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Acceptance & Commitment Therapyfor depressioncombining mindfulness and behavioural psychologyto promote effective livingDr. David Gillanders,University of EdinburghThe University of Edinburgh is a charitable body, registered in Scotland, with registration number SC005336www.ed.ac.uk
Overview The historical and conceptual roots of ACT An overview of the model An ACT approach to mindfulness Application to depression Conceptual aspects of the relationship between ACT and othertherapiesThe University of Edinburgh is a charitable body, registered in Scotland, with registration number SC005336www.ed.ac.uk
A history lesson Behaviourism as a rejection of introspection Flavours of behaviourism Radical behaviourism everything is behaviour Sensibilities of humanism, Buddhism,The University of Edinburgh is a charitable body, registered in Scotland, with registration number SC005336www.ed.ac.uk
The ACT model Is not a mind model Is a model of 6 interdependent and overlappingbehavioural processes that help us to answer: What is influencing behaviour in this moment?The University of Edinburgh is a charitable body, registered in Scotland, with registration number SC005336www.ed.ac.uk
The ACT model“ACT is a therapy approach that usesAcceptance & Mindfulness processes andCommitment and Behaviour Changeprocesses to produce greater psychologicalflexibility”Hayes et. al., 2004The University of Edinburgh is a charitable body, registered in Scotland, with registration number SC005336www.ed.ac.uk
The ACT model “Psychological flexibility is the ability tocontact the present moment more fully as aconscious human being and to either changebehaviour or persist, when doing so servesvalued ends”.Wilson & Murrell, 2005The University of Edinburgh is a charitable body, registered in Scotland, with registration number SC005336www.ed.ac.uk
The ACT model: Psychological InflexibilityDominance of Past& FutureExperientialavoidanceLack of clarity orcontact with ValuesPsychologicalinflexibilityCognitive FusionAttachment to the self‘story’The University of Edinburgh is a charitable body, registered in Scotland, with registration number SC005336www.ed.ac.ukInaction,impulsivity oravoidantpersistence
The ACT model: Psychological FlexibilityContact with thepresent momentWillingness /AcceptanceClarity and contactwith PersonalValuesPsychologicalFlexibilityCognitive DefusionFlexible PerspectiveTaking on our StoriesThe University of Edinburgh is a charitable body, registered in Scotland, with registration number SC005336www.ed.ac.ukCommittedActions towardsValues
Focus on workability Much less interested in ‘causes’ ofdepression More interested in how people respond todepression Conceptualises the responses people makeas ‘strategies for living’The University of Edinburgh is a charitable body, registered in Scotland, with registration number SC005336www.ed.ac.uk
Focus on workability Validating, compassionate stance: you arenot broken Are the strategies you are using working? Letting go of strategies that don’t work andfinding other strategiesThe University of Edinburgh is a charitable body, registered in Scotland, with registration number SC005336www.ed.ac.uk
Focus on values What do you most care about? If you were free to choose . Overarching life directions Specific steps linked to directionsThe University of Edinburgh is a charitable body, registered in Scotland, with registration number SC005336www.ed.ac.uk
Mindfulness and acceptance Use of mindfulness, defusion andwillingness to behave flexibly when obstaclesarise To change or persistThe University of Edinburgh is a charitable body, registered in Scotland, with registration number SC005336www.ed.ac.uk
Depression Lack of pleasure / low motivation:unhooking feelings as reasons for action Pessimism and self criticism: unhookingthoughts as reasons for action Rumination: identifying ‘verbal problemsolving’ as an unworkable strategyThe University of Edinburgh is a charitable body, registered in Scotland, with registration number SC005336www.ed.ac.uk
Depression Holding our ‘stories’ more lightly Specific commitments: to self, others, freelychosen. Connection to values is part of the workThe University of Edinburgh is a charitable body, registered in Scotland, with registration number SC005336www.ed.ac.uk
ACT & CBTTreesOaksPinesThe University of Edinburgh is a charitable body, registered in Scotland, with registration number SC005336www.ed.ac.uk
ACT & CBTFamily of cognitive andbehavioural therapiesCognitiveTherapyThe University of Edinburgh is a charitable body, registered in Scotland, with registration number SC005336www.ed.ac.ukAcceptance&CommitmentTherapy
ACT & CBTFamily of cognitive andbehavioural TherapyThe University of Edinburgh is a charitable body, registered in Scotland, with registration number SC005336www.ed.ac.uk
ACT & CBTFamily of cognitive andbehavioural mentActivationTherapyTherapyThe University of Edinburgh is a charitable body, registered in Scotland, with registration number SC005336www.ed.ac.uk
ACT & Other TherapiesTechniques & InterventionsTechniques & InterventionsConcepts & TheoryConcepts & TheoryPhilosophicalAssumptionsThe University of Edinburgh is a charitable body, registered in Scotland, with registration number SC005336www.ed.ac.ukPhilosophicalAssumptions
Further readingDr Russ Harris, (2007), Constable Robinson, available on AmazonAlso:Behavior TherapySpecial Series, Edited by David M. Fresco:Theories and Directions in Behavior Therapy:ACT and Contemporary CBT, Vol. 44, Issue 2, pp 177 – 338 [June 2013]The University of Edinburgh is a charitable body, registered in Scotland, with registration number SC005336www.ed.ac.uk
The historical and conceptual roots of ACT An overview of the model An ACT approach to mindfulness Application to depression Conceptual aspects of the relationship between ACT and other therapies The University of Edinburgh is a charitable body, registered in Scotland, with registration number SC005336 www.ed.ac.uk
