Yovel Iftah
Department of Psychology, The Hebrew University of Jerusalem, Jerusalem, Israel.
Isr J Psychiatry Relat Sci. 2009;46(4):304-9.
Acceptance and Commitment Therapy (ACT) is one of several recently-developed acceptance-based cognitive behavioral treatments which broaden the scope of CBT. The theory underlying ACT suggests that verbal representations generated by the human mind inevitably increase the psychological presence of pain and often lead to psychological inflexibility or the dominance of language products over other sources of information. Furthermore, the adequacy of problem-solving strategies that are used to achieve desired goals and decrease suffering is substantially decreased when applied to private experience. Therefore, humans have a greatly expanded capacity to experience aversive stimulation, but simultaneously are not well-equipped to deal effectively with such unwanted experiences. Acknowledging the inevitability of psychological pain, ACT aims at replacing experiential avoidance and similar harmful processes with more adaptive strategies, with the general goal of pursuing broad life objectives. This is achieved by encouraging mindful acceptance of unwanted experiences and by fostering committed action which is consistent with one's chosen values.
接纳与承诺疗法(ACT)是最近开发的几种基于接纳的认知行为疗法之一,它拓宽了认知行为疗法的范围。ACT背后的理论表明,人类思维产生的言语表征不可避免地会增加疼痛的心理感受,并且常常导致心理僵化或语言产物凌驾于其他信息来源之上。此外,当应用于个人体验时,用于实现期望目标和减轻痛苦的问题解决策略的有效性会大幅降低。因此,人类体验厌恶刺激的能力大大增强,但同时却没有很好地配备有效应对此类 unwanted 体验的能力。认识到心理痛苦的必然性,ACT旨在用更具适应性的策略取代体验性回避和类似的有害过程,总体目标是追求广泛的生活目标。这是通过鼓励正念接纳 unwanted 体验并促进与个人选择的价值观相一致的坚定行动来实现的。