Mindfulness- and Acceptance-Based Behavioral Therapies in Practice

Mindfulness- and Acceptance-Based Behavioral Therapies in Practice

by Lizabeth Roemer PhD, Susan M. Orsillo PhD


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Product Details

ISBN-13: 9781606239995
Publisher: Guilford Publications, Inc.
Publication date: 07/22/2010
Series: Guides to Individualized Evidence-Based Treatment
Pages: 244
Sales rank: 1,155,568
Product dimensions: 6.90(w) x 9.90(h) x 0.70(d)

About the Author

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 1

Defining the Approach 2

Current Status of Empirical Support for Mindfulness- and Acceptance-Based Behavioral Therapies 4

1 An Acceptance-Based Behavioral Conceptualization of Clinical Problems 17

Restricted, Entangled, Fused Internal Awareness 20

Experiential Avoidance 25

Behavioral Constriction: Failure to Engage in Valued Action 30

Goals and Methods of Intervention 31

Conclusion 33

2 Clinical Assessment of Relevant Domains 34

Symptom-Based Assessment 35

Relationship to Internal Experiences 39

Current and Past Coping Strategies 42

Quality of Life 44

Previous Treatment 47

Additional Assessment Resources for the Clinician 50

3 Individualized Case Formulation and Treatment Planning 54

Developing a Case Formulation 54

Example of a Case Formulation 62

Linking Case Formulation to Treatment Planning 63

4 Setting the Stage for Therapy 65

Brief Overview of the Treatment Approach 65

The Therapeutic Stance 69

Introducing the Client to Treatment 74

5 Offering the Client an Acceptance-Based Behavioral Model of Human Functioning 83

Methods of Presenting Information 84

Sharing the Model of Human Functioning and Challenges 85

Challenges in Presenting Models 99

6 Mindfulness- and Acceptance-Based Strategies 115

The Nature of Acceptance 115

Cultivating Acceptance through Mindfulness-Based Practice: An Overview 116

Specific Instruction and Practice in Mindfulness- and Other Acceptance-Based Practices 119

Obstacles in Cultivating Mindfulness and Acceptance 133

7 Setting the Stage for Behavioral Change 142

An Introduction to the Concept of Values 143

Initial Values Assessment 148

Articulating and Clarifying One's Values 152

Increasing Awareness of Action and Inaction in Valued Domains 160

8 Putting It All Together: Promoting Mindful, Valued Action 168

Preparing to Move from Values Articulation to Values-Consistent Behavior 169

Making a Commitment to Valued Actions as a Part of Daily Life 171

Obstacles to Committed Action 172

Willingness to Make a Commitment 174

9 Evaluating Progress, Relapse Prevention, and Ending Treatment 182

Continual Assessment of Progress 182

Relapse Prevention 188

Ending the Therapeutic Relationship 192

Challenges That Arise during Termination 194

10 Incorporating Other Evidence-Based Interventions with Acceptance-Based Behavioral Therapies 201

Cognitive Therapy 202

Exposure Therapy 208

Behavioral Activation 210

Relaxation Training 211

Skills Training 212

Medication 213

Summary 214

11 Cultural Considerations in Acceptance-Based Behavioral Therapies Jonathan K. Lee Cara Fuchs 215

The Relevance of ABBTs to Clients from Diverse Backgrounds 216

Adapting ABBTs for Clients from Diverse Backgrounds 220

Summary and Conclusions 227

Appendix Mindfulness Books 229

References 230

Index 239


Psychotherapists in a range of settings, including clinical psychologists, psychiatrists, and clinical social workers, as well as advanced students in these areas. May serve as a text in graduate-level courses and clinical practica.

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