The authors found significant differences between the two interventions at the one-year follow up, with a 9.3% quit rate with nicotine replacement and a 21.2% quit rate with ACT. Both ACT and CT led to significant reductions in depression, but there was no significant difference between the two in severity of depression (p = 0.66, Effect Size = 0.01) or in the ruminative response scale (p = 0.52, Effect Size = 0.03) (Tamannaeifar et al., (2014). Within a coherent theoretical and philosophical framework, ACT illuminates the ways clients understand and perpetuate their difficulties through language. Steven C. Hayes. PubMed CrossRef Google Scholar Gifford et al., 2004 compared the effectiveness of ACT to nicotine replacement therapy for smoking cessation with a mixture of self-reported measures and expired carbon monoxide (to determine smoking cessation). Twelve months later, Clinical Severity Ratings showed greater improvement in ACT than CBT (p < 0.5, d = 1.05). Within a coherent theoretical and philosophical framework, ACT illuminates the ways clients understand and perpetuate their difficulties through language. The importance of acceptance has long been recognized in the Serenity Prayer. Within these discoveries also lie the treatment technologies comprising ACT that are competently presented in this book, A Practical Guide to Acceptance and Commitment Therapy. But, humans are different because we are a cooperative species that uses language. The present article summarizes the assumptions, model, techniques, evidence, and diversity/social justice commitments of Acceptance and Commitment Therapy (ACT). It is an empirically-based therapy that uses the principles of mindfulness, behavioral, and cognitive-behavioral therapy (CBT) to increase psychological flexibility and acceptance in people. The present article presents and reviews the model of psychopathology and treatment underlying Acceptance and Commitment Therapy (ACT). Hayes, S. C. (2004). A therapy so hard to classify that it has been described as an “existential humanistic cognitive behavioral therapy.” Acceptance and Commitment Therapy, known as “ACT” (pronounced as the word “act”) is a mindfulness-based behavioral therapy that challenges the ground rules of most Western psychology. . In counseling circles, we often hear about ACT but few people know about its core components. Acceptance and Commitment Therapy (ACT) was pioneered by Dr. Steven Hayes nearly 40 years ago. Springer, New York 2004, ISBN 0-387-23367-9. however, [this] did not change the pattern of results, suggesting that use of non-study therapy did not influence the principal disorder severity findings.” CBT participants rated higher on the Quality of Life Inventory than ACT (p < .05, d = .43) (Arch et al., 2012). PESI Recently, PESI sent an email offering a Certificate Course in Acceptance and Commitment Therapy (ACT) featuring Dr. Steven Hayes, co-developer of ACT, and Dr. DJ Moran, president … He describes a transitional moment during his “night on the carpet” when he had a fundamental change of thinking and felt prompted to embrace his current struggle with anxiety. Can You Get a Certification in Acceptance & Commitment Therapy (ACT)? An RCT with 135 caregivers showed no difference in improvement of depression between ACT and CBT (Losada et al., 2015). One example used to elicit values in therapy is to ask the patient, “What do you want the description on your gravestone to be?” In other words, what do you want to be remembered for? In general, the studies showed equivocal efficacy for both types of therapy. At the intro to the episode, we summarize studies that compared ACT to other common therapies like Cognitive Behavioral Therapy (CBT) or Cognitive Therapy (CT). Since the original publication of this seminal work, acceptance and commitment therapy (ACT) has come into its own as a widely practiced approach to helping people change. The ACT group also experienced significantly less distress from hallucinations. CIP-Medien, München 2004, ISBN 3-932096-37-1. . Rehospitalization was checked at the four-month follow-up, and the treatment-as-usual group had a 1.62 times greater chance of rehospitalization during this time. Dr. Hayes had some experience with mindfulness from his time living in a religious commune, and notes it was a radically different way of thinking 40 years ago when the word mindfulness was not in western psychotherapy vernacular. In other words, ACT participants were 2.3 times more likely to have quit at the one year follow up. Acceptance and Commitment Therapy (ACT) was pioneered by Dr. Steven Hayes nearly 40 years ago. Acceptance and commitment therapy (ACT, typically pronounced as the word "act") is a form of psychotherapy and a branch of clinical behavior analysis. Since the original publication of this seminal work, acceptance and commitment therapy (ACT) has come into its own as a widely practiced approach to helping people change. This better allows the client to use the processes of acceptance and cognitive defusion. They found no significant difference among treatment groups in measures of depression (p = .837), anxiety (p = .860) or participant functioning (p = .802) (Forman et al., 2007). Chances are, you already know this. ACT for Clergy and Pastoral Counselors: Using Acceptance and Commitment Therapy to Bridge Psychological and Spiritual Care (July 2016) by Jason A. Nieuwsma, Robyn D. Walser, Steven C. Hayes Outlines how the core ACT processes can be applied to religious and spiritual care approaches. Results showed a CBT effect size of 1.62 and ACT effect size of 1.17 for the Quick Inventory for Depressive Symptomatology, and CBT 1.19 and ACT 1.00 for the Hamilton Depression Rating Scale. An RCT with 49 adolescent outpatients (age 12-17) with three arms of CBT, ACT, and wait list showed equivalent improvements in anxiety and depression in both CBT and ACT (Swain 2015). The use of acceptance and commitment therapy to prevent the rehospitalization of psychotic patients: A randomized controlled trial. ; Christopher Neal, D.O. The first study we discuss compared ACT and CBT in regards to depression treatment. Deutsche Übersetzung von Rainer Sonntag: Akzeptanz und Commitment Therapie. connects you to this . . Real change happens only at the level of action. What is acceptance and commitment therapy or ACT therapy? ; Kyle Logan, B.S. Steven C. Hayes talks with Serge Prengel about Acceptance & Commitment Therapy (ACT). We’re fitting it into a narrative. Steven C. HayesCo-founder of Acceptance and Commitment Therapy, Professor of Psychology, University of Nevada SIMPLY THE BEST: Louise Hayes work on ACT with adolescents is simply the best. Dr. Hayes is a prolific author and renowned psychology professor. Note that testing only the B-C and C-B relations has sometimes been used as an abbreviated method for assessing equivalence responding.” (Devany, Hayes, & Nelson 1986). The growing body of evidence suggests that ACT is comparable to the gold standard, cognitive behavior therapy (CBT), in treating certain psychiatric diseases. Instead of trying to stop feeling anxious about public speaking, for example, you would focus on confidently teaching a lecture despite your anxiety about it. Acceptance and commitment therapy: towards a unified model of behavior change. Acceptance and Commitment Therapy ACT differs from CBT in that instead of challenging distressing thoughts by looking for evidence and coming up with a more rational response (CBT), in ACT, the thought is accepted as a thought, e.g. It incorporates acceptance and mindfulness strategies alongside change strategies, in recognition that change is not always possible or desirable. When you connect with the kind of person you want to be and what your values are, that perspective-taking move . In a truly creative leap forward, Hayes and his colleagues present a new approach to behavior change that is ‘must' reading for everyone in the field of psychotherapy or behavior therapy, as well as students entering the profession." From (Gaudiano, B. As previously mentioned, ACT has been under development for nearly 40 years. Behavior Therapy, 35, 639-665. doi: 10.1016/S0005-7894(04)80013-3. The importance of acceptance has long been recognized in the Serenity Prayer. 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