Stephanie L. Nassar , M.A. Kelly G. Wilson, Ph.D. K. Kate Kellum , Ph.D.
description
Transcript of Stephanie L. Nassar , M.A. Kelly G. Wilson, Ph.D. K. Kate Kellum , Ph.D.
UM Center for Contextual Psychology
dedicated to
World Domination through Peace, Love, and Understanding
Defusion as a core ACT process: Conceptual definitions,
current empirical literature, and future directions for exploration
Stephanie L. Nassar, M.A.Kelly G. Wilson, Ph.D.K. Kate Kellum, Ph.D.
Six Core Processes
Acceptance
Committed Action
Values
Defusion
Self-as-Context
Present Moment Awareness
Psychological Flexibility
Six Core Processes
Acceptance
Committed Action
Values
Defusion
Self-as-Context
Present Moment Awareness
Psychological Flexibility
Acceptance and Mindfulness Processes
Six Core Processes
Defusion
Psychological Flexibility
VALUED ACTION
Language is the Context
Avoidance of public
speaking
“I am crazy”
Behavioral tasks
Word repetition
Mindfulness meditation
Metaphor
Grant, 2009
Self-report measures
Cognitive fusion
Automatic thoughts
Believability of anxiety
CFQ
ATQ-F&B
BAFT
Pain PIPS
Masuda et al, 2010: Cognitive defusion vs. thought distraction: A clinical rationale, training, and experiential exercise in altering psychological impacts of negative self-referential thoughts
Varra et al., 2008: A RCT examining the effect of ACT on clinician willingness to use EBP pharmacotherapy. Journal of Consulting and Clinical Psychology, 76, 449-458.
Other studies• Zettle, Rains, & Hayes (2011)
Reexamined a treatment study comparing ACT and CT intervention for depression and found that defusion mediated changes in depressive symptoms in the ACT condition
• Gaudiano, Herbert, & Hayes (2010) Reanalysis of treatment study comparing TAU and TAU+ACT for
individuals with psychosis and found ACT group reported less distress post-treatment than TAU, which was mediated by defusion. ACT group more defused, and those defused tended to report lower levels of post-treatment distress.
• Hinton & Gaynor (2010) Three sessions of cognitive defusion (CD) compared to a waitlist (WL)
condition for university students reporting elevated distress, dysphoria, and low self-esteem. Large changes in distress, depressive symptoms, self-esteem, defused awareness of thoughts, psychological flexibility, and automatic thoughts favoring CD over WL. Maintained at 1-month follow-up.
Studies cont’d• Hesser et al. (2009)
Levels of acceptance and defusion behavior during ACT therapy sessions can later predict reduction in symptoms at 6 month follow up.
• Healy et al. (2008) Defusion works for coping with negative self-statements
• Marcks & Woods (2005, 2007) “Soldiers on parade” mindfulness exercise reduces subjective
distress from an intrusive thought provoking task and willingness to engage in the task again
UM Center for Contextual Psychology
dedicated to
World Domination through Peace, Love, and Understanding
Questions & Comments
Contact:[email protected]
Relational Frame TheoryDefining Properties of Relational Frames
Betrangsoursalivation
citrus
bumpy
lemonade yellow
Limoo
Betrang
1. Mutual 1. Mutual EntailmentEntailment
2. Combinatorial 2. Combinatorial EntailmentEntailment
3. Transformation3. Transformationof Functionsof Functions
soursalivation
citrus
bumpy
lemonade yellow
Entailment is controlled by
the relational
context or “Crel” e.g., the
phrase “is a” in “a betrang is
a limoo”
Transformation is
controlled by the
functional context or
“Cfunc” e.g., the word
“taste” in “what does a
betrang taste like?”