Mindfulness- and Acceptance-Based Behavioral Therapies in Practice

by Roemer, Lizabeth; Orsillo, Susan M.

• ISBN13: 9781606239995
• ISBN10: 1606239996
• Format: Paperback
• Copyright: 2010-07-22
• Publisher: The Guilford Press

Summary

This book is out of print. See Acceptance-Based Behavioral Therapy: Treating Anxiety and Related Challenges, ISBN 978-1-4625-4487-5.
 

Author Biography

Lizabeth Roemer, PhD, is Professor of Psychology at the University of Massachusetts/n-/Boston, where she is actively involved in research and clinical training of doctoral students in clinical psychology. In collaboration with her students, her research examines basic processes that may underlie clinical problems, such as the role of emotional acceptance, emotional suppression, emotion regulatory strategies, and mindfulness in a range of clinical presentations. Dr. Roemer has published over 70 journal articles and book chapters, coedited two books, and coauthored two books.

 

Susan M. Orsillo, PhD, is Professor of Psychology at Suffolk University in Boston, Massachusetts. Her current research focuses on the role of emotional response styles, most notably experiential avoidance, in maintaining psychological difficulties. In collaboration with her doctoral students in clinical psychology, she has developed a number of prevention and treatment programs that integrate acceptance and mindfulness with evidence-based behavioral approaches. Dr. Orsillo has published over 70 journal articles and book chapters, coedited two books, and coauthored two books.

 

Together, Drs. Roemer and Orsillo have developed an acceptance-based behavioral therapy for generalized anxiety disorder. They are currently examining its efficacy as well as mediators and moderators of change in a study funded by the National Institute of Mental Health. Their self-help book The Mindful Way through Anxiety draws from their decade of research in this area to provide guidance to people struggling with anxiety.

Table of Contents

Introduction	p. 1
Defining the Approach	p. 2
Current Status of Empirical Support for Mindfulness- and Acceptance-Based Behavioral Therapies	p. 4
An Acceptance-Based Behavioral Conceptualization of Clinical Problems	p. 17
Restricted, Entangled, Fused Internal Awareness	p. 20
Experiential Avoidance	p. 25
Behavioral Constriction: Failure to Engage in Valued Action	p. 30
Goals and Methods of Intervention	p. 31
Conclusion	p. 33
Clinical Assessment of Relevant Domains	p. 34
Symptom-Based Assessment	p. 35
Relationship to Internal Experiences	p. 39
Current and Past Coping Strategies	p. 42
Quality of Life	p. 44
Previous Treatment	p. 47
Additional Assessment Resources for the Clinician	p. 50
Individualized Case Formulation and Treatment Planning	p. 54
Developing a Case Formulation	p. 54
Example of a Case Formulation	p. 62
Linking Case Formulation to Treatment Planning	p. 63
Setting the Stage for Therapy	p. 65
Brief Overview of the Treatment Approach	p. 65
The Therapeutic Stance	p. 69
Introducing the Client to Treatment	p. 74
Offering the Client an Acceptance-Based Behavioral Model of Human Functioning	p. 83
Methods of Presenting Information	p. 84
Sharing the Model of Human Functioning and Challenges	p. 85
Challenges in Presenting Models	p. 99
Mindfulness- and Acceptance-Based Strategies	p. 115
The Nature of Acceptance	p. 115
Cultivating Acceptance through Mindfulness-Based Practice: An Overview	p. 116
Specific Instruction and Practice in Mindfulness- and Other Acceptance-Based Practices	p. 119
Obstacles in Cultivating Mindfulness and Acceptance	p. 133
Setting the Stage for Behavioral Change	p. 142
An Introduction to the Concept of Values	p. 143
Initial Values Assessment	p. 148
Articulating and Clarifying One's Values	p. 152
Increasing Awareness of Action and Inaction in Valued Domains	p. 160
Putting It All Together: Promoting Mindful, Valued Action	p. 168
Preparing to Move from Values Articulation to Values-Consistent Behavior	p. 169
Making a Commitment to Valued Actions as a Part of Daily Life	p. 171
Obstacles to Committed Action	p. 172
Willingness to Make a Commitment	p. 174
Evaluating Progress, Relapse Prevention, and Ending Treatment	p. 182
Continual Assessment of Progress	p. 182
Relapse Prevention	p. 188
Ending the Therapeutic Relationship	p. 192
Challenges That Arise during Termination	p. 194
Incorporating Other Evidence-Based Interventions with Acceptance-Based Behavioral Therapies	p. 201
Cognitive Therapy	p. 202
Exposure Therapy	p. 208
Behavioral Activation	p. 210
Relaxation Training	p. 211
Skills Training	p. 212
Medication	p. 213
Summary	p. 214
Cultural Considerations in Acceptance-Based Behavioral Therapies	p. 215
The Relevance of ABBTs to Clients from Diverse Backgrounds	p. 216
Adapting ABBTs for Clients from Diverse Backgrounds	p. 220
Summary and Conclusions	p. 227
Appendix Mindfulness Books	p. 229
References	p. 230
Index	p. 239
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