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Acceptance and Commitment Therapy in Action – DVD 2 – Control and AcceptanceBy Dr. Stephen Hayes with Ann Bailey M. Psych.ISBN: 978-1-57224-528-0       Published 2007 by New Harbingerhttp://www.newharbinger.com/bookstore/productdetails.cfm?SKU…http://www.newharbinger.com/bookstore/productdetails.cfm?sku… (6 DVD Set)The ACT in Action six-DVD series lets you observe the core processes of acceptance and commitment therapy (ACT) as it is practiced in actual clinical setting. These professional training programs–-with session footage featuring Steven Hayes–-will guide you through introducing a client to the ACT approach.How is living with your thoughts something of a rigged game? Find out in Control and Acceptance, the second episode in the ACT in Action series. Learn how to structure ACT work. Help your clients see the real costs of their attempts to avoid and control painful experience. Start encouraging clients to be with themselves and to start figuring out what needs to change in their lives.Approximately 90 minutesAcceptance and Commitment TherapyFrom Wikipedia, the free encyclopediaAcceptance and commitment therapy or ACT (typically pronounced as a word, not as separate initials – an acronym, not an initialism) is a cognitive–behavioral model of psychotherapy.[1] It is an empirically-based psychological intervention that uses acceptance and mindfulness strategies mixed in different ways[2] with commitment and behavior-change strategies, to increase psychological flexibility. The approach was originally called comprehensive distancing.[3] It was developed by Steven C. Hayes, Kelly Wilson, and Kirk Strosahl.[4]ACT is developed within a pragmatic philosophy called functional contextualism. ACT is based on relational frame theory (RFT), a comprehensive theory of language and cognition that is framed as an offshoot of behavior analysis. ACT differs from traditional cognitive behavioral therapy (CBT) in that rather than trying to teach people to better control their thoughts, feelings, sensations, memories and other private events, ACT teaches them to “just notice,” accept, and embrace their private events, especially previously unwanted ones. ACT helps the individual get in contact with a transcendent sense of self known as “self-as-context”—the you that is always there observing and experiencing and yet distinct from one’s thoughts, feelings, sensations, and memories. ACT aims to help the individual clarify their personal values and to take action on them, bringing more vitality and meaning to their life in the process, increasing their psychological flexibility.[3]While Western psychology has typically operated under the “healthy normality” assumption which states that by their nature, humans are psychologically healthy, ACT assumes, rather, that psychological processes of a normal human mind are often destructive.[5] The core conception of ACT is that psychological suffering is usually caused by experiential avoidance, cognitive entanglement, and resulting psychological rigidity that leads to a failure to take needed behavioral steps in accord with core values. As a simple way to summarize the model, ACT views the core of many problems to be due to the concepts represented in the acronym, FEAR:Fusion with your thoughtsEvaluation of experienceAvoidance of your experienceReason-giving for your behaviorAnd the healthy alternative is to ACT:Accept your reactions and be presentChoose a valued directionTake actionCore principlesACT commonly employs six core principles to help clients develop psychological flexibility[5]:Cognitive defusion: Learning methods to reduce the tendency to reify thoughts, images, emotions, and memoriesAcceptance: Allowing them to come and go without struggling with them.Contact with the present moment: Awareness of the here and now, experienced with openness, interest, and receptiveness.Observing the self: Accessing a transcendent sense of self, a continuity of consciousness which is unchanging.Values: Discovering what is most important to one’s true self.[6]Committed action: Setting goals according to values and carrying them out responsibly.[edit]EvidenceACT had, as of October 2006, been evaluated in about 30 controlled time series studies or randomized clinical trials for a variety of client problems.[7] As of 2011 that number has about doubled [8] and new controlled studies are now appearing very regularly. Overall, when compared to other treatments designed to be helpful, the effect size for ACT is a Cohen’s d of around 0.6 which is considered a medium effect size. In some studies ACT has exceeded the performance of gold standard treatments [9][10][11], in others it has been equally effective [12], and in one or two studies with minor problems it has not done as well [13] As compared to treatments that are already known to be effective, the effect size so far is about .3, which is small [14] Across the whole empirical clinical psychology literature the average effect size for such comparisons approaches zero. All of these comparison and their effect sizes need to be viewed with caution, because many of the trials are unfunded and are based on a relatively small number of patients; some might be contaminated by the allegiance effect. In recent years larger trials have begun to appear and the number of areas to which it has been successfully applied is continuing to grow. ACT is considered an empirically validated treatment by the American Psychological Association, with the status of “Modest Research Support” in depression and “Strong Research Support” in chronic pain, with several others specific areas such as psychosis and work site stress currently under review.[15] ACT is also listed as evidence-based by the Substance Abuse and Mental Health Services Administration of the United States federal government which has examined randomized trials for ACT in the areas of psychosis, work site stress, and obsessive compulsive disorder, including depression outcomes [16]ACT is still relatively new in the development of its research base with the randomized trials beginning in earnest only after the 1999 publication of the original book on ACT. ACT has shown preliminary research evidence of effectiveness in randomized trials for a variety of problems including chronic pain, addictions, smoking cessation, depression, anxiety, psychosis, workplace stress, diabetes management, weight management, epilepsy control, self-harm, body dissatisfaction, eating disorders, burn out, and several other areas.[17] ACT has more recently been applied to children and adolescents [18], [10] with good results.Mediational analyses have provided evidence for the possible causal role of key ACT processes, including acceptance, defusion, and values, in producing beneficial clinical outcomes.[19] Correlational evidence has also found that absence of these processes predicts many forms of psychopathology. A recent meta-analysis showed that ACT processes, on average, account for 16–29% of the variance in psychopathology (general mental health, depression, anxiety) at baseline, depending on the measure, using correlational methods [see Hayes et al., 2006, pp. 12–13, and Table 1].SimilaritiesACT, Dialectical Behavior Therapy, Functional Analytic Psychotherapy, Mindfulness-based Cognitive Therapy and other acceptance and mindfulness based approaches are commonly grouped under the name The Third Wave of Behavior Therapy[20][21]. Steven C. Hayes described this group in his ABCT President Address as follows:Grounded in an empirical, principle-focused approach, the third wave of behavioral and cognitive therapy is particularly sensitive to the context and functions of psychological phenomena, not just their form, and thus tends to emphasize contextual and experiential change strategies in addition to more direct and didactic ones. These treatments tend to seek the construction of broad, flexible and effective repertoires over an eliminative approach to narrowly defined problems, and to emphasize the relevance of the issues they examine for clinicians as well as clients. The third wave reformulates and synthesizes previous generations of behavioral and cognitive therapy and carries them forward into questions, issues, and domains previously addressed primarily by other traditions, in hopes of improving both understanding and outcomes.ACT has also been adapted to create a non-therapy version of the same processes called Acceptance and Commitment Training. This training process, oriented towards the development of mindfulness, acceptance, and values skills in non-clinical settings such as businesses or schools, has also been investigated in a handful of research studies with good preliminary results. [22] This is somewhat similar to the awareness–management movement in business training programs, where mindfulness and cognitive-shifting techniques are employed.The emphasis of ACT on present-mindedness, direction and action is similar to other approaches within psychology that, unlike ACT, are not as focused on outcome research or consciously linked to a basic science program, including more humanistic or constructivist approaches such as Narrative Therapy, Gestalt Therapy, Morita Therapy, or Re-evaluation Counseling among many others.Wilson, Hayes & Byrd[23] explore at length the compatibilities between ACT and the 12-step treatment of addictions and argue that, unlike most other psychotherapies, both approaches can be implicitly or explicitly integrated due to their broad commonalities. Both approaches endorse acceptance as an alternative to unproductive control. ACT emphasizes the hopelessness of relying on ineffectual strategies to control private experience, similarly the 12-step approach emphasizes the acceptance of powerlessness over addiction. Both approaches encourage a broad life-reorientation, rather than a narrow focus on the elimination of substance use, and both place great value on the long-term project of building of a meaningful life aligned with the clients’ values. ACT and 12-step both encourage the pragmatic utility of cultivating a transcendent sense of self (higher power) within an unconventional, individualized spirituality. Finally they both openly accept the paradox that acceptance is a necessary condition for change and both encourage a playful awareness of the limitations of human thinking.DVD 3 is here: 5 is here: