On the role of values clarification and committed actions in enhancing the engagement of direct care workers with clients with severe developmental disorders

Castro, Mariela; Rehfeldt, Ruth Anne; Root, William B.

doi:10.1016/j.jcbs.2016.09.003

Cited by 32 publications

(20 citation statements)

References 18 publications

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“…When working with clients who are essential workers, this could involve having clients elaborate on why they chose their career, and refocus their goals on working in a field that can serve others and potentially save a life. Additionally, this can help clients work through stress and better engage with their own coworkers, clients, and patients (Castro et al 2016 ). Values clarification can lead to behavior change, making one more likely to approach rather than avoid stimuli that cause anxiety, which in turn, serves to reduce anxiety (McCracken and Yang 2008 ; Fitzpatrick et al 2016 ).…”

Section: Intervention Strategiesmentioning

confidence: 99%

CBT-Informed Interventions for Essential Workers During the COVID-19 Pandemic

Benhamou

Piedra

2020

J Contemp Psychother

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Essential workers during the COVID-19 pandemic face heightened levels of anxiety and depression due to increased work demands, lack of adequate personal protective equipment, fear of contracting the virus, and fear of spreading it to loved ones. This is a time of urgent need for mental health support for workers affected by the pandemic crisis. Clinicians may employ empirically supported interventions derived from cognitive behavioral therapy (CBT) and related therapies. Psychological First Aid, an evidence-based crisis intervention, may be utilized to emphasize basic needs and support, but is intended as an acute disaster intervention. Given that a pandemic is an ongoing and prolonged stressor, additional CBT-informed interventions are likely needed to fully support essential workers during these times. It is recommended that clinicians help essential worker clients meet their basic needs by modifying health and sleep habits where possible and helping them advocate for their needs using interpersonal effectiveness skills. Empathic listening, validation of the crisis at hand, and values clarification can aid the therapeutic relationship, help them feel a renewed sense of purpose and meaning in their careers and with their families, and facilitate behavior change consistent with chosen values. Self-monitoring through a daily diary can help clients focus their thoughts and recognize maladaptive patterns in their thoughts and behaviors. In tandem with these techniques, behavioral activation and coping strategies including relaxation, distress tolerance, and acceptance promote engaging in positive and adaptive activities. Finally, therapists can help clients reduce anxiety related to the pandemic by helping them limit information intake.

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Section: Intervention Strategiesmentioning

confidence: 99%

CBT-Informed Interventions for Essential Workers During the COVID-19 Pandemic

Benhamou

Piedra

2020

J Contemp Psychother

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“…A relatively new procedure rooted in RFT principles that combines mindfulness and behavioral-based procedures called acceptance and commitment therapy (ACT) stems from the early 1980s (see Zettle, 2005, for a historical and empirical review). In the past few years, researchers have published studies on acceptance and commitment training (ACTr) for parent training (Corti et al, 2018;Gould, Tarbox, & Coyne, 2018;Hahs, Dixon, & Paliliunas, 2018;Pennefather, Hieneman, Raulston, & Caraway, 2018), gambling (Dixon, Wilson, & Habib, 2016), decreasing impulsivity (Dixon et al, 2019), reducing inflexible behavior (Szabo, 2019), teaching job interview skills (Brazeau et al, 2017), training staff (Castro, Rehfeldt, & Root, 2016;Chancey et al, 2018), and increasing academic performance (Paliliunas, Belisle, & Dixon, 2018). ACT may also help us intervene on critical social issues related to racial bias (Levin et al, 2016;Lillis & Hayes, 2007).…”

Section: Part Iii: Interventions To Reduce Racial Prejudicementioning

confidence: 99%

“…The studies reviewed here suggest we can have a positive effect on race and prejudice using the tools and strategies described. The number of ACTr-related studies published by behavior analysts is on the rise (e.g., Brazeau et al, 2017;Castro et al, 2016;Eilers & Hayes, 2015;Enoch & Dixon, 2017;Gould et al, 2018;Hahs et al, 2018;Paliliunas et al, 2018;Rosales, Jowett Hirst, Garcia, & Rehfeldt, 2019), and the topic is in at least one commonly used behavior analysis textbook (Cooper, Heron, & Heward, 2020). However, it is unclear how many behavior analysts are aware of or competent in the use of ACTr-related and mindfulness strategies.…”

Section: Part Iv: Call For Collaboration Around Racismmentioning

confidence: 99%

Can Behavior Analysis Help Us Understand and Reduce Racism? A review of the Current Literature

Matsuda

García

Catagnus

et al. 2020

Behav Analysis Practice

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Despite ongoing efforts to eradicate racism, it persists globally, negatively affecting education, mental health, community relations, and economic development. Every behavior analyst can, and should, contribute to the reduction of racism in some way. Unfortunately, little behavior-analytic research exists to guide us. This article proposes ways that members of our scientific community can learn about racism from a behavioral perspective, extend experimental analyses of prejudice, and intervene to reduce racism in varied settings. It describes both traditional behavior-analytic and functionalcontextualist accounts of racism and summarizes the small amount of related empirical and applied research. The review suggests that combining traditional behavior-analytic methods with acceptance and commitment training techniques may attenuate racism more effectively. The article ends with a call to collaborate around this globally important issue-and to do more to reduce racism.

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“…The third successful case study focused on a 19-yearold male college student with a poor diet, who showed an increase in self-reported consumption of healthy food items following the ACT intervention. More work in this vein should be conducted using single-subject design methodology to ascertain functional relationships between ACT and behavior change (see Brazeau et al, 2017;Castro et al, 2016;Chancey et al, 2019;Hutchinson et al, 2019).…”

Section: Act For Chronic Painmentioning

confidence: 99%

Why We Are Not Acting to Save Ourselves: ACT, Health, and Culture

Rehfeldt

Tyndall

2021

Behav Analysis Practice

Self Cite

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Chronic health conditions are increasing at an alarming rate worldwide, and many could be prevented if people were to engage in specific lifestyle behaviors. Intervening on lifestyle behaviors is challenging due to the fact that the consequences associated with unhealthy behaviors are temporally distant and probabilistic, and the aversive functions of covert stimuli may interfere with people's engagement in healthy, preventative behaviors. This article explores the role of relational framing in the promotion of healthy lifestyle behaviors and summarizes research supporting the use of acceptance and commitment training (ACT) as a framework for prevention and intervention. We explore how ACT alters the context in which rigid patterns of rule following occur. ACT loosens the literal functions of stimuli so that experiential-avoidance behaviors are weakened, and healthy, valuesconsistent behaviors are strengthened. We propose culture-wide interventions inspired by contextual behavior science so that healthier societies can be cultivated.

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On the role of values clarification and committed actions in enhancing the engagement of direct care workers with clients with severe developmental disorders

Cited by 32 publications

References 18 publications

CBT-Informed Interventions for Essential Workers During the COVID-19 Pandemic

CBT-Informed Interventions for Essential Workers During the COVID-19 Pandemic

Can Behavior Analysis Help Us Understand and Reduce Racism? A review of the Current Literature

Why We Are Not Acting to Save Ourselves: ACT, Health, and Culture

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