Through the extended evolutionary meta-model, and what ACT found there: ACT as a process-based therapy

IF 3.4 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Journal of Contextual Behavioral Science Pub Date : 2024-02-21 DOI:10.1016/j.jcbs.2024.100734
Clarissa W. Ong , Joseph Ciarrochi , Stefan G. Hofmann , Maria Karekla , Steven C. Hayes
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Abstract

This article is part of a special issue in the Journal of Contextual Behavioral Science devoted to process-based therapy (PBT) or a process-based approach to therapy and the role it plays in harmonizing existing evidence-based treatments. In the present discussion, we focus on acceptance and commitment therapy (ACT) and how it fits into the PBT framework. We describe how viewing ACT through a PBT framework and its organizing rubric—the extended evolutionary meta-model (EEMM)—provides fertile ground to expand the ACT and psychological flexibility models, transforming ACT into a more inclusive and flexible version of itself and giving clinicians wider berth with respect to delivering ACT. The PBT approach allows ACT to incorporate therapeutic elements that are not traditionally part of the framework, including include cognitive reappraisal, interpersonal therapy dynamics, physiological downregulation, and the principle of nonattachment. Importantly, ACT maintains its foundational principles throughout this integration. We provide a case example of how to use PBT methods to conceptualize an ACT case, to illustrate PBT-infused ACT in practice. Finally, we outline possible future directions for ACT as it continues to evolve inside of PBT.

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通过扩展的进化元模型以及 ACT 在其中发现的内容:ACT 作为一种基于过程的疗法
本文是《情境行为科学杂志》(Journal of Contextual Behavioral Science)特刊的一部分,该特刊专门讨论基于过程的疗法(PBT)或基于过程的治疗方法,以及它在协调现有循证疗法中发挥的作用。在本讨论中,我们将重点讨论接纳与承诺疗法(ACT)及其如何融入 PBT 框架。我们描述了如何通过 PBT 框架及其组织标准--扩展进化元模型(EEMM)--来看待接纳与承诺疗法,从而为扩展接纳与承诺疗法和心理弹性模型提供肥沃的土壤,将接纳与承诺疗法转变为更具包容性和灵活性的疗法,并为临床医生提供更广阔的接纳与承诺疗法实施空间。PBT 方法允许 ACT 纳入传统框架之外的治疗元素,包括认知再评价、人际治疗动力、生理降调节和不依附原则。重要的是,ACT 在整合过程中始终坚持其基本原则。我们提供了一个案例,说明如何使用 PBT 方法对 ACT 案例进行概念化,以说明 PBT 注入 ACT 在实践中的应用。最后,我们概述了 ACT 在 PBT 中继续发展的可能的未来方向。
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来源期刊
CiteScore
8.50
自引率
18.00%
发文量
82
审稿时长
61 days
期刊介绍: The Journal of Contextual Behavioral Science is the official journal of the Association for Contextual Behavioral Science (ACBS). Contextual Behavioral Science is a systematic and pragmatic approach to the understanding of behavior, the solution of human problems, and the promotion of human growth and development. Contextual Behavioral Science uses functional principles and theories to analyze and modify action embedded in its historical and situational context. The goal is to predict and influence behavior, with precision, scope, and depth, across all behavioral domains and all levels of analysis, so as to help create a behavioral science that is more adequate to the challenge of the human condition.
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