Committed Action in Practice , livre ebook

226

pages

English

Ebooks

2018

Écrit par
V. Batten Sonja , A. Bach Patricia , J. Moran Daniel

Publié par
New Harbinger Publications

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226

pages

English

Ebooks

2018

Lire un extrait

Obtenez un accès à la bibliothèque pour le consulter en ligne En savoir plus

Publié par

New Harbinger Publications

Date de parution

01 septembre 2018

EAN13

9781626254879

Langue

English

Poids de l'ouvrage

3 Mo

Designed for use by mental health professionals and graduate students, Committed Action in Practice clearly conceptualizes committed action—an integral aspect of acceptance and commitment therapy (ACT)—and offers a deeper investigation of the first of the six core processes of ACT. The book also provides comprehensive descriptions and insight into the conceptualization, integration, and application of committed action in therapy.

Committed action is an important part of the hexaflex model for acceptance and commitment therapy (ACT)—the other core processes being acceptance, defusion, self-as-context and perspective taking, values clarification, and mindfulness. In practice, committed action happens when clients act in the direction of their identified values, even in the presence of obstacles.

Written by Patricia Bach, Daniel J. Moran, and Sonja Batten—three ACT-oriented experts and trainers who are highly prolific in the field of modern behavioral psychology—Committed Action in Practice is a deep, focused exploration of this core aspect of ACT. With sections on the conceptualization, application, and integration of committed action in ACT, you’ll gain an understanding of how this process fits into the hexaflex model, what blocks people from taking values-based action, and how to blend the committed action component of ACT with other evidence-based therapies.

With this comprehensive guide, you’ll know just how committed action works in an ACT treatment plan and be ready to apply it in practice.

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Publié par

New Harbinger Publications

Date de parution

01 septembre 2018

EAN13

9781626254879

Langue

English

Poids de l'ouvrage

3 Mo

“Committed action for specific behavior change is perhaps the most important piece of the acceptance and commitment therapy (ACT) puzzle, and it is all too often overlooked. Some of the true ACT pioneers and the brightest minds in behavior therapy have given you the perfect roadmap to take your clients from possibility to action. Highly recom-mended reading!”

—Dennis Tirch PhD, founder of The Center for Compassion Focused Therapy, associate clinical professor at Mount Sinai, and coauthor ofThe ACT Practitioner’s Guide to the Science of Compassion

“Years ago, as a young clinician trained in cognitive behavioral therapy (CBT), I was often flummoxed in the face of this situation: I knew what clients needed todoto improve their psychological well-being, but how could I get them to actuallydo it? Now, as a clinical director and supervisor who works with complex and treatment refractory clients, that same question continues to arise.Committed Action in Practiceis a practical, pragmatic book, useful for clinicians across a range of presenting issues, in the clinic, in schools, or for life coaches. Its greatest strength is that it brings the evidence-based behavioral prin-ciples and strategies inherent in ACT to bear on this simple yet quintessential question: How do you help clientsdowhat they need to do? This book distills ACT into elements of valuing and committed action—the core motivational framework of ACT that will assist clients to move forward in their lives whatever stage of change they are in. Clearly written, and easily consumed, this is a book I highly recommend and will reach for again and again when clients hit their stuck points in treatment.”

—Lisa W. Coyne, PhD, cofounder and director of the New England Center for OCD and Anxiety (www.newenglandocd.org), founder and senior clinical consultant of the McLean OCD Institute for Children and Adolescents, and an assistant professor at Harvard Medical School

“Moran, Bach, and Batten did it again! This book is amust-readfor all ACT practitioners looking to optimize and augment their ACT skills by returning to core behavioral princi-ples applied specifically to the process of committed action. This exciting new book shows us how to assess, enhance treatment outcomes, and troubleshoot potential obstacles—as they usually come in therapy—when facilitating values-based living. All chapters are clearly written, full of examples, and have clear explanations. You won’t get lost when reading this ACT book! Moran, Bach, and Batten also offer a fresh perspective about how to blend committed action with other empirically supported interventions capitalizing on the flexibility of the ACT model. This is apractical and powerful ACT book to read!”

—Patricia E. Zurita Ona, PsyD, founder of East Bay Behavior Therapy Center, author ofParenting a Troubled TeenandEscaping the EmotionalRollercoaster, and coauthor ofMind and Emotions

“This book is an essential tool for all professionals who apply evidence-based psychothera-pies. It goes straight to the core of the ACT and all other evidence-based models: helping the patient to move in the chosen valued direction. It describes how to build flexible pat-terns of committed actions by creating and working inside a meaningful therapeutic rela-tionship. As the therapist’s actions are the quintessential element of the therapeutic relationship, it also carefully addresses the obstacles in his or her own committed patterns to ease the process with the clients. A must-have, -read, and -practice for every ACT and non-ACT therapist.”

—Giovambattista Presti, MD, PhD, psychotherapist, associate professor in the department of general psychology at Kore University (Enna, Italy), and president of the Association for Contextual Behavioral Science

“A must-read for ACT practitioners! The crucial importance of committed action is evident, yet it is rarely illuminated how this core process is interwoven into the entire model. Considering how committed action functions within the context of one’s life can make the difference between intent and action, and Moran, Bach, and Batten give us the tools to do just that.”

—M. Joann Wright, PhD,peer-reviewed ACT trainer, and coauthor of Learning ACT for Group Treatment

“What a breath of fresh air! I highly recommend this original and much-needed book, which truly fleshes out the ACT model in a myriad of ways. If you think committed action is just goals, action plans, and problem-solving, think again. Committed action is an excit-ing and ever-expanding part of ACT, and the authors do a fantastic job of explaining the vast range of different interventions and strategies it covers, and teaching you how to quickly and effectively implement them. No two ways about it: if you’ve got stuck clients (and hey, who doesn’t?), you need this book!”

—Russ Harris, author ofACT Made SimpleandThe Happiness Trap

The Mastering ACT Series

Acceptance and commitment therapy (ACT) is a powerful, evidence-based model that has been used successfully in treating an array of disorders such as addiction, depression, anxiety, self-harm, post-traumatic stress, and eating disorders. Written by renowned leaders and researchers in the field of ACT, theMastering ACTseries explores each of the six processes of the ACT hexaflex: acceptance, cognitive defusion, being present, self-as-context, values, and committed action.

Based in the latest ACT research, this series is designed to take complex theories and translate them into easy-to-apply skills clinicians can utilize in treatment sessions. Each book examines the theoretical aspects of a core ACT process, details how each process can be seamlessly and effectively introduced into therapy, and offers multiple techniques to enhance treatment outcomes and increase client psychological flexibility—the backbone of ACT. These books are essential tools for clinicians, researchers, students, and anyone interested in ACT.

Visit www.newharbinger.com for more books in this series.

Committed Action IN PRACTICE

A CLINICIAN’S GUIDE TO ASSESSING, PLANNING & SUPPORTING CHANGE IN YOUR CLIENT

DANIEL J. MORAN, PhD PATRICIA A. BACH, PhD SONJA V. BATTEN, PhD

ContextPress An Imprint of New Harbinger Publications, Inc.

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

Cover design by Amy Shoup

Acquired by Catharine Meyers

Edited by Susan LaCroix

Indexed by James Minkin

Library of Congress Cataloging-in-Publication Data on file

Contents

What Is Committed Action? . . . . . . . . . . . . . . . . . . . 1

Perspectives on Commitment . . . . . . . . . . . . . . . . . 17

The Fundamentals of Contextual Behavioral Science for Supporting Committed Action . . . . . . . . . . . . . . . . . 33

Assessing and Planning Committed Actions with Contextual Behavioral Science . . . . . . . . . . . . . . . . . . . . . . 53

Identifying Obstacles to Committed Action . . . . . . . . . . . 69

Addressing Obstacles to Committed Action on the Part of the Client . . . . . . . . . . . . . . . . . . . . . . . . . 81

Addressing Obstacles to Committed Action on the Part of the Therapist . . . . . . . . . . . . . . . . . . . . . . . 97

Reviewing Evidence-Based Psychotherapies . . . . . . . . . . . 115

Blending Evidence-Based Approaches with ACT . . . . . . . . . 141

Application of Committed Action: Case Examples 10. . . . . . . . 163

Bringing It All Together 11 . . . . . . . . . . . . . . . . . . . . 183

References 195. . . . . . . . . . . . . . . . . . . . . . . . . .

Index . . . . . . . . . . . . . . . . . . . . . . . . . . . .205

CHAPTER 1

What Is Committed Action?

ofia complains to her clinician that therapy isn’t helping her become the person S she wants to be. After three months, she still doesn’t have a job, she still lives with her parents, she hasn’t lost any weight, and her English skills haven’t improved. In addition, she is still depressed and anxious most of the time, and isn’t sure she can change anything else in her life while feeling so depressed and anxious. At a casual glance, Sofia appears to be a dedicated therapy client, always arriving early to her sessions, completing detailed and neatly written behavioral logs between sessions, and able to articulate goals. However, when it comes to action, she frequently makes plans to do things, and rarely carries them out. Sofia wants to move out of her parents’ house and live independently, and she’s acknowledged that she needs to earn an income in order to do so, yet she’s been unem-ployed since she completed training as a dental hygienist two years ago. At times, she says that she really wants to earn money, and at other times she says that her parents owe it to her to take care of her. Further, she recently stated that because she’s an immi-grant from Mexico and speaks English with a heavy accent, she can’t apply for jobs until she improves her English. However, when her therapist invites her to brainstorm about opportunities to practice her English, Sofia balks at most of the suggestions because she doesn’t want to look stupid to others. She also reports that she believes she’ll have more success finding a job if she loses weight. Every few weeks she announces that she has a new diet plan and describes in detail why she thinks this one will work. She successfully follows each diet for five to ten days, then abandons it, giving reasons such as “It’s unbearable feeling hungry all the time,” “This week was really stressful, and I just can’t diet when I’m stressed out,” or “It was my mother’s birthday, and I had to eat the birthday cake mytíamade for my mom. Since I broke my diet, I just gave up.” Sofia is like many clients in therapy. She wants her life to be different, yet she isn’t entirely clear about how she wants it to be different. Perhaps more importantly, she’s convinced that she must feel better before she can take action and that she can’t behave effectively when she feels distressing emotions. She gives up easily when obstacles arise, and she isn’t very open to exploring the multiple courses of action available to her. Sofia

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