ACT and Distress Tolerance/Discomfort Tolerance Scales

Hi all, I'm considering using the Distress Tolerance Scale and Discomfort Tolerance Scale in a study measuring the ACT process. Does anyone have info on how these scales correlate with the ACT process or if they have shown sensitivity to treatment outcome? I'm also looking for a good metacognition questionnaire to assess the ACT process. I'm considering the Meta-Cognitive Beliefs Questionnaire and Meta-Cognitions Questionnaire. Any suggestions on these or different measures? Thanks!

La métaphore du Bar à Sushis, défusion et valeurs personnelles

j'ai attaché un court pdf que j'utilise dans mes entretiens de manière moins formalisée, il "parle" à certains de mes clients, et leur a permis de saisir l'expérience interne du flot continu de pensées , émotions et sensations, comme des produits parfaitement manufacturés par notre esprit, dont la réelle valeur dans nos propres vies à plus à voir avec nos choix, les actions que nous posons à leur contact , qu'avec leur apparence si entrainante, ou si menaçante...


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ACT and Stuttering: The begining of Acceptance with letting go of "experiencial control"

I've just started reading Luama, Hayes, & Walser (2007) and from what I've read so far about experiencial control and acceptance, it sounds like you need to let go of idea that our experiences control our behaviors. This is the first step to a path of acceptance.

La Perspinteractive - Un Outil Versatile d'Apprentissage et de Supervision/Intervision

Un jeu d'entrainement et de Supervision/intervision


Depuis que nous travaillons avec le modèle ACT Togus, nous en sommes venus à adapter le 'ACT Game' inventé par Kevin Polk & Jeorld Hambright.

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Questionário de Razões

Questionário de Razões

Nome: Data:

Leia as seguintes situações. Para cada uma delas, dê razões (motivos) que uma pessoa provavelmente daria para cada um dos eventos.Liste ao menos 8 razões para cada situação. Não vá para a situação seguinte sem antes terminar a anterior.

Situação A:

Clara acorda sentindo-se maravilhosamente bem, ouvindo o rádio e cantando e sorrindo a todos. Uma amiga lhe pergunta, “Por que você está tão feliz hoje?” Quais os motivos que ela poderia dar a amiga por estar tão exuberante?


Cet atelier, que Jana Grand et moi-même avons facilité, a réuni 20 personnes, dont 9 psychiatres et 8 psychologues, désireuses d'en savoir plus sur l'ACT. La plupart était familière avec la mindfulness et plusieurs avait déjà une bonne connaissance, voire un peu d'expérience clinique de l'ACT.

Cet atelier fut très intense, tant au niveau du contenu, que de l'émotion. Nos buts étaient :
-de présenter le modèle théorique et la science qui l'étaye, de faire ressentit ses bases dans l'analyse fonctionnelle des comportements,

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ACT in Stockholm

Steven Hayes visited Karolinska Sjukhuset(Astrid Lindgren) today, and I was really inspired.
So I joined.
Great decision.

I wish well, today I will dwell, upon a new now.

The waves keeps on crashing and I surf.

New to ACT

I'm new to ACT and just starting to compile resources to learn about ACT procedures. I'm an SLP and a person who stutters and am wondering how ACT will fit with my clinical practices with people who stutter in respect to becoming comfortable with stuttering hopefully produce more relaxed speech.

Sushis Bar metaphor

Here is my first contribution to this site, a metaphor i used for a few times with my clients that seems to be funny and useful.
In attached file.

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iView Video: Surfing Your Stress to Success

Hello to All:

For all of those who have asked for a video of me presenting the iView...

I posted a video of me performing the iView for my stress management presentation "Surfing Your Stress to Success."


This is part of a full length, soon to be published video of the presentation. If you would like a copy of that, just sign up to my email list or my other blog and I will let you know when the full video is ready.



You is the problem, part II

from the Tao te Ching...

"Welcome disgrace as a pleasant surprise.
Prize calamities as your own body."

Women in relationship with transgender MTFs

Psychotherapy Support Group for Women whose husbands and significant others are transitioning from male to female.

Beginning Saturday January 17

When faced with a relationship change we sometimes experience grief and loss, anger, fear, and sadness.

• Gain understanding for your experience
• Reduce your isolation
• Strengthen interpersonal relationships
• Share your thoughts and feelings in a safe, supportive environment
• Learn from others
• Ask questions of yourself and others:
o What is happening to me?
o Why is this happening in my relationship?

The Best Toy in the World (English Version)

TE BEST TOY IN THE WORLD (A Tale for a Christmas in Crisis)

He didn’t remember the toy-shop to be there. Perhaps it was a temporary shop with charitable aims for Christmas. Maybe they have used toys; that would be good for he could’nt afford to spend much money. He was looking for some cheap toy, a very cheap toy. Perhaps the shop-assistent could help him.



No recordaba que hubiera allí antes una juguetería. Seguramente era una de esas tiendas ocasionales que ponía alguna organización benéfica para recaudar fondos con la venta de juguetes. A lo mejor hasta tenían juguetes usados; eso estaría muy bien porque él no podía gastarse mucho dinero. No tenía ni idea de qué podía comprar. Tendría que ser algo barato, muy barato. A ver si el dependiente le echaba una mano.

New ACT Group in Buffalo

I have started an ACT group at the Community Mental Health Clinic- The population consists of clients with addiction, trauma and possibly other diagnoses. I've read a number of ACT books, and recently have attended Kevin Polk's training and in January I'll attend Kellly Wilson's 4 day training in Oregon. In my treatment center, I've developed 4 stages of groups:
Phase 1:CBT on Addiction (2 days a week) Motivational Interviewing (2 days a week)
Phase 2:DBT (2 days a week and Psycho-education on Trauma (1 day a week)
Phase 3: Schema Focused Therapy (2 days a week)

New mindfulness-based treatment approach

Behavioral Utilization of Dependent Arising

Coming soon to a blinded peer-review near you.

Values Exercise

Below is a values exercise that I posted on the listserv and some people told me they liked.


Kelly and All:

I have a routine I do with people that usually gets a conversation started about some of this [values] stuff:

ACT in Coaching individuals in work related distress

Wondering if anyone is using ACT to manage clients having problems in coping on the job or in moving into a career change...

Surfing Your Stress to Success (the video)

I just finished taping a new video for my stress management business called

Surfing Your Stress to Success.

It's based on Valued Living Training and other ACT-like stuff.

I will have it ready in a week or two so it's in time for the Holidays.

I have a mailing list set up to tell people when this and other videos will be ready.

Just go to [[]] and go to the bottom of the page to sign up.



Valued Living Therapy (VLT)

Dr. Hambright and I have been diligently working out in our community-based practice; working on something that much more emphasizes values and committed action combined with simple noticing. We have decided to call it Valued Living Therapy (VLT) that is based on elements of Acceptance and Commitment Therapy.

Obviously VLT stresses the Values and Committed Action of ACT and uses a simple Noticing in place of more intense mindfulness practice.

ACT in New England List: Sixth Message, November 2008

ACT in New England List
Mailing #6: November2008
1. Welcome
2. ACT Trainings in New England
3. Next Major ACT Conference

Addendum: Subscribe/Unsubscribe Links & Info
**Please forward this email to anyone who may be interested.**

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Urban Mindfulness

Hi folks,

I maintain a website dedicated to the practice of mindfulness and meditation in New York City. In addition to an active blog with expert contributors, the website has exercises for mindfulness, meditation instructions, and a calendar of ongoing meditation events in the city. Why not check it out?



ACT for Male Pattern Baldness

This exciting new treatment for baldness will quickly outshine Rogaine, Just for Men, and everything else on the market. In helping clients accept their baldness and focus on valued living, this ACT treatment package includes helpful experiential exercises like:

- "Bald, bald, bald" defusion exercise

- Tug of war with the rug

- Mindfulness of hairlessness

Pre-order now for the best deal! Only $89.95!!! Includes a 12-DVD set to help you learn to translate your existing ACT skills to this challenging disorder.

Beginner's Eye

I have only four years of experience in the field of psychology. For the majority of the first two years, I collected and analyzed data in a Dialectical Behavioral Therapy (DBT) clinic through a laboratory at Harvard University in Cambridge, MA. I sat in on 5 hours a week of therapist consultation team meetings, didactic seminars, and individual supervision in exchange for tracking the progress of each client. I have only been participating in a few month’s worth of Acceptance and Commitment Therapy (ACT) meetings as a doctoral student.

Perhaps a beginner’s eye can be of some utility.

In a recent lab meeting, I was engaged in a discussion of the paradigm shift between the focus of therapy being symptom reduction, as seen in other therapies (i.e. cognitive-behavioral therapy), towards helping the client to live a life in accordance with their values, as in ACT. The irresolution of an argument centering on this point prompted me to write my first ever blog entry.

In ACT there is not only an emphasis on living life in accordance with one’s values, but it seems a fairly outright denunciation of any attempt to control or manipulate thoughts in an effort to regulate emotions. Although I am aware of the research indicating thought/expressive suppression is an unsuccessful method of controlling thoughts/emotions often resulting in increases in the targeted thoughts/emotions, there is evidence to suggest that cognitive reappraisal, the revaluation of negative thoughts, is effective (in fact, I presented research at the Associations for Behavioral and Cognitive Therapies conference in 2006 on cognitive reappraisal being a potential mechanism of change in intensive DBT). I understand that because attempts at suppressing thoughts are futile, as a therapist one should not encourage this; however, I do not understand what appears to possibly be an overgeneralization to advise against ever attempting forms of thought manipulation, especially when reappraising cognitions appears to be beneficial [If this blog entry were actual dialogue, this would be the point where I may get into a semantics discussion with ACT practitioners about the word “beneficial.” Although this word was previously used in reference to symptom reduction, I would argue that it is safe to say that using cognitive reappraisal as a tool can also help one to lead a life in accordance with one’s values.].

That is not to say, of course, that cognitive reappraisal should be a focus of the treatment or that mindfulness should be abandoned. Quite the opposite. I am merely suggesting that perhaps all attempts at thought/emotion manipulation should not be discounted. Perhaps mindfulness can be used as a tool the majority of the time for some problems whereas cognitive reappraisal can be used as a tool occasionally for other types.

Of note, I have come to conceptualize two types of mindfulness:
1) allowing oneself to fully experience a thought/emotion without attempt at suppression
2) allowing oneself to view thoughts/emotions objectively as thoughts/emotion

I realize the following thought is not original; however, it is worth noting here for the sake of comprehensiveness that the first conceptualization of mindfulness may be effective through means similar to that of exposure. Basically, if one stops avoiding or attempting to avoid the emotion, it is learned that the emotion can be experienced and survived.

I have not previously heard interpretations of why the second type of mindfulness may be effective. It may work because enough distance between one and one's thoughts/emotions is created that a "reappraisal" of sorts may naturally follow whether or not it was an intended benefit. In other words, by virtue of the distance created by mindfulness alone, cognitive defusion may follow, and reappraisal of the thought/emotion as non-intrusive or not-bad may occur. Whereby mindfulness practice may facilitate the thought transforming from having a negative to neutral valence, in cognitive reappraisal, the valence may go from bad to good or bad to neutral. It is not clear which method is more effective. In short, I think cognitive reappraisal and mindfulness may achieve similar ends through different means. The question of which means is better is obviously open to discussion; however, again, I would hypothesize that mindfulness is probably effective most of the time whereby cognitive reappraisal would be beneficial in other instances. It is known that people with emotional disorders are in the habit of attempting to suppress thoughts while healthy controls are more able to accept their negative emotions and function in society. Perhaps because people with emotional disorders have a tendency to do this, an approach geared away from thought manipulation in general may be appropriate.

In addition, I am aware that in light of the recent literature suggesting that behavioral activation- simply put, carrying out daily activities despite symptoms- is a main mechanism of change in many psychological treatments, all the talk of cognitions seems futile; however, I think it is necessary. It is interesting that behavioral activation is so closely in line with the goal of ACT: living life towards ones values in the context of one’s symptoms. With this as a treatment goal, one is essentially turning the client’s attention away from thought/emotional suppression and gearing them to behaviorally activate. The “gearing” or framework in which the behavioral activation is nestled may be the determining factor in whether or not one actually begins to behaviorally activate or start living life in accordance with one’s values. Therefore, packaging behavioral activation in ACT with mindfulness may be more useful than packaging it with the cognitive pieces of cognitive behavioral therapy.

It is also of note that while in cognitive-behavioral/behavioral therapy, behavioral activation is the means through which symptoms are reduced, in ACT, the goal is to behaviorally activate without necessary symptom reduction. It is possible that gearing the therapy without the expectation of symptom reduction may actually result in greater symptom reduction than CBT. Again, this could possibly be because people with emotional disorders are constantly struggling with control and suppression of thoughts/emotions so that when they are in a context encouraging them to largely give up control, behavioral activation could be facilitated and more symptoms reduced. Furthermore, if treatment doesn't immediately ameliorate symptoms, clients in ACT may be more likely to stay in treatment because of low expectations about symptom reduction.

If you are interested in this topic, please feel free to visit my blog at [[]]!


Ces journées d'automne ont été un succès impressionant et il faut remercierl'Afforthecc qui a bien voulu prendre le pari que la venue de Kelly serait un succès. Le cadre était enchanteur, le centre des congrès parfait et la nourriture faisait honneur à la patrie de la gastronomie!

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ACT in New England List: Fifth Message, October 2008

ACT in New England List
Mailing #5: October 2008
1. Welcome
2. ACT Trainings in New England
3. Online Trainings & Distance Learning
4. Other Trainings
5. New Online Content
6. Behavioral Training

Addendum: [[|Subscribe]]

October 2008 e-newsletter is attached below.

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LOS ZAPATOS NUEVOS (Spanish version)

Relucían como soles en sus pies y, lo que era mejor todavía, le resultaban cómodos como guantes. Fue girándose ante el espejo para ver el efecto desde todos los ángulos posibles: Perfecto. La caída del pantalón recubriendo parte del talón hacía destacar más aún el brillo de los zapatos que, por otra parte, hacía juego con el resplandor de su pelo engominado de domingo.

THE NEW SHOES (English version)

They were shinning at his feet and, even best, he could feel them as confortable as gloves. He turned himself in front of the full-length mirror to see them from every possible perspective. Perfect! The shinnig of the shoes matched to the shinning of his combed hair.

self as context vs self as process

Master Seong Am Eon used to call to himself every day, "Master!" and would answer, "Yes?"
"You must keep clear!"
"Never be deceived by others, any day, any time!"
"Yes! Yes!"

- third of Seung Sahn's (1927-2004) twelve gates

Let it go, let it go, let it go, let it go

Listening to Erykah Badu's "Bag Lady" for the first time in a while the other day, really hearing her...

Bag lady, you gon' hurt your back
Dragging all them bags like that
I guess nobody ever told you
All you must hold on to
Is you, is you, is you.

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