Developmentally Disabled and Psychotic Individuals

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Authors note:

The co-morbidity of psychosis in individuals with developmental disabilities may exacerbate the financial strain, emotional turmoil, and difficulties in adaptive functioning that these individuals experience. Given the salience of distress across domains of functioning, there exists a pressing need for more effective interventions to address this population. I am posting this protocol in the hope that it will assist treatment practitioners working with the developmentally disabled. It is an attempt to create more "physicalized" ACT metaphors for clients who think more concretely. Please understand that ACT work with this population is evolving and that this protocol is a work in progress. An small single case study using this protocol was discussed in Pankey and Hayes, 2003. (see publications list).

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Epilepsy and emotional states--anger etc.

I am creating an ACT talk to give to epilepsy patients. At this moment, it is a two-part presentation. The first part introduces them to their world of metaphors and how they can defuse the highly negative thoughts about seizures and the whole seizure world they often carry with them. It is initiate by gently squeezing their toes, taking in a belly breath and then "being-there." The "being-there" is a targeted metaphor, memory, or symbol that the patient has rehearsed in their minds and has discovered brings them a sense of clarity, space, safety, from their present thoughts. Of course, it is made very clear to them that this is not the whole show, but only a way of giving them distance from the many thoughts they have attached themselves to in the past and are what drives a great deal of suffering and limiting experiences in their lives. In doing this they can gain a new perspective on how their mind works and begin to accept, but not buy into, all the negative and often frightening thoughts that fill their days and lives. The second part of the program will be working through an ACT book or a combination of information and worksheets and other homework assignments as needed by the group, time considerations and other variables. I see it as being a 8-10 week commitment. I am familiar with the Dahl research and find it very important to what I am trying to create. Equally so, I will be using many of the suggestions from "The Big Book of ACT Metaphors" and other New Harbinger selections as well. I see the first part as an ATM card from the ACT Bank, easy to use, and always available--anywhere, anytime. Any comments are welcomed. S-B-B-There!

Good Hunting,

Richard Clark, LMFT


This is fantastic! I'd like to know which books are being cited in this protocol, so I can read futher about interventions that are mentioned but not described. I saw a note about *ACT handbook* but there are no title matches in

the "ACT Handbook"

I'm 99% sure that the "ACT handbook" actually refers to the 1999 book by Hayes, Strosahl, & Wilson "Acceptance and Commitment Therapy". Before it was in print with Guilford it was xeroxed and passed around a lot and referred to as the "ACT handbook". If I'm wrong, someone please correct me by commenting below. (There is a new addition of the 1999 book, but there are significant changes so you may or may not find what you're looking for in there.)