ACT: A Process-Based Therapy in Search of a Process

McLoughlin, Shane; Roche, Bryan

doi:10.1016/j.beth.2022.07.010

Cited by 20 publications

(7 citation statements)

References 93 publications

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“…The criticism also relates to the scales used to measure psychological flexibility, which are imprecise in what they are measuring and have poor psychometric properties (Arch et al, 2022). It has been suggested that, instead of focusing on one mechanism of change resulting from the combined ACT skills, it would be more productive to investigate the separate ACT processes and to draw on existing non‐ACT literature to shed light on potential mechanisms of change (McLoughlin & Roche, 2022), for example, emotional differentiation and regulation (Fogarty et al, 2015; Hill & Updegraff, 2012). This would avoid focusing on mechanisms that mirror the skills themselves, for example, acceptance and mindfulness exercises improving acceptance and mindfulness skills (Johannsen et al, 2022).…”

Section: Lingering Questionsmentioning

confidence: 99%

“…While psychological flexibility itself is cited as the mechanism of change in ACT (Ciarrochi et al, 2010;Hayes et al, 2022), this has recently been criticised (McLoughlin & Roche, 2022). The criticism partly relates to the definition of psychological flexibility; it is a way of responding-a 'middle-level term' that is the result of the Open, Aware and Active skills.…”

Section: Processes Of Change In Actpmentioning

confidence: 99%

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Acceptance and commitment therapy for psychosis: Current status, lingering questions and future directions

2023

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PurposeAcceptance and Commitment Therapy for psychosis (ACTp) is a contextual behavioural intervention that promotes psychological flexibility by fostering active acceptance, cognitive defusion, values construction and committed action to enhance well‐being and recovery. Multiple studies have shown that ACTp is acceptable and efficacious, but questions remain as to its distinction from similar approaches and the conditions under which it would be implemented most effectively.MethodsWe present the current evidence for processes and outcomes of ACTp and summarise the qualitative findings of experiences of service users in ACT programmes. We compare ACTp with other cognitive behavioural therapies and mindfulness‐informed interventions for psychosis.ResultsAcceptance and commitment therapy for psychosis is promising as a pragmatic, process‐driven intervention model. Further efforts are needed to investigate psychological flexibility in the context of psychosis with observational, experimental and intervention studies that will inform model scope and treatment refinement. Additionally, implementation research is the necessary next step, including how support persons can be trained in ACTp. Lower intensity and technology‐assisted approaches have the potential to reduce barriers to accessing ACTp and extend impact.ConclusionsOver the last 20 years, ACTp has demonstrated meaningful effects in individual and group formats in a range of settings, targeting outcomes such as rehospitalisation, depression, psychotic symptom distress and impact. Future work should focus on how best to integrate ACTp with other current evidence‐based interventions for psychosis.

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Section: Lingering Questionsmentioning

confidence: 99%

Section: Processes Of Change In Actpmentioning

confidence: 99%

Acceptance and commitment therapy for psychosis: Current status, lingering questions and future directions

2023

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“…However, studies were limited in that there were no analyses of how processes interacted in clinical practice, and most participants were university students with subclinical problems. So far, there is no clear evidence that engaging in various elaborate verbal processes such as defusion, acceptance, or sense of self are necessary for achieving desired changes in daily functioning and symptoms (Herbert & Forman, 2013;Kanter et al, 2006;McLoughlin & Roche, 2022;Salzinger, 2008). DBT espouses multiple processes across three theories (biosocial, behavioural and dialectical), several functions (e.g., increasing client motivation for behaviour change), via four delivery modes (e.g., individual therapy and group skills training), and five stages (e.g., selecting goals and committing to therapy, and decreasing dysregulation).…”

Section: Obstacles In Examining Relationships Between Dysregulated Em...mentioning

confidence: 99%

Toward a synthesis of cognitive behaviour therapy via component analysis of self‐regulation

Arco

2023

Clin Psychology and Psychoth

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The cognitive behavioural therapies (CBTs) are the choice psychotherapies for many clinicians treating a wide range of adult psychological disorders including various anxieties, mood, substance use, eating, schizophrenia and personality‐related. Empirical research in the CBTs is ever increasing, and the accumulating evidence supporting efficacious treatments is substantial and well documented. However, with prolific research comes a seemingly accelerating and worrying trend of purportedly different therapies, and numerous hybrids and combinations of therapies and techniques. For many clinicians this is increasingly confusing and not helpful in clinical practice. This article is a critique of current trends and directions in clinical research, which show signs of limited effectiveness, fragmentation, and obfuscation. An alternative strategy is proposed—examining transdiagnostic therapeutic effects, which appear related to treating pervasive dysregulated emotions, with component analyses of four principal self‐regulation components (viz., self‐monitoring; functional analysis; identifying values, goals and treatment‐plans; and feedback). Such a strategy is likely to lead to a more coherently synthesized and effective CBT.

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“…Incluir en CBS el uso de prácticas educativas de responsabilidad moral desde la presente propuesta también ayudaría a atender algunas críticas, como las que señalan que las intervenciones desde este enfoque no solo se deben concentrar en dirigir a las personas hacia sus propios valores sin considerar factores ajenos a sus intereses individuales (McLoughlin & Roche, 2022). Añadir una perspectiva contextual conductual de la responsabilidad moral abriría paso a intervenciones basadas en procesos donde se promueva que los clientes tengan un reconocimiento efectivo de sus valores, capacidades y posibilidades con miras a refinar sus metas de una manera centrada en el presente, objetiva y no impositiva.…”

Section: Educar La Responsabilidad Moral Desde La Ciencia Contextual ...unclassified

Una interpretación contextual y conductual de la responsabilidad moral

2023

RMAC

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miranda-rodríguez texto de responsabilidad moral, el cual debe cumplirse para asumir que cualquier conducta coherente resultante se trate de una conducta moralmente responsable. Se hacen otras propuestas específicas considerando CBS para desarrollar una perspectiva que favorezca el aprendizaje de la responsabilidad moral de forma realista, comprensiva y justa para las personas.Palabras clave: responsabilidad moral, ciencia contextual conductual, contexto de responsabilidad moral, conducta moralmente responsable

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ACT: A Process-Based Therapy in Search of a Process

Cited by 20 publications

References 93 publications

Acceptance and commitment therapy for psychosis: Current status, lingering questions and future directions

Acceptance and commitment therapy for psychosis: Current status, lingering questions and future directions

Toward a synthesis of cognitive behaviour therapy via component analysis of self‐regulation

Una interpretación contextual y conductual de la responsabilidad moral

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