Acceptance and Commitment Therapy (ACT) Worksshop PC Stolpegård, Vibeke Hertz, Sasha Horn, Julia Rasmussen

Transkript

1 Acceptance and Commitment Therapy (ACT) Worksshop PC Stolpegård, Vibeke Hertz, Sasha Horn, Julia Rasmussen

2 Dagsorden 1. Mindfulness-øvelse 2. Teori 3. Oplevelsesorienterede øvelser

3 Teoretisk baggrund Adfærdsteori, adfærdsterapi Relational Frame Theory Functional contextualism

4 Grundantagelser Lidelse/smerter er en naturlig del af livet Antagelsen om konstant lykke (feelgoodism) er en myte der vedligeholder lidelse Psykiske lidelser opstår pga. vores evne til at tænke -> Normalisering af psykiske lidelser Strategier til at undgå ubehagelige følelser er kernen i alle psykiske lidelser

5 De 6 kerneprocesser i ACT I Dominans af fortid og fremtid Undgåelse Fusion Psykologisk Infleksibilitet Identifikation med selvet som historie Uklarhed af værdier Inaktivitet, impulsivitet

6 De 6 kerneprocesser i ACT II Nærvær Accept Værdiafklaring Psykologisk Fleksibilitet Defusion Engagerede handlinger Observerende selv

7 ACT metoder Fokus på oplevelsesorienterede teknikker Brug af metaforer Mindfulness

8 Øvelser under workshoppen 1) Mindfulness-øvelse Accept af tanker og følelser (Tilstedeværen i nuet, accept, defusion, observerende selv) 2) At smide kort på hinanden (øvelse til at demonstrere forskel ml. accept og kontrol) 3) At danse og synge sin værste frygt (Defusion) 4) Busmetafor (Accept, værdier og værdibaserede handlinger, defusion)

9 Litteratur Lettere: Introduktion til ACT, Susan Møller Rasmussen og Ole Taggaard Nielsen Slip tanketyranniet - tag fat på livet Steven Hayes Lykkefælden - Russ Harris The Mindfulness and Acceptance Workbook for Anxiety: A Guide to Breaking Free from Anxiety, Phobias, and Worry Using Acceptance and Commitment Therapy, John Forsyth, Georg Eifert Lidt tungere : Acceptance and Commitment Therapy: An experiantal approach to behavior change., S. Hayes; K. Storsahl, K. Willson The Art and Science of Valuing i Psychotherapy, J. Dahl, J. Plumb, I. Stewart, T. Lundgren Learning ACT: An Acceptance & Commitment Therapy Skills-Training Manual for Therapists, J. Luoma, S. Hayes, R. Walser A practical Guide to Acceptance and Commitment Therapy, S. Hayes, K. Strohsahl

10 ACTs fundament Funktionel kontekstualisme (hvordan tingene fungerer i specifikke kontekster) Relationel Frame Theory (en adfærdsteori om menneskers sprog og kognition) ABA applied behavior analysis (anvendt adfærdsanalyse en effektiv model for forudsigelse og påvirkning af adfærd)

11 Funktionel kontekstualisme Hvilke virkninger har denne adfærd? Hvad er konsekvenserne? Med andre ord: Hvilket formål tjener denne adfærd? Hvad er det, den skal opnå? Vi kan kun vide, hvilken funktion en adfærd har, hvis vi kender den kontekst, den forekommer i. (fx nogen rækker armen i vejret)

12 Research on ACT See ACT/RFT Reader s Update ( The United States Substance Abuse and Mental Health Services Administration (SAMHSA) has now listed ACT as an empirically supported method as part of its National Registry of Evidence-based Programs and Practices (NREPP):

13 Research on ACT APA Division 12 approves ACT as EBP for Depression Short summary: Principle based intervention and is used to treat a variety of disorders and cultural problems Over 46 RCT s showing ACT as good as or better than tx as usual (more studies under review or under investigation) Targeted processes addressed in ACT (experiential avoidance/acceptance mediate outcomes in most studies)

14 Summary of RCT s on ACT for Depression and Anxiety Zettle, R. D. & Rains, J. C. (1989). Group cognitive and contextual therapies in treatment of depression. Journal of Clinical Psychology, 45, Participants in both conditions showed significant and equivalent reductions in depression at post-treatment and 2- month follow-up for all patients. Scores on the DAS suggested that ACT and CT mediate change through different processes Zettle, R. D., & Hayes, S. C. (1986). Dysfunctional control by client verbal behavior: The context of reason giving. The Analysis of Verbal Behavior, 4, Participants in both conditions showed significant improvements from pre-treatment to end of a two-month follow-up

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