Ong Clarissa W, Ciarrochi Joseph, Hofmann Stefan G, Karekla Maria, Hayes Steven C
University of Toledo, Toledo, OH, USA.
Australian Catholic University, Sydney, Australia.
J Contextual Behav Sci. 2024 Apr;32. doi: 10.1016/j.jcbs.2024.100734. Epub 2024 Feb 21.
This article is part of a special issue in the 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.
本文是关于基于过程的疗法（PBT）或基于过程的治疗方法及其在整合现有循证治疗中所起作用的特刊的一部分。在当前讨论中，我们聚焦于接纳与承诺疗法（ACT）以及它如何融入PBT框架。我们描述了通过PBT框架及其组织架构——扩展进化元模型（EEMM）来审视ACT如何为扩展ACT和心理灵活性模型提供了肥沃土壤，将ACT转变为自身更具包容性和灵活性的版本，并在提供ACT治疗方面给予临床医生更大的空间。PBT方法使ACT能够纳入传统框架中不属于其一部分的治疗元素，包括认知重新评估、人际治疗动态、生理下调和不执着原则。重要的是，ACT在整个整合过程中保持其基本原则。我们提供了一个如何使用PBT方法将ACT案例概念化的案例示例，以说明在实践中融入PBT的ACT。最后，我们概述了随着ACT在PBT内部不断发展，其未来可能的发展方向。
