents?
Who Is This Book For?
General Description of This Book
Fictional Clients
Notes About Individual Therapy
Notes About Group Therapy
PART 1: ACT Basics
Acceptance and Commitment Therapy (ACT)
Functional Contextualism
Applied Behavioral Analysis
Rule-Governed Behavior
Pliance
Tracking
Augmentals
Relational Frame Theory
Nonarbitrary Relating
Mutual Entailment
Combinatorial Entailment
Transformation of Stimulus Function
Types of Relations Between Stimuli
Arbitrarily Applied Relational Responding: Everything Relates to Everything
Extending RFT into the Clinical Realm
RFT and “Story”
The ACT Processes
Defusion
Acceptance
Mindfulness
Self-as-Context
Values
Committed Actions
The Matrix
Therapist Stance
Conclusion
PART 2: The Sessions
Session 1: The Assessment
Focus of This Session
Assessment of Individual Client
Who Is in the Room?
Listening with ACT Ears
Cognitive Fusion
Experiential Avoidance
Inflexible Attention
Self-as-Content
Lack of Clarity About What Matters and Unworkable Action
Pulling It All Together and Setting the Stage
Research Protocol and Questionnaires
Assignment of Home Practice
Modifications for Group Work
Screening Potential Group Members
Setting the Stage
Additional Information
Conclusion
Session 2: Creative Hopelessness
Focus of This Session
Creative Hopelessness with Individual Clients
What Stuck?
Review of Home Practice
Mindfulness
Mindfulness of an Object
Mindfulness of Sound
Alternate Mindfulness of Sound
The Matrix
Filling in the Matrix
DOTS
DOTS with Paddles
The Acetate
The Setup
Observing Through the Acetate
Conversing Through the Acetate
When Clients Prefer the Acetate
Defusing from the Acetate
Our Mind’s Job
The Comparison Machine
The Fix-It Machine
Illusion of Control
Purple Gorilla
I Want Candy
Cutting Off Your Leg (Well, Not Really)
Beach Ball
Falling in Love
Thoughts Are Inevitable
Back to the Matrix
The Tissue Box
Quicksand Metaphor
The “Story”
Mindfulness
Mindfulness of Breath
Mindful Writing
Assignment of Home Practice
Modifications for Group Work
Group Rules
Skittles Game
What Stuck?
Mindfulness Meditation
DOTS
The Matrix
The Acetate
Illusion of Control
Delete a Memory
Don’t Salivate
Mindfulness
End Remarks
Assignment of Home Practice
Conclusion
Session 3: Identifying Values
Focus of This Session
Fictional Client: Erol
Identifying Values with Individual Clients
What Stuck?
Review of Home Practice
Mindfulness
The Tiger
Mindfulness of Thoughts
Mindfulness and Paddles
Identifying Values: What Matters
Basic In