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Index
Cover Endorsement Half Title Series Information Title Page Copyright Page Contents Acknowledgements Introduction Part 1 HEAD
1 The head of ACT – philosophy and theory
Key behavioural principles
2 The ‘B’ in CBT 3 Learning by association 4 Learning by consequence 5 Appetitive and aversive control 6 Functional contextualism 7 A pragmatic truth 8 The function of behaviour
‘What purposes is this behaviour serving?’ ‘What is the client trying to move towards or away from?’
9 Function versus form 10 The importance of context 11 Learning through language and cognition
Relational Frame Theory (RFT)
12 Background to RFT 13 Relational responding 14 Different ways of relating
Co-ordination relations Distinction relations Temporal relations Hierarchical relations Deictic relations
15 Transformation of stimulus functions 16 Coherence 17 Language as a gift and a curse 18 The illusion of control 19 Experiential avoidance 20 Cognitive fusion 21 Rule-governed behaviour
Key processes in ACT
22 The targets of ACT 23 Psychological flexibility 24 Discrimination and tracking 25 Widening behavioural repertoires 26 A focus on process 27 The Hexaflex model 28 Contact with the present moment 29 Self-as-context 30 Acceptance 31 Defusion 32 Values
Freely chosen Verbally constructed Dynamic, evolving patterns of activity Intrinsic reinforcers
33 Committed action
Part 2 HANDS
34 The hands of ACT – technique and practice
Assessment and formulation
35 ACT as a Cognitive Behavioural Therapy 36 Experiential learning 37 The utility of metaphor 38 Retaining a process focus 39 Open, aware, and active 40 Focused assessment
Build expectancy for change Love, work, play, and health Focused problem assessment – Three Ts and workability
41 Creative hopelessness
Use a metaphor Contrast short-term versus long-term effectiveness
42 Workability 43 Sharing the ACT model 44 Maintenance cycles 45 Towards and away moves 46 The ACT matrix
Techniques for moving ACT processes
47 Contact with the present moment techniques 48 Mindfulness with a small ‘m’ 49 Formal mindfulness exercises 50 Self-as-context techniques 51 The ‘sky and weather’ exercise 52 Perspective taking
Interpersonal Spatial Temporal
53 Acceptance techniques 54 The ‘tug of war’ exercise 55 The ‘Chinese finger traps’ exercise 56 Defusion techniques 57 ‘I’m having the thought that…’ 58 Physicalising exercises 59 Values techniques 60 The ‘top ten moments’ exercise 61 An alternative ‘miracle question’ 62 Committed action techniques 63 The ‘values, goals, and actions’ exercise 64 Exposure and inhibitory learning
Structuring intervention
65 Structuring a course of sessions 66 Structuring a single session 67 Using overarching metaphors 68 The ‘passengers on the bus’ exercise 69 The ‘lifeline steps’ exercise
Part 3 HEART
70 The heart of ACT – context, strategy, and process
ACT in context
71 Human suffering is not a disease 72 Fundamental human requirements 73 Our clients are stuck, not broken 74 The therapeutic stance 75 ACT in a cultural context 76 ACT and the medical model
Making decisions in practice
77 Process or protocol? 78 Using functional analysis in session 79 Functional analytic psychotherapy 80 Model, initiate, reinforce 81 Promoting practitioner–client co-ordination 82 Doing over talking 83 Function over form 84 Context over content 85 Pragmatism over truth 86 Working by addition 87 Increasing behaviour over reducing behaviour 88 Values over goals 89 Ensuring values do not become rules 90 Targeting metaphors
Issues within the therapeutic process
91 When control and avoidance might be good 92 Self-disclosure 93 Staying present 94 Awareness of therapist fusion
Joseph Richard
95 Steering clear of the ‘fix-it’ trap 96 Staying with difficult emotions 97 Learning to love your self-doubt 98 Modelling the model
Staying aware Staying open Staying active
99 The ‘on track, off track’ exercise 100 Maintaining fidelity to the model
Supervision worksheet References Index
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