Acceptance and Commitment Therapy (ACT) is a unique and creative approach to a change in behaviour which alters the very ground rules of most Western psychotherapy. It is a mindfulness-based, values-oriented behavioural therapy, that has many parallels to Buddhism, yet is not religious in any way; it is a modern scientific approach, firmly based on cutting-edge research into human behavioural psychology.
There are six core processes in ACT:
- Contacting The Present Moment means being psychologically present: consciously connecting with whatever is happening right here, right now.
- Defusion means learning to step back or detach from unhelpful thoughts and worries and memories: instead of getting caught up in your thoughts, or pushed around by them, or struggling to get rid of them, you learn how to let them come and go – as if they were just cars driving past outside your house. You learn how to step back and watch your thinking, so you can respond effectively – instead of getting tangled up or lost inside your thinking.
- Acceptance means opening up and making room for painful feelings and sensations. You learn how to drop the struggle with them, give them some breathing space, and let them be there without getting all caught up in them, or overwhelmed by them; the more you can open up, and give them room to move, the easier it is for your feelings to come and go without draining you or holding you back.
- The Observing Self is the part of you that is responsible for awareness and attention. We don’t have a word for it in common everyday language – we normally just talk about the “mind’. But there are two parts to the mind: the thinking self – i.e. the part that is always thinking; the part that is responsible for all your thoughts, beliefs, memories, judgments, fantasies etc. And then there’s the observing self – the part of your mind that is able to be aware of whatever you are thinking or feeling or doing at any moment. Without it, you couldn’t develop those mindfulness skills. And the more you practice those mindfulness skills, the more you’ll become aware of this part of your mind, and able to access it when you need it. (The technical term for this, in ACT, is ‘self-as-context’.)
- Values are what you want your life to be about, deep in your heart. What you want to stand for. What you want to do with your time on this planet. What ultimately matters to you in the big picture. What you would like to be remembered for by the people you love.
- Committed action means taking action guided by your values – doing what matters – even if it’s difficult or uncomfortable.
When you put all these things together, you develop ‘psychological’ flexibility. This is the ability to be in the present moment, with awareness and openness, and take action, guided by your values. In other words, it’s the ability to be present, open up, and do what matters. The greater your ability to be present, open up and do what matters, the greater your quality of life – the greater your sense of vitality, wellbeing and fulfillment.
More About The ACT Model
ACT (which is pronounced as the word ‘act’) uses a wide range of experiential exercises to undermine the power of destructive cognitive, emotive, and behavioural processes. It helps clients to fundamentally change their relationship with painful thoughts and feelings, to develop a transcendent sense of self, to live in the present, and to take action, guided by their deepest values, to create a rich and meaningful life.
David Barlow, famous not only for his work on CBT with anxiety disorders, but also for his development of the scientist-practitioner model, writes of ACT:
“Once in a while, there is a unique contribution to psychotherapy. Even more rare is the grounding of that contribution in sound philosophy, on the one hand, and firm data on the other. Acceptance and Commitment Therapy represents such an effort. In a truly creative leap forward, the authors present a new approach to behaviour change that is “must” for everyone in the field of psychotherapy”.. Challenging the assumptions and methods of cognitive therapy, this is amongst the most significant new approaches to behaviour change of the past three decades.”
ACT takes the view that most psychological suffering is caused by ‘experiential avoidance’, i.e. by attempting to avoid or get rid of unwanted private experiences (such as unpleasant thoughts, feelings, sensations, urges & memories). Clients’ efforts at experiential avoidance might work in the short term, but in the long term they often fail, and in the process, they often create significant psychological suffering. (For example, think of any serious addiction: in the short term it makes you feel good and helps you get rid of unpleasant thoughts and feelings – but in the long term, it destroys your health and vitality).
In ACT, clients develop mindfulness skills , (both traditional techniques, and many modern, innovative ones) which enable them to fundamentally change their relationship with painful thoughts and feelings. When clients practice these skills in everyday life, painful feelings and unhelpful thoughts have much less impact and influence over them. Therefore, instead of wasting their time and energy in a fruitless battle with their inner experiences, they can invest their energy in taking action to change their life for the better – guided by their deepest values.
A growing body of empirical data confirms that cultivating acceptance, mindfulness, and openness to experience is highly effective for the treatment of depression, anxiety disorders, substance abuse, chronic pain, PTSD, anorexia, and even schizophrenia. ACT is also a very effective model for life coaching and executive coaching.
ACT is one of the ‘third wave’ of behaviour therapies, along with Dialectical Behaviour Therapy, Mindfulness-Based Cognitive Therapy, and several others. These therapies comprise a movement in psychology that regard mindfulness and acceptance as important additions to change-oriented treatment strategies.
ACT was the first of the ‘third wave’ therapies, and has the largest body of empirical data to support its effectiveness. And it is very effective. For example, one published study showed hospital re-admission rates for psychotic patients were cut by 50% with only 4 hours of ACT (primarily using values-guided behavioural interventions, and cognitive defusion techniques to reduce believability in delusions & hallucinations). To download this paper, by Bach and Hayes, click here
To download a simple, non-technical article which gives a basic overview of ACT, click here.
You can also download a range of interesting articles and papers on ACT from the resources page
What is Relational Frame Theory?
ACT is based on a theory of human language and cognition known as Relational Frame Theory (RFT). You can be an excellent ACT therapist without knowing RFT, in the same way that you can be an excellent driver without knowing how your car engine works. However, a working knowledge of RFT can certainly enrich your practice, and give you a greater understanding of how ACT works and why it is so effective.
ACT and RFT Websites
For more information on Acceptance & Commitment Therapy, visit the official website: click here
For more information on Relational Frame Theory, visit the official website: click here
Reference for this post: https://www.actmindfully.com.au/about-act/