
ACT for Depression
Description
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Psychological research suggests that cognitive behavior therapy (CBT), used alone or in combination with medical therapy, is the most effective treatment for depression. Recent finding, though, suggest that CBT for depression may work through different processes than we had previously suspected. The stated goal of therapeutic work in CBT is the challenging and restructuring of irrational thoughts that can lead to feelings of depression. But the results of recent studies suggest that two other side effects of CBT may actually have a greater impact that thought restructuring on client progress: Distancing and decentering work that helps clients stop identifying with depression and behavior activation, a technique that helps him or her to reengage with naturally pleasurable and rewarding activities. These two components of conventional CBT are central in the treatment approach of the new acceptance and commitment therapy (ACT). This book develops the techniques of ACT into a...
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Person
Robert D. Zettle, Ph.D., is associate professor in the Department of Psychology at Wichita State University. He completed his predoctoral internship at the Center for Cognitive Therapy in Philadelphia, conducted the first comparative outcome study on what is now known as ACT as part of his dissertation under the supervision of ACT founder Steven Hayes, and has published both basic and applied research relating to rule-governance, experiential avoidance, and ACT for depression for more than twenty years.
Content
- Intro
- CHAPTER 1
- What Is ACT for Depression and What Makes It Unique?
- Purpose of This Book
- Overview of ACT
- Relational Frame Theory and ACT
- The Goal of ACT: Psychological Flexibility
- The "Dark Side" of Human Language
- The "Light Side" of Human Language
- What Makes ACT Unique?
- CHAPTER 2
- What Makes Depression So Depressing?
- A Primary Pathway to Depression
- Unipolar Depression Within DSM-IV
- Alternative Pathways to Depression
- CHAPTER 3
- Pathogenic Processes in Depression
- Psychological Flexibility vs. Inflexibility
- Types of Psychological Inflexibility
- Processes Involving Defusion and Acceptance
- Processes Involving Commitment and Behavior Change
- Common Processes Involving Mindfulness and Self as Context
- CHAPTER 4
- Assessment of Core Processes
- An ACT Approach to Assessment
- The Starting Point: The Client's Life Story
- Experiential Avoidance and Creative Hopelessness
- Valuing
- Committed Action
- Fusion
- Three Senses of "Self"
- CHAPTER 5
- Case Formulation and Conceptualization
- Guidelines for Information Processing
- Presenting Problem Analysis
- Identification of Avoided Content
- Analysis of Experiential Control Strategies
- Motivational Analysis
- Analysis of Environmental Barriers
- Factors Contributing to Psychological Inflexibility
- Targeting of Core Processes
- Identification of Client Strengths
- Formulation of the Treatment Plan
- Strategic vs. Technical Dimensions of ACT
- CHAPTER 6
- Interventions for Promoting Defusion and Acceptance
- Nature of Defusion and Acceptance
- Promoting Defusion
- Promoting Acceptance
- CHAPTER 7
- Interventions for Promoting Commitment and Behavior Change
- Valuing and Pathways to Depression
- Direct Means of Value Assessment and Identification
- Values Clarification
- Indirect Means of Value Assessment and Identification
- Values Conflicts
- Goal Setting
- Committed Action
- Barriers to Committed Action
- CHAPTER 8
- Interventions for Promoting Contact with the Present Moment and Self as Context
- Increasing Contact with the Present Moment
- Considerations in Promoting Mindfulness
- Presenting Mindfulness Interventions Progressively
- Promoting Self as Context
- CHAPTER 9
- Putting It All Together: A Sample Twelve-Session Protocol
- Pretreatment Issues
- Session 1
- Session 2
- Session 3
- Session 4
- Session 5
- Session 6
- Session 7
- Session 8
- Sessions 9-11
- Session 12
- CHAPTER 10
- Additional Issues and Concerns
- Managing Challenging Client Behavior
- Concurrent Clinical Issues
- Ethical Considerations
- CHAPTER 11
- Wrapping It Up
- ACT as a Paradigmatic Approach
- Looking Backward
- Looking Forward
- APPENDIX A
- ACT Initial Case Conceptualization Form
- APPENDIX B
- Taking Inventory
- APPENDIX C
- Reasons for Depression Exercise
- APPENDIX D
- Writing Your Life Story
- APPENDIX E
- Personal Values Questionnaire (PVQ)
- APPENDIX F
- Valued Living Questionnaire (VLQ)
- APPENDIX G
- Goals-Action Form
- APPENDIX H
- Mindfulness Exercise Diary
- APPENDIX I
- Breathing Mindfully Exercise
- APPENDIX J
- Watching Your Thoughts Exercise
- APPENDIX K
- What Is Acceptance and Commitment Therapy?
- APPENDIX L
- Mood Regulation Diary
- References
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